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.

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