Standard vs. Routine Blood Pressure Measurement in Pregnancy: Effects of Position and Diurnal Variation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 500
- 试验地点
- 1
- 主要终点
- Mean difference in systolic blood pressure (mmHg) between guideline-based and routine clinical measurement
研究概览
简要总结
The aim of the study is to examine the variation in blood pressure between an optimal measurement (according to established guidelines in the literature - per guidelines) and a 'common' measurement (used by nursing teams - per common practice) among women of reproductive age with and without hyperte
详细描述
Accurate blood pressure measurement is a cornerstone of the diagnosis and management of hypertension. The latest Clinical Practice Guidelines (AHA2020- International Society of Hypertension Global) emphasize several important steps for accurate blood pressure measurement, including choosing the correct cuff size, resting for five minutes, sitting with support for the back, feet flat on the floor, and legs uncrossed, and proper arm positioning (i.e., positioning the midpoint of the cuff at heart level with the arm supported on a table or work surface). Sitting measurements are preferred because of the large amount of data linking blood pressure measurements in this position to health outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women aged 18-40
- •Informed consent to participate.
排除标准
- •Inability to cooperate with BP measurement under optimal conditions
- •Women with complex underlying disease that may bias the data (e.g. significant vasculopathy)
研究组 & 干预措施
variation in blood pressure between an optimal measurement and a 'common' measurement
干预措施: blood pressure measurement (Procedure)
结局指标
主要结局
Mean difference in systolic blood pressure (mmHg) between guideline-based and routine clinical measurement
时间窗: 1 year
Mean difference in systolic blood pressure (mmHg) between guideline-based and routine clinical measurement Description: Systolic blood pressure (SBP) will be measured in each participant using two methods: 1. guideline-based blood pressure measurement performed according to international hypertension guidelines (seated position, appropriate cuff size, arm supported at heart level after ≥5 minutes of rest), and 2. routine clinical blood pressure measurement as performed by nursing staff under usual clinical conditions. The primary outcome will be the within-participant mean difference in SBP (mmHg) between the two measurement methods.
次要结局
- Mean difference in diastolic blood pressure (mmHg) between guideline-based and routine clinical measurement(1 year)
- Mean difference in mean arterial pressure (mmHg) between guideline-based and routine clinical measurement(1 yaer)