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
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DOI:
10.1016/s0895-4356(03)00085-4
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发表时间:
2003-08-01
影响因子:
7.2
通讯作者:
Collins, D
Collins, D
中科院分区:
医学2区
文献类型:
--
作者:
Ostchega, Y;Prineas, RJ;Collins, D

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目的:我们描述了全国健康与营养检查调查(NHANES)血压(BP)观察员的培训和协议标准化和评估BP measurement.Methods的质量:参与者是8岁及以上的人谁有他们的BP测量(n = 7467)在NHANES 1999-2000年。袖带宽度/臂围比(CW/AC),结束数字的偏好,和观察员的协议进行了examined.Results:在逐步主成分多元回归分析,CW/AC占不到2%的变异R-2在所有读数。所有末端数字的频率接近20%(“0”末端数字= 21%收缩压和23%舒张压)。平均收缩压读数不存在总体观察者效应。显著的观察者效应(P
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