Youtube as a source of information on "Manual Blood Pressure Measurement"

Author(s):  
Mehmet Fatih Yılmaz ◽  
Sedat Kalkan

Objectives: The aim of the study is to evaluate the quality and reliability of videos on manual blood pressure measurement on Youtube. Patients and Methods: In January 2021, the first 100 videos found as a result of a search with the keywords 'manual blood pressure measurement' on Youtube were watched and evaluated. According to exclusion criteria, 75 videos were included in the study. Duplicate videos, irrelevant videos, and videos in languages other than English were excluded from the study. Each video was scored according to the questions prepared based on the guidelines. The GQS score and the 'Reliability' score were used to assess the quality of the videos. Results: According to the checklist prepared according to the hypertension consensus report, the mean score of the videos was 8.33 ± 2.1. When the videos were evaluated according to their sources, the average score of the videos of the health sites was 9±2.5, the average score of the videos of the individual health workers was 8.66±1.8, the average score of the videos of the unidentified people was 7.54±2.1. Conclusion: Manual blood pressure measurement videos on Youtube have little educational value. Videos of health websites should be preferred for education.

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Kathryn Foti ◽  
Lawrence J Appel ◽  
Kunihiro Matsushita ◽  
Josef Coresh ◽  
G Caleb Alexander ◽  
...  

Introduction: Clinical practice guidelines emphasize the importance of accurate blood pressure measurement and recording to diagnose and treat hypertension. Trends in terminal digit preference (typically manifest by a terminal digit of ‘0’) have not been examined nationally. The growing use of automated blood pressure devices may have reduced terminal digit preference and improved accuracy over time. Objective: To evaluate trends in terminal digit preference in office blood pressure measurements among adults with hypertension by patient and provider characteristics. Methods: We used IQVIA National Disease and Therapeutic Index (NDTI) data from January 2014 through June 2019. The NDTI is designed to be nationally-representative of all patient visits to office-based physicians and uses a two-stage stratified sampling design to sample ~4,000 physicians per quarter who report information on all patient visits on 2 random workdays. We included all hypertension treatment visits (~60M/year) among adults aged ≥18. We examined trends in the proportion of hypertension treatment visits with recorded systolic (SBP) and diastolic (DBP) blood pressure measurements with a terminal digit ‘0’. The expected percent of blood pressures with ‘0’ is 10% for automated and 20% for manual readings. Results: There was a decrease in the percent of visits with SBP (43.0% to 37.4%) or DBP (44.3% to 38.1%) recordings ending in zero ( Table ). The decrease in percent of SBPs with a terminal zero was similar by patient and provider characteristics, though the percentage of SBPs with a terminal ‘0’ was consistently higher among patients aged ≥60, when SBP ≥140 mmHg, and among cardiologists. Conclusions: Terminal digit preference is common indicating systematic error in blood pressure measurement and recording, despite some improvement over time. This may lead to under- and overtreatment of patients with hypertension. Improving the quality of blood pressure measurement is central to improving hypertension diagnosis and control in clinical practice.


2019 ◽  
Vol 27 (1) ◽  
pp. 114-125 ◽  
Author(s):  
Esther J. Varney ◽  
Ashley M. Van Drunen ◽  
Emily F. Moore ◽  
Kristen Carlin ◽  
Karen Thomas

Background and PurposeBlood pressure measurement represents the pressure exerted during heart ejection and filling. There are several ways to measure blood pressure and a valid measure is essential. The purpose of this study was to evaluate the approach to noninvasive blood pressure measurement in children.MethodsBlood pressure measurements were taken using the automatic Phillips MP30 monitor and compared against Welch Allyn blood pressure cuffs with Medline manual sphygmomanometers.ResultsA total of 492 measurements were taken on 82 subjects, and they demonstrated comparability between automatic and manual devices.ConclusionsAlthough our study indicated acceptable agreement between automatic and manual blood pressure measurement, it also revealed measurement error remains a concern, with sample size, study protocol, training, and environment all playing a role.


