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Master Thesis

Une longue attente en salle d’attente est-elle associée à une augmentation de la pression artérielle mesurée en consultation de médecine générale ?

Abstract : Introduction: several studies have shown that blood pressure can increase between the time spent in the waiting room and the consulting room. Besides the “white coat syndrome”, waiting time, already a cause of stress and dissatisfaction, could partly explain the BP’s increase. This study’s main goal was to evaluate the combination of the amount of time the patient spent in the waiting room and the utter difference between systolic blood pressure (SBP) and diastolic blood pressure (DBP) while arriving in the waiting room and the consulting room. Method: quantitative and transversal study carried out in 2020 inside two multidisciplinary health centers in Gironde. Blood pressure’s measurement with a wrist monitor in the waiting and consulting room and assessment of waiting time before medical consultation. Results’ analysis: we used a logistic regression model to establish a link between waiting time and variations in SBP and DBP from the waiting room to the consulting room. Results: there is no link between SBP and DBP’s increase variability from the waiting room to the consulting room (DBP: p = 0,35 (not significant), OR = 1,02 ; IC95 = 0,98-1,05 ; SBP: p= 0,31 (not significant), OR = 1,02 ; IC95 = 0,99-1,05. The SBP during medical consultation is significantly higher than the one measured in the waiting room. There’s a significant difference between the two (p = 0,004). During the medical consultation, the DBP is clearly higher than the one in the waiting room with a clear difference (p < 0,001). Conclusion: the time spent waiting from the waiting room to the consultation isn’t a factor in BP’s variations. A doctor who’s running late isn’t going to get a different result in BP measurement than a doctor who’s on time. The blood pressure increases in the time spent between the waiting room and the medical consultation. Should we check the patients’ blood pressure in the waiting room rather than during the medical appointment?
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03123394
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Submitted on : Wednesday, January 27, 2021 - 7:00:38 PM
Last modification on : Saturday, February 13, 2021 - 3:10:00 AM
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Nicolas de Gennes. Une longue attente en salle d’attente est-elle associée à une augmentation de la pression artérielle mesurée en consultation de médecine générale ?. Médecine humaine et pathologie. 2020. ⟨dumas-03123394⟩

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