{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:51:17Z","timestamp":1791251477892,"version":"4.1.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"NIH\/NHLBI","award":["7K23HL135273-02"],"award-info":[{"award-number":["7K23HL135273-02"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>BACKGROUND<\/jats:title>\n                  <jats:p>Guidelines advise automated office blood pressure (AOBP) with an initial 5-minute delay and multiple measurements at least 60 seconds apart. Recent studies suggest that AOBP may be accurate with shorter delays or intervals, but evidence in clinical settings is limited.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Patients referred to 1 hypertension (HTN) center underwent 24-hour ambulatory blood pressure monitoring (ABPM) and 1 of 4 nonrandomized, unattended AOBP protocols: a 3- or 5-minute delay with a 30- or 60-second interval, i.e., 3 min\/30 s\/30 s, 3\/60\/60, 5\/30\/30 and 5\/60\/60 protocols. HTN was defined as systolic blood pressure (SBP) \u2265140 or diastolic blood pressure \u226590 mm Hg.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>We compared differences in mean blood pressure and HTN classification between average AOBP and awake-time ABPM by t-tests and Fisher\u2019s exact test. Among 212 participants (mean 58.9 years, 61% women, 25% Black), there was substantial overlap in the probability distributions of awake-time ABPM and each of the 3 AOBP measures. SBP means were similar between the 5\/60\/60 and 3\/30\/30 protocols and 5\/30\/30 and 3\/60\/60 protocols. The 5\/30\/30 was associated with a higher proportion of systolic HTN, while the 3\/60\/60 protocol was associated with a higher proportion of diastolic HTN. There were no significant differences in systolic or diastolic HTN between 5\/60\/60 and 3\/30\/30 protocols with respect to awake-time ABPM.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>In this quality improvement study, the shortest AOBP protocol did not differ significantly from the longest protocol. The time savings of shorter protocols may improve AOBP adoption in clinical practice without meaningfully compromising accuracy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ajh\/hpae135","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T11:34:08Z","timestamp":1728560048000},"page":"168-177","source":"Crossref","is-referenced-by-count":8,"title":["Clinical Impact of 3- Vs. 5-Minute Delay and 30- Vs. 60-Second Intervals on Unattended Automated Office Blood Pressure Measurements"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8641-1198","authenticated-orcid":false,"given":"Erika E","family":"Lynn-Green","sequence":"first","affiliation":[{"name":"Harvard Medical School , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L","family":"Cluett","sequence":"additional","affiliation":[{"name":"Harvard Medical School , Boston, Massachusetts ,","place":["USA"]},{"name":"Division of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center , Boston, Massachusetts ,","place":["USA"]},{"name":"Healthcare Associates, Beth Israel Deaconess Medical Center , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth-Alma N","family":"Turkson-Ocran","sequence":"additional","affiliation":[{"name":"Harvard Medical School , Boston, Massachusetts ,","place":["USA"]},{"name":"Division of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center , Boston, Massachusetts ,","place":["USA"]},{"name":"Healthcare Associates, Beth Israel Deaconess Medical Center , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth J","family":"Mukamal","sequence":"additional","affiliation":[{"name":"Harvard Medical School , Boston, Massachusetts ,","place":["USA"]},{"name":"Division of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan X","family":"Li","sequence":"additional","affiliation":[{"name":"Harvard Medical School , Boston, Massachusetts ,","place":["USA"]},{"name":"Division of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center , Boston, Massachusetts ,","place":["USA"]},{"name":"Healthcare Associates, Beth Israel Deaconess Medical Center , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4168-2696","authenticated-orcid":false,"given":"Stephen P","family":"Juraschek","sequence":"additional","affiliation":[{"name":"Harvard Medical School , Boston, Massachusetts ,","place":["USA"]},{"name":"Division of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center , Boston, Massachusetts ,","place":["USA"]},{"name":"Healthcare Associates, Beth Israel Deaconess Medical Center , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"2025021809471506300_CIT0001","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1093\/ajh\/hpac047","article-title":"Blood pressure measurement\u2014following a standardized protocol is what matters","volume":"35","author":"Muntner","year":"2022","journal-title":"Am J Hypertens"},{"key":"2025021809471506300_CIT0002","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1136\/bmj.39548.738368.BE","article-title":"Effects of different regimens to lower blood pressure on major cardiovascular events in older and younger adults: