OBJECTIVE: To compare blood pressure levels measured in the pharmacy with those obtained in the patient's home or Primary Care centres (doctor's surgery or treatment room). METHOD: Multicentre, open-label, observational, and medium-term follow-up study. LOCATION: Primary Care in the Spanish healthcare system. PARTICIPANTS: 206 general or family practitioners who consecutively selected a maximum of 10 patients each; 1,588 patients were recruited. INTERVENTIONS AND MAIN MEASUREMENTS: Home blood pressure (BP)monitoring, measurements taken in clinics (doctor's surgery and treatment room) and pharmacies (usual apparatus and validated Omrom M4); ambulatory monitorization was performed on 190 patients (model Spacelab 90207). RESULTS: 1,399 patients were included (50.4% women), with a mean age of 60.1 (standard deviation [SD]: 9.7) years. BP values obtained in doctor's surgeries were significantly higher than those obtained in treatment rooms, pharmacies and at home (P < 0.01 in all cases). The smallest differences were observed between the pharmacy and home measurements, with 0.69 (SD: 8.1) for the systolic BP (p = 0.007) and 0.15 (SD: 5.48) for diastolic BP (p = 0.370). DISCUSSION: The ZANyCONTROL study supports the idea that BP measurements taken on hypertensive patients in the pharmacy properly reflect their real BP; it is an accessible and effective method for measuring blood pressure. It is important that the sphygmomanometer in the pharmacy is validated and works correctly.
OBJECTIVE: To compare blood pressure levels measured in the pharmacy with those obtained in the patient's home or Primary Care centres (doctor's surgery or treatment room). METHOD: Multicentre, open-label, observational, and medium-term follow-up study. LOCATION: Primary Care in the Spanish healthcare system. PARTICIPANTS: 206 general or family practitioners who consecutively selected a maximum of 10 patients each; 1,588 patients were recruited. INTERVENTIONS AND MAIN MEASUREMENTS: Home blood pressure (BP)monitoring, measurements taken in clinics (doctor's surgery and treatment room) and pharmacies (usual apparatus and validated Omrom M4); ambulatory monitorization was performed on 190 patients (model Spacelab 90207). RESULTS: 1,399 patients were included (50.4% women), with a mean age of 60.1 (standard deviation [SD]: 9.7) years. BP values obtained in doctor's surgeries were significantly higher than those obtained in treatment rooms, pharmacies and at home (P < 0.01 in all cases). The smallest differences were observed between the pharmacy and home measurements, with 0.69 (SD: 8.1) for the systolic BP (p = 0.007) and 0.15 (SD: 5.48) for diastolic BP (p = 0.370). DISCUSSION: The ZANyCONTROL study supports the idea that BP measurements taken on hypertensivepatients in the pharmacy properly reflect their real BP; it is an accessible and effective method for measuring blood pressure. It is important that the sphygmomanometer in the pharmacy is validated and works correctly.
Authors: Daniel Sabater-Hernández; Inés Azpilicueta; Pablo Sánchez-Villegas; Pedro Amariles; María I Baena; María J Faus Journal: Pharm World Sci Date: 2010-07-23
Authors: Ali Albasri; Jack W OʼSullivan; Nia W Roberts; Suman Prinjha; Richard J McManus; James P Sheppard Journal: J Hypertens Date: 2017-10 Impact factor: 4.844