Kidney Int Rep. 2017 Feb 16;2(4):733-738. doi: 10.1016/j.ekir.2017.02.009. eCollection 2017 Jul.
Although inaccurate, nonreproducible blood pressure values can result from nonstandardized assessments, recommended approaches to standardize blood pressure measurement are often not followed in research studies.
An expert consensus of national and international health and scientific organizations developed recommended minimum standards for assessing blood pressure in research subjects where: (i) blood pressure or hypertension is a major endpoint, or (ii) blood pressure is likely a major mediator of the research outcome.
Minimum research standards are presented for training of observers, technical aspects of assessing blood pressure, and equipment for both adults and children.
The standards are based on prior recommendations, some of which did not conform to current evidence-based methods. All new research should require adherence to these minimum standards on the patient populations described above. Readers need to use caution in interpreting studies if the standards are not met in the defined populations.
尽管不准确、不可重复的血压值可能源于未标准化的评估,但研究中往往未遵循推荐的标准化血压测量方法。
国家和国际卫生与科学组织的专家共识制定了在以下研究对象中评估血压的推荐最低标准:(i)血压或高血压是主要终点,或(ii)血压可能是研究结果的主要介导因素。
针对成人和儿童的观察者培训、血压评估的技术方面以及设备,提出了最低研究标准。
这些标准基于先前的建议,其中一些不符合当前基于证据的方法。所有新研究都应要求对上述患者群体遵守这些最低标准。如果在定义的人群中未达到标准,读者在解释研究时需谨慎。