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Comparison of blood pressure measurements on the bare arm, over a sleeve and over a rolled-up sleeve in the elderly.
Ozone, Sachiko; Shaku, Fumio; Sato, Mikiya; Takayashiki, Ayumi; Tsutsumi, Madoka; Maeno, Tetsuhiro.
Afiliación
  • Ozone S; Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan, sachiko-ozone@umin.ac.jp.
  • Shaku F; Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan, Department of Psychosomatic Internal Medicine, Nihon University Itabashi Hospital, Tokyo, Japan.
  • Sato M; Kawakita Centre for Family Medicine, Kawakita General Hospital, Tokyo, Japan and Department of Health Services Research, University of Tsukuba, Tsukuba, Japan.
  • Takayashiki A; Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.
  • Tsutsumi M; Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.
  • Maeno T; Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.
Fam Pract ; 33(5): 517-22, 2016 10.
Article en En | MEDLINE | ID: mdl-27402639
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Determinación de la Presión Sanguínea / Hipertensión Tipo de estudio: Clinical_trials / Diagnostic_studies / Guideline / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Fam Pract Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Determinación de la Presión Sanguínea / Hipertensión Tipo de estudio: Clinical_trials / Diagnostic_studies / Guideline / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Fam Pract Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido