TY - JOUR T1 - Thirty-minute compared to standardised office blood pressure measurement in general practice JF - British Journal of General Practice JO - Br J Gen Pract SP - e590 LP - e597 DO - 10.3399/bjgp11X593875 VL - 61 IS - 590 AU - Nynke Scherpbier-de Haan AU - Mark van der Wel AU - Gijs Schoenmakers AU - Steve Boudewijns AU - Petronella Peer AU - Chris van Weel AU - Theo Thien AU - Carel Bakx Y1 - 2011/09/01 UR - http://bjgp.org/content/61/590/e590.abstract N2 - Background Although blood pressure measurement is one of the most frequently performed measurements in clinical practice, there are concerns about its reliability. Serial, automated oscillometric blood pressure measurement has the potential to reduce measurement bias and white-coat effect'Aim To study agreement of 30-minute office blood pressure measurement (OBPM) with standardised OBPM, and to compare repeatabilityDesign and setting Method comparison study in two general practices in the NetherlandsMethod Thirty-minute and standardised OBPM was carried out with the same, validated device in 83 adult patients, and the procedure was repeated after 2 weeks. During 30-minute OBPM, blood pressure was measured automatically every 3 minutes, with the patient in a sitting position, alone in a quiet room. Agreement between 30-minute and standardised OBPM was assessed by Bland–Altman analysis. Repeatability of the blood pressure measurement methods after 2 weeks was expressed as the mean difference in combination with the standard deviation of difference (SDD)Results Mean 30-minute OBPM readings were 7.6/2.5 mmHg (95% confidence interval [CI] = 6.1 to 9.1/1.5 to 3.4 mmHg) lower than standardised OBPM readings. The mean difference and SDD between repeated 30-minute OBPMs (mean difference = 3/1 mmHg, 95% CI = 1 to 5/0 to 2 mmHg; SDD 9.5/5.3 mmHg) were lower than those of standardised OBPMs (mean difference = 6/2 mmHg, 95% CI = 4 to 8/1 to 4 mmHg; SDD 10.9/6.3 mmHg).Conclusion Thirty-minute OBPM resulted in lower readings than standardised OBPM and had a better repeatability. These results suggest that 30-minute OBPM better reflects the patient's true blood pressure than standardised OBPM does. ER -