2008 ◽  
Vol 14 (4) ◽  
pp. 296-302 ◽  
Author(s):  
Megan Heinemann ◽  
Ken Sellick ◽  
Claire Rickard ◽  
Pam Reynolds ◽  
Matthew McGrail

Hypertension ◽  
2018 ◽  
Vol 72 (Suppl_1) ◽  
Author(s):  
Jesse Bittman ◽  
Thuy Pham ◽  
Mari Sarian ◽  
Sheldon Tobe

2016 ◽  
Vol 4 (3) ◽  
pp. 404-409 ◽  
Author(s):  
Kanaan Mansoor ◽  
Saba Shahnawaz ◽  
Mariam Rasool ◽  
Huwad Chaudhry ◽  
Gul Ahuja ◽  
...  

BACKGROUND: Hypertension has proven to be a strong liability with 13.5% of all mortality worldwide being attributed to elevated blood pressures in 2001. An accurate blood pressure measurement lies at the crux of an appropriate diagnosis. Despite the mercury sphygmomanometer being the gold standard, the ongoing deliberation as to whether mercury sphygmomanometers should be replaced with the automated oscillometric devices stems from the risk mercury poses to the environment.AIM: This study was performed to check the validity of automated oscillometric blood pressure measurements as compared to the manual blood pressure measurements in Karachi, Pakistan.MATERIAL AND METHODS: Blood pressure was recorded in 200 individuals aged 15 and above using both, an automated oscillometric blood pressure device (Dinamap Procare 100) and a manual mercury sphygmomanometer concomitantly. Two nurses were assigned to each patient and the device, arm for taking the reading and nurses were randomly determined. SPSS version 20 was used for analysis. Mean and standard deviation of the systolic and diastolic measurements from each modality were compared to each other and P values of 0.05 or less were considered to be significant. Validation criteria of British Hypertension Society (BHS) and the US Association for the Advancement of Medical Instrumentation (AAMI) were used. RESULTS: Two hundred patients were included. The mean of the difference of systolic was 8.54 ± 9.38 while the mean of the difference of diastolic was 4.21 ± 7.88. Patients were further divided into three groups of different systolic blood pressure <= 120, > 120 to = 150 and > 150, their means were 6.27 ± 8.39 (p-value 0.175), 8.91 ± 8.96 (p-value 0.004) and 10.98 ± 10.49 (p-value 0.001) respectively. In our study 89 patients were previously diagnosed with hypertension; their difference of mean systolic was 9.43 ± 9.89 (p-value 0.000) and difference of mean diastolic was 4.26 ± 7.35 (p-value 0.000).CONCLUSIONS: Systolic readings from a previously validated device are not reliable when used in the ER and they show a higher degree of incongruency and inaccuracy when they are used outside validation settings. Also, readings from the right arm tend to be more precise.


2018 ◽  
Vol 1 (2) ◽  
pp. 63-71
Author(s):  
Lilis Lismayanti ◽  
Ida Rosidawati

The Healthy Indonesia Program aims to improve health status through health efforts and equitable health services. The positive side of the success of health development is the increasing life expectancy. But it has a negative impact, namely the increasing incidence of degenerative diseases, one of which is hypertension. Hypertension is often called the "silent killer" because it can appear without symptoms or warning signs, so many do not realize it so that the prevalence of hypertension increases. The breadth of the work area and the lack of health workers, can lead to a lack of public access to health services, so the elderly who have hypertension are less able to control the condition of the disease. Cadres of Non-Communicable Diseases Posyandu (PTM) can be the first line in reaching the community, when health workers are not available. Posyand cadres can also be an extension of their hands in increasing people's knowledge and understanding of hypertension, even cadres can carry out blood pressure checks independently. The purpose of community service is IbM activities for Posyandu cadres of PTM, especially in Kelurahan Bantarsari in the form of counseling about hypertension and training in blood pressure measurement. The population and sample in this service were 24 cadres in Bantarsari village. Data was collected using a questionnaire in the form of questions to find out the knowledge of participants before and after training and a checklist to measure skills. Data analysis using the Paired-Samples T Test. The material used is a blood pressure measuring device, the OMRON brand digital sphygmomanometer using a new battery. The results of this activity are all female cadres, with a age range of 21-45 years. Educational background for cadres is 79.16% of high school graduates and 20.84% ​​of junior high school graduates. The results of the Paired-Samples T Test analysis obtained p value 0,000 which means that there is an influence of counseling and training conducted on cadre knowledge about blood pressure measurement. In conclusion, counseling and training for cadres has a good influence in increasing their knowledge, so it is expected to reduce the incidence of hypertension in their target areas.


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