Department of Nephrology, Ondokuz Mayis University School of Medicine, Samsun - Turkey.
J Nephrol. 2011 May-Jun;24(3):300-6. doi: 10.5301/JN.2010.2902.
Inaccuracy of home sphygmomanometers is a common, neglected and often ignored problem. The aims of this review are to emphasize the advantages of self-measurement of blood pressure (BP) at home, to summarize basic features of automated home BP measurement devices, to point out the distinction between validation, calibration and accuracy of home sphygmomanometers and to discuss some practical points for the improvement of BP control in chronic kidney disease (CKD) patients for nephrologists. Four features of automated sphygmomanometers need to be emphasized: measurement site, cuff-size, validation status and accuracy. The validation protocols do not guarantee the accuracy of a particular device for an individual patient. Special patient groups such as those with early stages of CKD or diabetic nephropathy or patients having extraosseous/vascular calcifications may require specific validation tests. Active guidance by nephrologists in all steps of self-measurement of BP at home will improve the control of BP and will increase the quality of patient care in CKD. Health care providers must urgently reimburse the cost of accurate home sphygmomanometers for patients with CKD in countries where CKD is considered a major public health problem.
家庭血压计不准确是一个普遍存在、被忽视且经常被忽视的问题。本综述的目的是强调在家中自我测量血压（BP）的优势，总结自动家庭 BP 测量设备的基本特征，指出家庭血压计的验证、校准和准确性之间的区别，并为改善慢性肾脏病（CKD）患者的 BP 控制提出一些实用要点。需要强调自动血压计的四个特征：测量部位、袖带尺寸、验证状态和准确性。验证方案并不能保证特定设备对个体患者的准确性。特殊患者群体，如 CKD 早期或糖尿病肾病患者，或有骨外/血管钙化的患者，可能需要特定的验证测试。肾病科医生在家庭自我血压测量的所有步骤中积极指导，将改善 BP 的控制，并提高 CKD 患者的护理质量。在将 CKD 视为主要公共卫生问题的国家，医疗保健提供者必须紧急为 CKD 患者报销准确的家庭血压计费用。
