Blood Pressure Monitoring - Does the monitor and the method matter?
Project Description: Blood pressure (BP) is a vital sign that is monitored at almost every clinic visit, universally. However, the technique used to measure BP varies considerably, including which BP monitor is used and what technique is used (attended - meaning a health care provider is present and actually obtains the BP measurement or unattended - meaning a monitor that is programmed to measure BP after the health care provider leaves the room) also varies. The landmark, NIH funded SPRINT trial was published in 2015 and suggested that lower BP goals are better for preventing adverse outcomes, and importantly, the BP measured in the SPRINT trial was using a specific Omron monitor, in an unattended fashion. Beginning in August 2017, in the CV Clinic at Spring Hill, the specific Omron BP monitor that was used in the SPRINT trial was implemented in a single practitioner clinic (Carl Pepine) and the unattended measurement technique has been utilized routinely in the Pepine clinic for all patients since implementation. Also, if patients have multiple visits since the implementation of the new monitor, we will also look at BP variability measured with the new monitor and unattended technique. There are currently new hypertension treatment guidelines under review that will impact how BP monitoring and treatment care is provided in the future. These recommendations may include suggestion of unattended BP monitoring, which is not currently the standard of care at UF Health. This project would evaluate results from implementation of this technique in one CV clinic.
QPI: Rhonda, Dehoff, (firstname.lastname@example.org)
Collaborators: Carl, Pepine, (email@example.com); Michael, Ossenbeck, (firstname.lastname@example.org); Rhonda, Dehoff, (email@example.com)
Advisors: Rhonda, Dehoff, (firstname.lastname@example.org)
UF Health Big Aims: Transform our Culture None
MeSH Keywords: Blood Pressure Monitors, blood pressure, hypertension