Developing a Protocol for Medical Student-Organized Community-Based Hypertension Screening Programs

Authors

  • Vishal P. Varshney MD Program, Faculty of Medicine, University of Calgary, Calgary, AB, Canada.
  • Tyrone Harrison MD Program, Faculty of Medicine, University of Calgary, Calgary, AB, Canada.
  • Michal Szymczakowski MD Program, Faculty of Medicine, University of Calgary, Calgary, AB, Canada.
  • Matthew Grossi MD Program, Faculty of Medicine, University of Calgary, Calgary, AB, Canada.
  • Charlotte Jones Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.

DOI:

https://doi.org/10.5195/ijms.2013.12

Keywords:

Hypertension, Mass Screening, Blood Pressure Monitoring, Ambulatory, Students, Medical

Abstract

Background: Hypertension screening programs have been effective in raising awareness and identifying people who are otherwise unfamiliar with their disease. We aimed to develop a resource-minimal, evidence-based protocol for a novel medical student-organized hypertension-screening program capable of community implementation.

Methods: Eighty-one medical students had their blood pressure measured once using an automated machine and once using the manual auscultatory method. Bland-Altman plots compared agreement between measurement techniques.

Results: No significant difference between manual and automated techniques was noted in the measurement of systolic blood pressure, but was noted for diastolic blood pressure.

Conclusions: In the context of a community-based screening program, automated and manual measurements may be used interchangeably to obtain an accurate measure of systolic blood pressure. A medical student-organized community-screening program is an effective way to screen large numbers of people in a short amount of time.

Metrics

Metrics Loading ...

References

1. Campbell NRC, Conradson HE, Kang J, Brant R, Anderson T. Automated assessment of blood pressure using BpTRU compared with assessments by a trained technician and a clinic nurse. Blood Press Monit 2005;10(5):257.
2. Thompson A, Campbell NR, Cloutier L, Costello JA, Dawes M, Hickey J, et al. Tackling the burden of hypertension in Canada. Can Fam Physician 2008;54(12):1659-62.
3. Wilkins K, Campbell NRC, Joffres MR, McAlister FA, Nichol M, Quach S, et al. Blood pressure in Canadian adults. Health Rep 2010;21(1):37-46.
4. Rabi DM, Daskalopoulou SS, Padwal RS, Khan NA, Grover SA, Hackam DG, et al. The 2011 Canadian Hypertension Education Program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy. Can J Cardiol 2011;27(4):415-33. e2.
5. Egan BM, Zhao Y, Axon RN. US trends in prevalence, awareness, treatment, and control of hypertension, 1988-2008. JAMA 2010;303(20):2043-50.
6. Joffres MR, Ghadirian P, Fodor JG, Petrasovits A, Chockalingam A, Hamet P. Awareness, treatment, and control of hypertension in Canada. Am J Hypertens 1997;10(10):1097-102.
7. Jones C, Simpson SH, Mitchell D, Haggarty S, Campbell N, Then K, et al. Enhancing hypertension awareness and management in the elderly: lessons learned from the Airdrie Community Hypertension Awareness and Management Program (A-CHAMP). Can J Cardiol 2008;24(7):561.
8. Tudor Hart J. Semicontinuous screening of a whole community for hypertension. Lancet 1970;296(7666):223-6.
9. Wilber JA, Barrow JG. Hypertension - a community problem. Am J Med 1972;52(5):653-63.
10. Botomino A, Martina B, Ruf D, Bruppacher R, Hersberger KE. White coat effect and white coat hypertension in community pharmacy practice. Blood Press Monit 2005;10(1):13-8.
11. Simpson SA, Long JA. Medical student-run health clinics: important contributors to patient care and medical education. J Gen Intern Med 2007;22(3):352-6.
12. Bland J, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;327(8476):307-10.
13. Izzo Jr JL, Levy D, Black HR. Importance of systolic blood pressure in older Americans. Hypertension 2000;35(5):1021-4.
14. Pastor-Barriuso R, Banegas JR, Damián J, Appel LJ, Guallar E. Systolic blood pressure, diastolic blood pressure, and pulse pressure: an evaluation of their joint effect on mortality. Ann Intern Med 2003;139(9):731-9.
15. Beevers G, Lip GYH, O’Brien E. Blood pressure measurement. BMJ 2001;322(7293):1043-7.
16. Short D. The diastolic dilemma. BMJ 1976;2(6037):685-6.
17. Polonia JJ, Gama GM, Silva JA, Amaral C, Martins LR, Bertoquini SE. Sequential follow-up clinic and ambulatory blood pressure evaluation in a low risk population of white-coat hypertensive patients and in normotensives. Blood Press Monit 2005;10(2):57-64.

Published

2013-04-30

How to Cite

Varshney, V. P., Harrison, T., Szymczakowski, M., Grossi, M., & Jones, C. (2013). Developing a Protocol for Medical Student-Organized Community-Based Hypertension Screening Programs. International Journal of Medical Students, 1(1), 8–11. https://doi.org/10.5195/ijms.2013.12