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Screening for Cognitive Impairment in Older Adults: An Evidence Update for the U.S. Preventive Services Task Force [Internet]. John M Eisenberg Center for Clinical Decisions and Communications Science. Comparative Effectiveness Review No. AHRQ Publication No. https://www.ahrq.gov/evidencenow/heart-health/blood-pressure/smbp-effectiveness.html. is a member of the Million Hearts Science team with the Centers for Disease Control and Prevention (CDC) Division for Heart Disease and Stroke Prevention. hbbd```b``A$ug`rX|" o/XDLHp0{W$5)"30^` w 2013 Aug 6;159(3):185-94. doi: 10.7326/0003-4819-159-3-201308060-00008. We included studies that used arm (not wrist) monitors for at least 8 weeks and excluded studies of pregnant women or people on hemodialysis. The site is secure. government site. He has led the Evidence Review Teams for numerous guidelines for management of kidney disease, gynecological surgery, orthopedic surgery, and triaging in resource-poor countries. Reliable clinic measurements require an adequate rest period prior to measurement in order to enhance the consistency of BP readings. Data Synthesis: The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians [PDF 947 KB] You will receive email when new content is published. The health care professional will slowly let air out of the cuff while listening to your pulse with a stethoscope and watching the gauge. Strong scientific evidence shows that self-measured blood pressure (SMBP) monitoring, also known as home blood pressure monitoring, plus clinical support helps people with hypertension lower their blood pressure. These evidence-based action steps and resources, assembled by Million Hearts, can help practices implement SMBP monitoring. FOIA SMBP requires the use of a home blood pressure measurement device by the patient to measure blood pressure at different points in time. To address comparative effectiveness, we included prospective comparative studies of SMBP with or without additional support versus usual care or an alternative SMBP intervention. Piper MA, Evans CV, Burda BU, Margolis KL, OConnor E, Smith N, Webber E, Perdue LA, Bigler KD, Whitlock EP. This website also contains material copyrighted by 3rd parties. Don't smoke, drink caffeinated beverages or exercise within 30 minutes before measuring your blood pressure. This graphic from Target: BP demonstrates how to prepare for a blood pressure reading, the correct position to take your own blood pressure, and how to measure it. They help us to know which pages are the most and least popular and see how visitors move around the site. Updated Hypertension Guidelines: Implications for Treatment? FOIA Resource description: This research summary of a systematic review compares the effectiveness of various methods and approaches to blood pressure measurement by patients or companions. Addressing Barriers Beyond the Published Literature In people with hypertension (adults and children), does self-measured blood pressure (SMBP) monitoring, compared with usual care or other interventions without SMBP, have an effect on clinically important outcomes? The primary objective of this review is to evaluate whether the use of SMBP monitoring influences outcomes in adults and children with hypertension and to what extent these changes in outcomes can be attributable to the use of self monitoring devices alone or the use of SMBP with additional support or attention provided. Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners [PDF 1 MB] No studies of SMBP monitoring in children were identified. Careers. High blood pressure (BP), or hypertension, is a common, long-term health condition, particularly among older adults. See the resources below for specific recommendations. This 2015 CPSTF systematic review evaluates the effectiveness of using SMBP with additional clinical support to manage high blood pressure and SMBP alone. Please confirm that you would like to log out of Medscape. Thank you. John M. Eisenberg Center for Clinical Decisions and Communications Science. This 2012 AHRQ review examined the comparative effectiveness of SMBP alone, of SMBP plus additional clinical support, and of usual care.