Research Article
Volume 8 Issue 6 - 2021
Is the Patient’s Blood Pressure Being Measured in the Doctors’ Offices during the Routine Medical Appointments?
Henrique Cotchi Simbo Muela1*, Guilherme Mendes Lima Franco1, Fernando Muhongo Sandala1, António Gerson Bastos Francisco1, Mujimbi José Viana1, Isaura da Conceição Almeida Lopes1 and Albano Vicente Lopes Ferreira2
1Department of Physiology, Faculty of Medicine, Agostinho Neto University, Luanda, Angola
2Faculty of Medicine, Katyavala Bwila University, Benguela, Angola
*Corresponding Author: Henrique Cotchi Simbo Muela, Department of Physiology, Faculty of Medicine, Agostinho Neto University, (Américo Boa Vida Hospital Backyard), Luanda, Angola.
Received: April 14, 2021; Published: May 29, 2021




Abstract

Background: Blood pressure (BP) measurement is recommended in every medical evaluation, regardless of specialty. There is a growing concern about the routine failure of health professionals to measure BP in outpatient medical appointments. We sought to evaluate whether BP measurement in outpatient consultations at two hospitals is being routinely done.

Methods: From May to August 2019 we carried out a cross-sectional study that included 200 adult patients (≥ 18 years old), 110 (55%) women, who were referred to the outpatient clinical specialties (Internal Medicine, Cardiology, Gastroenterology, Ophthalmology, Dermatology, Neurology, Infectious diseases division) and surgery clinics (General Surgery, Orthopedics, Urology). Anthropometric and clinical data were collected and three BP measurements were taken by the study team using a semiautomatic device (Omron, HEM-7131-E), immediately before entering the medical office. After consultation, it was verified in the medical report whether the BP was measured and recorded by the clinic staff. Patients who were unable to answer the questionnaire, refused to give the written informed consent and who did not want to perform the BP measurements were excluded. Student t-test for paired samples was used to compare continuous variables and Chi-square for categorical variables. Statistical significance was set at 5%.

Results: Most consultations (66.5%) were performed in clinical specialties and by specialist doctors (93.5%). BP measurement and its recording were not performed in 84.5% of cases and, in surgical specialties, there was no patient whose BP was measured and recorded. Previous diagnosis of hypertension did not seem to have increased the chance of a patient having his BP measured and recorded. Cardiology had the highest BP measurement records, however, more than half of the patients evaluated by cardiologists did not have their BP measured and recorded in their medical reports.

Conclusion: Blood pressure is not being measured and recorded in most outpatient consultations of different medical specialties.

Keywords: Blood Pressure; Consultation and Referral; Medical Records; Hypertension; Patients; Physicians

