Accuracy of blood pressure measurements reported in an electronic medical record during routine primary care visits.
Accuracy of blood pressure measurements reported in an electronic medical record during routine primary care visits.
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DOI：
10.1111/j.1751-7176.2011.00528.x
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发表时间：
2011-11
期刊：
影响因子：
--
通讯作者：
Green BB
中科院分区：
文献类型：
--
作者：
Fishman PA;Anderson ML;Cook AJ;Ralston JD;Catz SL;Carlson J;Larson EB;Green BB
电子医疗记录（EMRS）允许真实的时间访问基于人群的血压信息，并且改进了对患有高血压的个体的识别和治疗。尽管从电子病历中获得的数据具有潜在的用途，但相对而言，很少有研究审查这些数据的可靠性。为了解决这一差距，我们检查了在初级保健就诊时测量的血压的可靠性，并将其记录在电子病历中，与在研究访问时测量的血压进行比较，在研究访问时使用标准协议测量所有成年人以及性别和年龄的血压。各年龄和性别组EMR中的收缩压（BP）平均值为3.7（17.3）分，舒张压平均值为2.8（10.6）分，均低于研究访视，所有差异均具有统计学显著性。对于诊断为高血压的患者队列，在临床和研究中进行的BP测量值之间存在中度相关性。然而，个体的血压控制（定义为收缩压小于140 mm Hg，舒张压小于90 mm Hg）相差近25%。已知的血压变异性和测量和记录血压的临床程序可能是这些差异的原因。
Electronic medical records (EMRS) allow for real time access to blood pressure information on a population basis and improved identification and treatment of individuals with hypertension. Despite the potential uses of the data available from EMRs relatively little research has examined the reliability of this data. To address this gap, we examined the reliability of blood pressure taken at primary care visits and recorded in an electronic medical record with those taken at a research study visit at which standard protocols were used to measure blood pressure among all adults as well as by gender and age. Systolic blood pressure (BP) averaged 3.7 (17.3) points and diastolic BP was 2.8 (10.6) points lower in the EMR than in the study visit across age and gender groups with all differences statistically significant. For this cohort of patients with a diagnosis of hypertension there was moderate correlation between BP measurements taken in clinic and at research. However BP control for individuals, as defined by a BP of less the 140 mm Hg systolic and 90 mm Hg diastolic, differed by almost 25%. Known variability of BP and clinic procedures for measuring and recording BP may account for these differences.
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影响因子：
2.8
作者：
Ostchega, Yechiam;Nwankwo, Tatiana;Zipf, George
通讯作者：
Zipf, George
影响因子：
3
作者：
Persell, Stephen D.;Kho, Abel N.;Baker, David W.
通讯作者：
Baker, David W.
影响因子：
1.3
作者：
Gerin, W;Marion, RM;Pickering, TG
通讯作者：
Pickering, TG
影响因子：
1.3
作者：
Coleman, A;Freeman, P;Shennan, A
通讯作者：
Shennan, A
DOI：
10.2307/2987937
发表时间：
1983-01-01
期刊：
JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES D-THE STATISTICIAN
影响因子：
--
作者：
ALTMAN, DG;BLAND, JM
通讯作者：
BLAND, JM