meta-analysis of randomised trials","volume":"336","author":"Collaboration","year":"2008","journal-title":"BMJ"},{"key":"2025021809471506300_CIT0003","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1161\/HYPERTENSIONAHA.116.07721","article-title":"Cardiovascular risk in hypertension in relation to achieved blood pressure using automated office blood pressure measurement","volume":"68","author":"Myers","year":"2016","journal-title":"Hypertension"},{"key":"2025021809471506300_CIT0004","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.cjca.2018.02.022","article-title":"Hypertension Canada\u2019s 2018 guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults and children","volume":"34","author":"Nerenberg","year":"2018","journal-title":"Can J Cardiol"},{"key":"2025021809471506300_CIT0005","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1097\/HJH.0000000000002843","article-title":"2021 European Society of Hypertension practice guidelines for office and out-of-office blood pressure measurement","volume":"39","author":"Stergiou","year":"2021","journal-title":"J Hypertens"},{"key":"2025021809471506300_CIT0006","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1161\/01.HYP.0000150859.47929.8e","article-title":"Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research","volume":"45","author":"Pickering","year":"2005","journal-title":"Hypertension"},{"key":"2025021809471506300_CIT0007","doi-asserted-by":"crossref","first-page":"e127","DOI":"10.1016\/j.jacc.2017.11.006","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"71","author":"Whelton","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"2025021809471506300_CIT0008","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1001\/jamainternmed.2018.0315","article-title":"Association of repeated measurements with blood pressure control in primary care","volume":"178","author":"Einstadter","year":"2018","journal-title":"JAMA Intern Med"},{"key":"2025021809471506300_CIT0009","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1161\/HYPERTENSIONAHA.121.17319","article-title":"Randomized controlled trial comparing automated office blood pressure readings after zero or five minutes of rest","volume":"78","author":"Tobe","year":"2021","journal-title":"Hypertension"},{"key":"2025021809471506300_CIT0010","doi-asserted-by":"crossref","first-page":"1511","DOI":"10.1161\/HYPERTENSIONAHA.121.17496","article-title":"Effects of different rest period durations prior to blood pressure measurement: the best rest trial","volume":"78","author":"Brady","year":"2021","journal-title":"Hypertension"},{"key":"2025021809471506300_CIT0011","doi-asserted-by":"crossref","first-page":"e35","DOI":"10.1161\/HYP.0000000000000087","article-title":"Measurement of blood pressure in humans: a scientific statement from the American Heart Association","volume":"73","author":"Muntner","year":"2019","journal-title":"Hypertension"},{"key":"2025021809471506300_CIT0012","doi-asserted-by":"publisher","first-page":"1502","DOI":"10.1161\/HYPERTENSIONAHA.121.17876","article-title":"Impact of 30- versus 60-second time intervals between automated office blood pressure measurements on measured blood pressure","volume":"78","author":"Juraschek","year":"2021","journal-title":"Hypertension"},{"key":"2025021809471506300_CIT0013","doi-asserted-by":"crossref","first-page":"2171","DOI":"10.1097\/HJH.0000000000000319","article-title":"Predicting out-of-office blood pressure level using repeated measurements in the clinic: an observational cohort study","volume":"32","author":"Sheppard","year":"2014","journal-title":"J Hypertens"},{"key":"2025021809471506300_CIT0014","first-page":"811","article-title":"Accuracy of automated cuff blood pressure monitors in special populations: International Organization for Standardization (ISO) Task Group report and call for research","volume":"41","author":"Stergiou","year":"2023","journal-title":"J Hypertens"},{"key":"2025021809471506300_CIT0015","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1080\/08037051.2018.1476057","article-title":"Evidence-based proposal for the number of ambulatory readings required for assessing blood pressure level in research settings: an analysis of the IDACO database","volume":"27","author":"Yang","year":"2018","journal-title":"Blood Press"},{"key":"2025021809471506300_CIT0016","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1093\/eurheartj\/ehy339","article-title":"2018 ESC\/ESH Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH)","volume":"39","author":"Williams","year":"2018","journal-title":"Eur Heart J"},{"key":"2025021809471506300_CIT0017","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1056\/NEJMoa1001286","article-title":"Effects of intensive blood-pressure control in type 2 diabetes mellitus","volume":"362","author":"The ACCORD Study Group","year":"2010","journal-title":"N Engl J Med"},{"key":"2025021809471506300_CIT0018","doi-asserted-by":"crossref","first-page":"2103","DOI":"10.1056\/NEJMoa1511939","article-title":"A randomized trial of intensive versus standard blood-pressure control","volume":"373","author":"The SPRINT Research Group","year":"2015","journal-title":"N Engl J Med"},{"key":"2025021809471506300_CIT0019","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1111\/jch.13412","article-title":"Comparison of automated clinical and research blood pressure measurements: implications for clinical practice and trial design","volume":"20","author":"Tang","year":"2018","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"2025021809471506300_CIT0020","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1093\/eurheartj\/ehy339","article-title":"2018 ESC\/ESH guidelines for the management of arterial hypertension","volume":"39","author":"Williams","year":"2018","journal-title":"Eur Heart J"},{"key":"2025021809471506300_CIT0021","first-page":"HYP.0000000000000066","article-title":"ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"71","author":"Whelton","year":"2017","journal-title":"Hypertension"},{"key":"2025021809471506300_CIT0022","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1097\/MBP.0b013e32831e314f","article-title":"Comparison of two automated sphygmomanometers for use in the office setting","volume":"14","author":"Myers","year":"2009","journal-title":"Blood Press Monit"},{"key":"2025021809471506300_CIT0023","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1097\/MBP.0b013e3283104247","article-title":"Optimum frequency of office blood pressure measurement using an automated sphygmomanometer","volume":"13","author":"Myers","year":"2008","journal-title":"Blood Press Monit"},{"key":"2025021809471506300_CIT0024","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1080\/10641963.2019.1583243","article-title":"Effects of measurement intervals on the values of repeated auscultatory blood pressure measurements","volume":"42","author":"Imamura","year":"2020","journal-title":"Clin Exp Hypertens"},{"key":"2025021809471506300_CIT0025","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1111\/jch.12203","article-title":"Simultaneous compared with sequential blood pressure measurement results in smaller inter-arm blood pressure differences","volume":"15","author":"van der Hoeven","year":"2013","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"2025021809471506300_CIT0026","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1093\/aje\/136.7.795","article-title":"Blood pressure reactivity does not correlate with baseline blood pressure or blood pressure change over time in preschool children","volume":"136","author":"Stein","year":"1992","journal-title":"Am J Epidemiol"},{"key":"2025021809471506300_CIT0027","doi-asserted-by":"crossref","first-page":"I13","DOI":"10.1161\/01.HYP.13.5_Suppl.I13","article-title":"Blood pressure as a risk factor for cardiovascular disease. The Framingham Study\u201430 years of follow-up","volume":"13","author":"Stokes","year":"1989","journal-title":"Hypertension"},{"key":"2025021809471506300_CIT0028","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s40292-019-00329-1","article-title":"Attended versus unattended automated office blood pressure: a systematic review and meta-analysis","volume":"26","author":"Andreadis","year":"2019","journal-title":"High Blood Press Cardiovasc Prev"},{"key":"2025021809471506300_CIT0029","doi-asserted-by":"crossref","first-page":"e008994","DOI":"10.1161\/JAHA.118.008994","article-title":"Attended and unattended automated office blood pressure measurements have better agreement with ambulatory monitoring than conventional office readings","volume":"7","author":"Andreadis","year":"2018","journal-title":"J Am Heart Assoc"},{"key":"2025021809471506300_CIT0030","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1161\/HYPERTENSIONAHA.117.10479","article-title":"Blood pressure measurement in SPRINT (Systolic Blood Pressure Intervention Trial)","volume":"71","author":"Johnson","year":"2018","journal-title":"Hypertension"},{"key":"2025021809471506300_CIT0031","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1093\/oxfordjournals.aje.a113561","article-title":"Predictive values of routine blood pressure measurements in screening for hypertension","volume":"117","author":"Rosner","year":"1983","journal-title":"Am J Epidemiol"}],"container-title":["American Journal of Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ajh\/advance-article-pdf\/doi\/10.1093\/ajh\/hpae135\/60338078\/hpae135.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/38\/3\/168\/60338078\/hpae135.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/38\/3\/168\/60338078\/hpae135.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T09:47:38Z","timestamp":1739872058000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ajh\/article\/38\/3\/168\/7816888"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,10]]},"references-count":31,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,10,10]]},"published-print":{"date-parts":[[2025,2,18]]}},"URL":"https:\/\/doi.org\/10.1093\/ajh\/hpae135","relation":{},"ISSN":["0895-7061","1941-7225"],"issn-type":[{"value":"0895-7061","type":"print"},{"value":"1941-7225","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,3]]},"published":{"date-parts":[[2024,10,10]]}}}