References

  1. Malachias MVB., et al. “Brazilian Guideline of Arterial Hypertension. Chapter 2 - Diagnosis and Classification”. Arquivos Brasileiros de Cardiologia 107 (2016): 7-13.
  2. Mancia G., et al. “2013 ESH/ESC Practice Guidelines for the Management of Arterial Hypertension”. Blood Pressure4 (2013): 193-278.
  3. Leung AA., et al. “Hypertension Canada's 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension”. The Canadian Journal of Cardiology 5 (2016): 569-588.
  4. O'Brien E. “Will mercury manometers soon be obsolete?” Journal of Human Hypertension 9 (1995): 933-934.
  5. A’Court C., et al. “Type and accuracy of sphygmomanometers in primary care: a cross-sectional observational study”. British Journal of General Practice 590 (2011): e598-603.
  6. Rouse A and Marshall T. “The extent and implications of sphygmomanometer calibration error in primary care”. Journal of Human Hypertension 9 (2001): 587-591.
  7. Coleman AJ., et al. “Accuracy of the pressure scale of sphygmomanometers in clinical use within primary care”. Blood Pressure Monitoring4 (2005): 181-188.
  8. Félix-Redondo FJ., et al. “Level of blood pressure control in a hypertensive population when measurements are performed outside the clinical setting”. Cardiology Journal 1 (2009): 57-67.
  9. Segre CA., et al. “White-coat hypertension and normotension in the League of Hypertension of the Hospital das Clínicas, FMUSP: prevalence, clinical and demographic characteristics”. Arquivos Brasileiros de Cardiologia 2 (2003): 122-126.
  10. Myers MG. “Effects of caffeine on blood pressure”. Archives of Internal Medicine 148 (1998): 1189-1193.
  11. Broad J., et al. “Zero end-digit preference in recorded blood pressure and its impact on classification of patients for pharmacologic management in primary care - PREDICT-CVD-6”. British Journal of General Practice 544 (2007): 897-903.
  12. Tolonen H., et al. “Challenges in standardization of blood pressure measurement at the population level”. BMC Medical Research Methodology 15 (2015): 33.
  13. Alavarce DC., et al. “A pressão arterial está sendo medida?” Revista da Escola de Enfermagem da USP 1 (2000): 84-90.
  14. Williams B., et al. “2018 Practice Guidelines for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension”. Blood Press 6 (2018): 314-340.
  15. Maynarde IG., et al. “A Pressão Arterial dos Pacientes Está Sendo Medida Rotineiramente nos Consultórios Médicos?” International Journal of Cardiovascular Sciences 4 (2017): 293-298.
  16. Zheng D., et al. “Effect of respiration, talking and small body movements on blood pressure measurement”. Journal of Human Hypertension 7 (2012): 458-462.
  17. Levy J., et al. “Nonadherence to Recommended Guidelines for Blood Pressure Measurement”. Journal of Clinical Hypertension 11 (2016): 1157-1161.
  18. Ringrose JS., et al. “Effect of Cuff Design on Auscultatory and Oscillometric Blood Pressure Measurements”. American Journal of Hypertension 9 (2016): 1063-1069.
  19. Mbanya VN., et al. “Effects of Single and Multiple Blood Pressure Measurement Strategies on the Prediction of Prevalent Screen-Detected Diabetes Mellitus: A Population-Based Survey”. Journal of Clinical Hypertension 9 (2016): 864-870.
  20. Mion D Jr., et al. “Os médicos brasileiros seguem as diretrizes brasileiras de hipertensão?” Arquivos Brasileiros de Cardiologia 2 (2007): 212-217.
  21. Mion D Jr., et al. “Devices and Techniques for Blood Pressure Measurement and Criteria for Hypertension Adopted by Brazilian Physicians: Exploratory Study”. Arquivos Brasileiros de Cardiologia 6 (2002): 597-600.
  22. Myers MG., et al. “Measurement of blood pressure in the office: recognizing the problem and proposing the solution”. Hypertension2 (2010): 195-200.
  23. Fagard RH., et al. “Prognostic significance of blood pressure measured in the office, at home and during ambulatory monitoring in older patients in general practice”. Journal of Human Hypertension 10 (2005): 801-807.
  24. Pierin AM., et al. “Blood pressure measurement in obese patients: comparison between upper arm and forearm measurements”. Blood Pressure Monitoring 3 (2004): 101-105.
  25. Victória-Pereira S., et al. “May Measurement Month 2017: an analysis of blood pressure screening in Angola-Sub-Saharan Africa”. European Heart Journal 21 (2019): D5-D7.
  26. Cuspidi C., et al. “White-coat hypertension, as defined by ambulatory blood pressure monitoring and subclinical cardiac organ damage: a meta-analysis”. Journal of Hypertension 1 (2015): 24-32.
  27. Campos GW dS. “Educação médica, hospitais universitários e o Sistema Único de Saúde”. Cad Saúde Pública1 (1999): 187-194.
  28. Machado SP and Kuchenbecker R. “Desafios e perspectivas futuras dos hospitais universitários no Brasil”. Ciência and Saúde Coletiva 4 (2007): 871-877.
Citation: Henrique Cotchi Simbo Muela., et al. “Is the Patient’s Blood Pressure Being Measured in the Doctors’ Offices during the Routine Medical Appointments?”. EC Cardiology 8.6 (2021): 51-59.

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