Comparison of blood pressure measurements on the bare arm, over a sleeve and over a rolled-up sleeve in the elderly
© The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..
BACKGROUND: Although guidelines recommend that blood pressure (BP) should be measured on a bare arm, BP is sometimes measured over clothing in clinical settings.
OBJECTIVE: To assess the accuracy of BP measurements over clothing rolled up to the elbow in clinical settings.
METHODS: This was a cross-sectional study to a total of 186 individuals recruited from a primary care clinic and two day-care facilities between July and September 2014. Main outcome measures were BP measurements on (i) a bare arm, (ii) over the sleeve of a cardigan and (iii) over the sleeve of a cardigan rolled up to the elbow. BP was compared across measurement conditions using the paired t-test and multiple analysis of variance adjusting for age, sex, measurement order and interaction between clothing condition and measurement order.
RESULTS: Of 186 subjects, 38.5% were male. Mean age was 74.6 years. Mean BP with a bare arm, over a sleeve and over a rolled-up sleeve was 128.9 (SD 19.1)/67.4 (10.8) mmHg, 132.8 (21.0)/72.6 (11.5) mmHg and 133.4 (21.3)/74.4 (12.1) mmHg, respectively. There were significant differences in BP between the bare arm and over a cardigan sleeve (P < 0.001) and the bare arm and over a rolled-up cardigan sleeve (P < 0.001). BP differences were significant even after adjusting for age group, sex, measurement order and interaction between clothing condition and measurement order.
CONCLUSIONS: Although previous studies have suggested BP measurements over clothing are acceptable, our results suggest that BP should be measured on bare arms as recommended by guidelines whenever feasible.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2016 |
|---|---|
| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:33 |
|---|---|
| Enthalten in: |
Family practice - 33(2016), 5 vom: 15. Okt., Seite 517-22 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Ozone, Sachiko [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Aged |
|---|
| Anmerkungen: |
Date Completed 08.02.2018 Date Revised 17.03.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1093/fampra/cmw053 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM262295296 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM262295296 | ||
| 003 | DE-627 | ||
| 005 | 20231224201443.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231224s2016 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1093/fampra/cmw053 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0874.xml |
| 035 | |a (DE-627)NLM262295296 | ||
| 035 | |a (NLM)27402639 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Ozone, Sachiko |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparison of blood pressure measurements on the bare arm, over a sleeve and over a rolled-up sleeve in the elderly |
| 264 | 1 | |c 2016 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 08.02.2018 | ||
| 500 | |a Date Revised 17.03.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com. | ||
| 520 | |a BACKGROUND: Although guidelines recommend that blood pressure (BP) should be measured on a bare arm, BP is sometimes measured over clothing in clinical settings | ||
| 520 | |a OBJECTIVE: To assess the accuracy of BP measurements over clothing rolled up to the elbow in clinical settings | ||
| 520 | |a METHODS: This was a cross-sectional study to a total of 186 individuals recruited from a primary care clinic and two day-care facilities between July and September 2014. Main outcome measures were BP measurements on (i) a bare arm, (ii) over the sleeve of a cardigan and (iii) over the sleeve of a cardigan rolled up to the elbow. BP was compared across measurement conditions using the paired t-test and multiple analysis of variance adjusting for age, sex, measurement order and interaction between clothing condition and measurement order | ||
| 520 | |a RESULTS: Of 186 subjects, 38.5% were male. Mean age was 74.6 years. Mean BP with a bare arm, over a sleeve and over a rolled-up sleeve was 128.9 (SD 19.1)/67.4 (10.8) mmHg, 132.8 (21.0)/72.6 (11.5) mmHg and 133.4 (21.3)/74.4 (12.1) mmHg, respectively. There were significant differences in BP between the bare arm and over a cardigan sleeve (P < 0.001) and the bare arm and over a rolled-up cardigan sleeve (P < 0.001). BP differences were significant even after adjusting for age group, sex, measurement order and interaction between clothing condition and measurement order | ||
| 520 | |a CONCLUSIONS: Although previous studies have suggested BP measurements over clothing are acceptable, our results suggest that BP should be measured on bare arms as recommended by guidelines whenever feasible | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a blood pressure | |
| 650 | 4 | |a blood pressure determination | |
| 650 | 4 | |a clothing | |
| 650 | 4 | |a family practice | |
| 650 | 4 | |a guideline adherence. | |
| 700 | 1 | |a Shaku, Fumio |e verfasserin |4 aut | |
| 700 | 1 | |a Sato, Mikiya |e verfasserin |4 aut | |
| 700 | 1 | |a Takayashiki, Ayumi |e verfasserin |4 aut | |
| 700 | 1 | |a Tsutsumi, Madoka |e verfasserin |4 aut | |
| 700 | 1 | |a Maeno, Tetsuhiro |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Family practice |d 1993 |g 33(2016), 5 vom: 15. Okt., Seite 517-22 |w (DE-627)NLM013359614 |x 1460-2229 |7 nnns |
| 773 | 1 | 8 | |g volume:33 |g year:2016 |g number:5 |g day:15 |g month:10 |g pages:517-22 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1093/fampra/cmw053 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 33 |j 2016 |e 5 |b 15 |c 10 |h 517-22 | ||