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[Blood pressure monitors in primary healthcare centres]
Nils Moe1, Linn Getz, Ketil Dahl
1Allmennmedisinsk forskningsenhet, Institutt for samfunnsmedisin, Norges teknisk-naturvitenskapelige universitet (NTNU), 7489 Trondheim, Norway. nimoe@online.no
Insights
Few Norwegian clinics calibrate blood pressure monitors, despite mercury sphygmomanometers being phased out. Establishing quality assurance routines for blood pressure measurement devices is crucial for accurate hypertension management.
Area of Science:
- Clinical Medicine
- Cardiovascular Health
- Primary Care Technology
Context:
- Blood pressure monitoring is a fundamental clinical procedure.
- Hypertension diagnosis and management carry significant individual and economic burdens.
- Traditional mercury sphygmomanometers are being replaced, necessitating updated equipment standards.
Purpose:
- To evaluate the types of blood pressure monitors currently used in Norwegian general practice.
- To determine the extent to which calibration and control routines are implemented for these devices.
Summary:
- A 2007 survey of 45 Norwegian primary healthcare centers found only 6% of 320 blood pressure monitors were mercury type; most were aneroid or oscillometric.
- Despite the prevalence of automated and 24-hour monitors, only 4% of responding general practitioners reported established calibration routines.
- The study highlights a gap in quality assurance for blood pressure monitoring equipment in Norwegian primary care.
Impact:
- Recommends the establishment of standardized routines for the quality assurance of blood pressure monitors.
- Aims to improve the accuracy and reliability of blood pressure measurements in primary healthcare.
- Informs the development of national guidelines for blood pressure monitoring equipment selection and maintenance.
Background:
Blood pressure monitoring is one of the most common procedures in clinical medicine. Evaluation and treatment of hypertension are costly and have considerable implications for the individuals involved. Mercury manometers have been dominant for a century, but are currently being replaced by other types of equipment. No national guidelines/recommendations exist on types of blood pressure monitors to be used. The aim of this study was to assess the types of blood pressure monitors used in Norwegian general practice, and to what extent routines have been established for control and calibration of the equipment.
Material And Methods:
In 2007, a questionnaire was distributed to 65 university-affiliated primary healthcare centres in Mid-Norway. The questions included what type of blood pressure monitors are in use and whether routines exist for calibration of them.
Results:
45 healthcare centres with a total of 173 general practitioners (corresponding to 74 % of the doctors) responded. 18 (6 %) of the 320 monitors identified were of the mercury type, the rest were aneroid or oscillometric. Many centres had 24-hour monitors. Two healthcare centres (4 % of the doctors) had established routines for calibration of their blood pressure monitors.
Interpretation:
Routines should be established for quality assurance of blood pressure monitors in Norwegian primary healthcare services.
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