National Health and Nutrition Examination Survey 1999-2000: Effect of observer training and protocol standardization on reducing blood pressure measurement error
National Health and Nutrition Examination Survey 1999-2000: Effect of observer training and protocol standardization on reducing blood pressure measurement error
复制标题
DOI:
10.1016/s0895-4356(03)00085-4
复制
发表时间:
2003-08-01
影响因子:
7.2
通讯作者:
Collins, D
中科院分区:
文献类型:
--
作者:
Ostchega, Y;Prineas, RJ;Collins, D
Objective: We describe the National Health and Nutrition Examination Survey (NHANES) blood pressure (BP) observer training and protocol standardization and evaluate the quality of BP measurement.Methods: The participants were persons aged 8 years and older who had their BP measured (n = 7467) during NHANES 1999-2000. Cuff width/arm circumference ratio (CW/AC), end digit preference, and observer agreement were examined.Results: In stepwise principal components multiple regression analysis, CW/AC accounted for less than 2% of variability R-2 in all readings. The frequencies for all end digits were close to 20% ("0" end digit = 21% systolic and 23% diastolic). No overall observer effect was present for mean systolic BP readings. A significant observer effect (P