Document Detail

Comparison of blood pressure measured at the arm, ankle and calf.
MedLine Citation:
PMID:  19032301     Owner:  NLM     Status:  MEDLINE    
The suitability of alternative sites for non-invasive blood pressure (NIBP) measurement was investigated in 100 awake healthy volunteers. The calf and the ankle were chosen for comparison with the arm, and the results analysed subjected to Bland-Altman analysis. Discomfort was graded using a Visual Analogue Scale. There was a poor agreement between the different sites with respect to systolic blood pressure: the agreement was closer for diastolic and mean measurements. The mean blood pressure calf measurement was on average 4 mmHg (95% limits of agreement -12 to 20), higher than the arm. The ankle was 8 mmHg higher (-8 to 24) than the arm. ANOVA demonstrated a statistically significant difference in the discomfort scores between the sites (p < 0.001). The calf demonstrated the highest discomfort score and the ankle the lowest. We suggest that the ankle should be considered in preference to the calf as an alternative site for NIBP measurement if use of an arm is undesirable or impossible.
C Moore; A Dobson; M Kinagi; B Dillon
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  63     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-26     Completed Date:  2008-12-23     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  1327-31     Citation Subset:  AIM; IM    
Department of Medical statistics, South Manchester University Hospitals NHS Trust, Wythrnshawe, Manchester, UK.
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MeSH Terms
Ankle / blood supply
Arm / blood supply
Blood Pressure / physiology
Blood Pressure Determination / adverse effects,  methods*
Leg / blood supply
Middle Aged
Pain / etiology
Pain Measurement / methods
Reproducibility of Results
Young Adult
Comment In:
Anaesthesia. 2009 May;64(5):574   [PMID:  19413837 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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