The effect of clothes on sphygmomanometric blood pressure measurement in hypertensive patients

Pınar, Rukiye; Ataalkin, Sıddıka; Watson, Roger

doi:10.1111/j.1365-2702.2010.03224.x

Cited by 10 publications

(18 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results are in line with data in six previous studies [1,[5][6][7][8][9] as shown in Table 4. As there were slight differences in the protocols used in these studies, we present the relevant differences for comparison in Table 4.…”

Section: Discussionsupporting

confidence: 96%

“…In clinical practice, these recommendations on removal of clothing are often not followed, and for practical or comfort reasons, clothing is left underneath the cuff. There are some studies that support this practice [1,[5][6][7][8][9], but these have some flaws. Previous studies had the limitations of very few BP readings, use of only one standard cuff bladder size, and absence of randomization.…”

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

Should blood pressure be measured with the cuff on a bare arm?

Thien

Keltjens²,

Lenders³

et al. 2015

Blood Pressure Monitoring

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 96%

Section: Introductionmentioning

confidence: 97%

Should blood pressure be measured with the cuff on a bare arm?

Thien

Keltjens²,

Lenders³

et al. 2015

Blood Pressure Monitoring

View full text Add to dashboard Cite

show abstract

“…The mean variables were as follows: age, 45.5 years; BMI, 23.4; and clothing thickness (of 77.1% of patients), < 1 mm. Pinar et al11 studied 258 male/female hypertensive patients (clothing thickness, ≤ 2 mm; BMI range, 20–41) with a mercury-filled column sphygmomanometer. SBP and DBP were measured over a sleeve and on a bare arm.…”

Section: Discussionmentioning

confidence: 99%

“…Most of these studies included normotensive and hypertensive patients; featured wide age, body mass index (BMI), and clothing thickness ranges; and used automatic sphygmomanometers 7-10. In only one study, a mercury-filled column sphygmomanometer was used for the blood pressure measurements 11. The studies also used various measurement numbers and positions.…”

Section: Introductionmentioning

confidence: 99%

“…The studies also used various measurement numbers and positions. Blood pressure was measured over a sleeve and on the bare arm in 2 studies11,12; over a sleeve, below a rolled-up sleeve, and on the bare arm in 2 studies7,10; and over a sleeve and below rolled-up sleeve in one study 9. While it is reported that clothing does not have any effect on blood pressure measurement, it is evident that study populations in these groups were heterogeneous with respect to age, sex, BMI, and hypertension/normotension.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of clothes on blood pressure measurement

Ertuğ¹,

Cakal²,

Ozturk³

et al. 2017

Pak J Med Sci

View full text Add to dashboard Cite

Objective:To determine the effect of clothes on blood pressure measurement.Methods:One group pretest-posttest design was used in this study. The study consisted of 162 undergraduate students studying nursing and physiotherapy at a university in Ankara, Turkey. Blood pressure was measured over the sleeve and below a rolled-up sleeve with a mercury-filled column sphygmomanometer. All blood pressure measurements were performed on the right arm during morning hours by the same nurse. Each participant’s height, weight and clothing thickness were measured.Results:The mean age of the participants was 20.71. The median systolic blood pressure values were 110.07 mmHg over the sleeve and 110.37 mmHg below the rolled-up sleeve. There were no statistically significant differences between measurements taken over the sleeve and below a rolled-up sleeve (p=0.222). The median diastolic blood pressure values were 69.56 mmHg over the sleeve and 69.59 mmHg below the rolled-up sleeve. There were no statistically significant differences between measurements taken over the sleeve and below a rolled-up sleeve (p=0.572).Conclusion:It was found that clothes have no statistically significant effect on systolic/diastolic blood pressure measurements. Measuring blood pressure over a sleeve may save time.

show abstract

Assessment of blood pressure skills and belief in clinical readings

Gulati

Peterson

Mihailidou

2021

American Journal of Preventive Cardiology

View full text Add to dashboard Cite

Background Accurate blood pressure (BP) measurement is essential for the diagnosis and management of hypertension. In clinical practice, BP is estimated using noninvasive methods with significant variability of application of guidelines in clinical practice, impacting the accuracy and certainty of BP measurements. Objective We sought to assess how BP is measured in clinical practice. Methods A survey was administered through professional societies that included predominantly cardiologists. Assessment of adherence to guideline recommendations for BP assessment was measured and compared to the level of confidence in clinic BP measurement. Results There were 571 surveys completed. The majority of respondents were cardiologists (61.1%), with 47 preventive cardiologists. BP was routinely checked in both arms by 53% at the initial visit, 48% check BP once each visit, and 64% wait 5 min before initial BP assessment. Automated BP assessment is used by 58% respondents. The majority (83%) trust their BP readings, and those who trust their BP readings are more likely to perform the initial BP assessment themselves, compared to those who do not trust the clinic BP readings (30.2% vs. 13.6%, P = 0.009). Accurate BP measurement is performed by 23% of cardiologists, and more likely performed accurately by a preventive cardiologist (38.3%) compared with other cardiologists (20.0%, P = 0.007). Accurate BP measurement is more likely for those who perform the initial BP themselves rather than any other staff (36.8% vs. 17.9%; P <0.001); and for those who repeat BP manually (80% vs. 54%; P <0.001), compared to those who do not measure BP accurately. Despite the inaccuracy of BP measurement, there is a high level of confidence in the BP readings. Conclusions Accurate BP assessment continues to remain suboptimal in clinical practice. Reliability of BP assessment requires education, identifying barriers to implementation of recommendations and engagement of the entire team to improve BP assessment.

show abstract

The effect of clothes on sphygmomanometric blood pressure measurement in hypertensive patients

Cited by 10 publications

References 21 publications

Should blood pressure be measured with the cuff on a bare arm?

Should blood pressure be measured with the cuff on a bare arm?

The effect of clothes on blood pressure measurement

Assessment of blood pressure skills and belief in clinical readings

Contact Info

Product

Resources

About