文献

J-GLOBAL ID：201702285668227116   整理番号：17A1385067

板測定血圧の精度系統的レビューとメタ解析【Powered by NICT】

Accuracy of Cuff-Measured Blood Pressure Systematic Reviews and Meta-Analyses

著者 (51件)： Picone Dean S. (Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia) ,  Schultz Martin G. (Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia) ,  Otahal Petr (Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia) ,  Aakhus Svend (Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway) ,  Al-Jumaily Ahmed M. (Institute of Biomedical Technologies, Auckland University of Technology, Auckland, New Zealand) ,  Black J. Andrew (Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia) ,  Black J. Andrew (Royal Hobart Hospital, Hobart, Tasmania, Australia) ,  Bos Willem J. (Department of Internal Medicine, St. Antonius Hospital, Nieuwegein, the Netherlands) ,  Chambers John B. (Cardiology Department, Guy’s and St. Thomas’ Hospitals, London, United Kingdom) ,  Chen Chen-Huan (Department of Medicine, National Yang-Ming University, Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan) ,  Cheng Hao-Min (Department of Medicine, National Yang-Ming University, Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan) ,  Cremer Antoine (Department of Cardiology/Hypertension, University Hospital of Bordeaux, Bordeaux, France) ,  Davies Justin E. (International Centre for Circulatory Health, Imperial College London, London, United Kingdom) ,  Dwyer Nathan (Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia) ,  Dwyer Nathan (Royal Hobart Hospital, Hobart, Tasmania, Australia) ,  Gould Brian A. (BMI Hospital Blackheath, London, United Kingdom) ,  Hughes Alun D. (Institute of Cardiovascular Sciences, University College London, London, United Kingdom) ,  Lacy Peter S. (Institute of Cardiovascular Sciences University College London (UCL) and National Institute for Health Research (NIHR) UCL/UCL Hospitals Biomedical Research Centre, London, United Kingdom) ,  Laugesen Esben (Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark) ,  Liang Fuyou (School of Naval Architecture, Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai, China) ,  Melamed Roman (Abbott Northwestern Hospital, Allina Health, Minneapolis, Minnesota) ,  Muecke Sandy (Department of Critical Care Medicine, Flinders University, Adelaide, South Australia, Australia) ,  Ohte Nobuyuki (Department of Cardio-Renal Medicine and Hypertension, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan) ,  Okada Sho (Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan) ,  Omboni Stefano (Clinical Research Unit, Italian Institute of Telemedicine, Varese, Italy) ,  Ott Christian (Department of Nephrology and Hypertension, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuernberg, Erlangen, Germany) ,  Peng Xiaoqing (Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia) ,  Pereira Telmo (Polytechnic Institute of Coimbra, Coimbra College of Health Technology, Department of Cardiopneumology, Lousa, Portugal) ,  Pucci Giacomo (Unit of Internal Medicine at Terni University Hospital, Department of Medicine, University of Perugia, Perugia, Italy) ,  Rajani Ronak (Cardiology Department, Guy’s and St. Thomas’ Hospitals, London, United Kingdom) ,  Roberts-Thomson Philip (Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia) ,  Roberts-Thomson Philip (Royal Hobart Hospital, Hobart, Tasmania, Australia) ,  Rossen Niklas B. (Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark) ,  Sueta Daisuke (Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan) ,  Sinha Manish D. (Department of Clinical Pharmacology and Department of Paediatric Nephrology, Kings College London, Evelina London Children’s Hospital, Guy’s and St. Thomas’ NHS Foundation Trust, London, United Kingdom) ,  Schmieder Roland E. (Department of Nephrology and Hypertension, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nuernberg, Erlangen, Germany) ,  Smulyan Harold (Department of Medicine, State University of New York, Upstate Medical University, Cardiology Division, Syracuse, New York) ,  Srikanth Velandai K. (Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia) ,  Srikanth Velandai K. (Central Clinical School, Faculty of Medicine, Monash University, Melbourne, Victoria, Australia) ,  Srikanth Velandai K. (Department of Medicine, Peninsula Health, Melbourne, Victoria, Australia) ,  Stewart Ralph (Green Lane Cardiovascular Service, Auckland City Hospital, University of Auckland, Auckland, New Zealand) ,  Stouffer George A. (Division of Cardiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina) ,  Takazawa Kenji (Center for Health Surveillance and Preventive Medicine, Tokyo Medical University Hospital, Tokyo, Japan) ,  Wang Jiguang (Centre for Epidemiological Studies and Clinical Trials, Shanghai Key Laboratory of Hypertension, The Shanghai Institute of Hypertension, Department of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China) ,  Westerhof Berend E. (Department of Pulmonary Diseases, VU University Medical Center, Amsterdam, the Netherlands) ,  Weber Franz (Department of Nephrology, Center for Internal Medicine, University Clinic Essen, University Duisburg-Essen, Essen, Germany) ,  Weber Thomas (Cardiology Department, Klinikum Wels-Grieskirchen, Wels, Austria) ,  Williams Bryan (Institute of Cardiovascular Sciences University College London (UCL) and National Institute for Health Research (NIHR) UCL/UCL Hospitals Biomedical Research Centre, London, United Kingdom) ,  Yamada Hirotsugu (Department of Cardiovascular Medicine, Tokushima University Hospital, Tokushima, Japan) ,  Yamamoto Eiichiro (Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan) ,  Sharman James E. (Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia)
資料名： Journal of the American College of Cardiology  (Journal of the American College of Cardiology)
巻： 70  号： 5  ページ： 572-586  発行年： 2017年 
JST資料番号： C0559C  ISSN： 0735-1097  資料種別： 逐次刊行物 (A)
記事区分： 原著論文  発行国： オランダ (NLD)  言語： 英語 (EN)

抄録/ポイント： 高血圧(HTN)は世界的に単一最大の心血管リスク因子である。HTN(階層タスクネットワーク)管理は通常上腕カフ血圧(BP)により誘導されるが,精度に関する疑問が持たれた。この包括的な解析はカフBPの精度と動脈内BP参照標準と比較してBP分類に及ぼす影響を調べた。三個別被験者データメタ分析は動脈内大動脈BP,動脈内腕BP,及びカフBPを測定した研究(1950Sから2016)の間で実施した。3,073人の被験者による合計74の研究が含まれていた。動上腕収縮期血圧(SBP)であった大動脈値(8.0mmHg;95%信頼区間[CI]:5.9から10.1mmへのHg;p<0.0001)よりも高く,動脈内腕拡張期BPは大動脈値( 1.0mmHg;95%CI:2.0~ 0.1mmHg,P=0.038)よりも低かった。カフ血圧は動脈内上腕SBP(5.7mmHg;95%CI:8.0~ 3.5mmHg,p<0.0001)を過小評価したが動脈内拡張期BP(5.5mmHg;95%CI:3.5~7.5mmHg,p<0.0001)を過大評価した。板および動脈内大動脈SBPは小さな平均差(0.3mmHg;95%CI:1.5~2.1mmHg,P=0.77)が,貧弱な一致(平均絶対差8.0mmHg;95%CI:7.1~8.9mmHg)を示した。動脈内腕BPと比較して予防,検出,評価,および高血圧カフBP(正常,前HTN,HTN段階1および2)の治療に関する米国合同委員会の第七報を用いたBP分類間の一致は,60%,50%,53%,と80%であり,動脈内大動脈BPを用いた79%,57%,52%,及び76%であった。カフBPパーセンタイルランクに基づいて改訂された動脈内しきい値を用いて,動脈内腕BPと比較して板BPを用いたBP分類間の一致は71%,66%,52%,および76%であり,動脈内大動脈BPを用いて74%,61%,56%,および65%であった。板BPは腕または大動脈のどちらか動脈内血圧を測定するための可変精度を有しており,これは正しいBP分類に対し,逆の影響を与える。これらの知見は,BPデバイスのための強い精度基準は心血管リスク管理を改善するであろうことを示した。Copyright 2017 Elsevier B.V., Amsterdam. All rights reserved. Translated from English into Japanese by JST.【Powered by NICT】

シソーラス用語： *メタ分析 ,  収縮期血圧 ,  高血圧症 ,  アメリカ合衆国 ,  動脈 ,  *血圧 ,  血圧計 ,  信頼区間 ,  システマティックレビュー ,  危険因子 ,  大動脈
準シソーラス用語： 血圧測定 ,  心血管リスク ,  拡張期 ,  上腕 , 【Automatic Indexing@JST】

著者キーワード (3件)： 血圧測定 ,  血行動態 ,  血圧計

分類 (1件)： 食品の化学・栄養価  (FJ01020J)

タイトルに関連する用語 (3件)： 血圧 ,  系統的レビュー ,  メタ解析