Kaczorowski Janusz, Myers Martin G, Gelfer Mark, Dawes Martin, Mang Eric J, Berg Angelique, Grande Claudio Del, Kljujic Dragan
Professor and Research Director in the Department of Family and Emergency Medicine at the University of Montreal in Quebec and the Centre de recherche du Centre hospitalier de l'Université de Montréal.
Consulting cardiologist and Affiliate Scientist in the Division of Cardiology of the Schulich Heart Research Program at Sunnybrook Health Sciences Centre in Toronto, Ont.
Can Fam Physician. 2017 Mar;63(3):e193-e199.
To describe the techniques currently used by family physicians in Canada to measure blood pressure (BP) for screening for, diagnosing, and treating hypertension.
A Web-based cross-sectional survey distributed by e-mail.
Stratified random sample of family physicians in Canada.
Family physician members of the College of Family Physicians of Canada with valid e-mail addresses.
Physicians' self-reported routine methods for recording BP in their practices to screen for, diagnose, and manage hypertension.
A total of 774 valid responses were received, for a response rate of 16.2%. Respondents were similar to nonrespondents except for underrepresentation of male physicians. Of 769 respondents, 417 (54.2%) indicated that they used manual office BP measurement with a mercury or aneroid device and stethoscope as the routine method to screen patients for high BP, while 42.9% (330 of 769) reported using automated office BP (AOBP) measurement. The method most frequently used to make a diagnosis of hypertension was AOBP measurement (31.1%, 240 of 771), followed by home BP measurement (22.4%, 173 of 771) and manual office BP measurement (21.4%, 165 of 771). Ambulatory BP monitoring (ABPM) was used for diagnosis by 14.4% (111 of 771) of respondents. The most frequently reported method for ongoing management was home BP monitoring (68.7%, 528 of 769), followed by manual office BP measurement (63.6%, 489 of 769) and AOBP measurement (59.2%, 455 of 769). More than three-quarters (77.8%, 598 of 769) of respondents indicated that ABPM was readily available for their patients.
Canadian family physicians exhibit overall high use of electronic devices for BP measurement, However, more efforts are needed to encourage practitioners to follow current Canadian guidelines, which advocate the use of AOBP measurement for hypertension screening, ABPM and home BP measurement for making a diagnosis, and both AOBP and home BP monitoring for ongoing management.
描述加拿大的家庭医生目前用于测量血压（BP）以筛查、诊断和治疗高血压的技术。
通过电子邮件进行的基于网络的横断面调查。
加拿大的家庭医生分层随机样本。
拥有有效电子邮件地址的加拿大家庭医生学院成员。
医生在其诊所中用于筛查、诊断和管理高血压的自我报告的常规血压记录方法。
共收到774份有效回复，回复率为16.2%。除男性医生代表性不足外，受访者与未受访者相似。在769名受访者中，417名（54.2%）表示他们使用汞柱式或无液式血压计及听诊器进行手动诊室血压测量作为筛查患者高血压的常规方法，而42.9%（769名中的330名）报告使用自动诊室血压（AOBP）测量。用于诊断高血压最常用的方法是AOBP测量（31.1%，771名中的240名），其次是家庭血压测量（22.4%，771名中的173名）和手动诊室血压测量（21.4%，771名中的165名）。动态血压监测（ABPM）用于诊断的占14.4%（771名中的111名）受访者。最常报告的持续管理方法是家庭血压监测（68.7%，769名中的528名），其次是手动诊室血压测量（63.6%，769名中的489名）和AOBP测量（59.2%，769名中的455名）。超过四分之三（77.8%，769名中的598名）的受访者表示他们的患者可以方便地进行ABPM。
加拿大家庭医生总体上高度使用电子设备进行血压测量。然而，需要做出更多努力来鼓励从业者遵循当前的加拿大指南，该指南提倡使用AOBP测量进行高血压筛查，使用ABPM和家庭血压测量进行诊断，以及同时使用AOBP和家庭血压监测进行持续管理。
