| How should we measure blood pressure in the doctor's office? | |
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MedLine Citation:
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PMID: 12055421 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Blood pressure is the most ubiquitous diagnostic recording made in the doctor's office, but the measurement is subject to a number of sources of bias, which may lead to over- or underestimation. The current study examined the systematic influence of the way in which the measurements were taken - by the physician, by a nurse, or with the patient sitting alone, using an automated device. SUBJECTS AND METHODS: Blood pressure was measured in 17 essential hypertensive and 10 white-coat hypertensive individuals. On separate clinic visits, measurements were taken by the attending physician, by a nurse and using an automated device (Arteriosonde 1216). RESULTS: A repeated-measures ANOVA revealed that, for systolic pressure, there was a significant effect of measurement modality on blood pressure. Physician systolic pressures were on average approximately 10 mmHg higher than those taken by a nurse, nurse pressures being approximately 7 mmHg higher than those recorded using Arteriosonde. The effect on diastolic pressure was similar but smaller, and no nurse-Arteriosonde difference was observed. CONCLUSIONS: We conclude that the routine clinical assessment of blood pressure would be more representative of daily ambulatory pressure if an automated device, without doctor or nurse present, were used. |
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Authors:
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W Gerin; R M Marion; R Friedman; G D James; D H Bovbjerg; T G Pickering |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Blood pressure monitoring Volume: 6 ISSN: 1359-5237 ISO Abbreviation: Blood Press Monit Publication Date: 2001 Oct |
Date Detail:
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Created Date: 2002-06-10 Completed Date: 2003-01-24 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 9606438 Medline TA: Blood Press Monit Country: England |
Other Details:
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Languages: eng Pagination: 257-62 Citation Subset: IM |
Affiliation:
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Cornell University Joan and Sanford I. Weill Medical College-New York Presbyterian Hospital, New York 10021, USA. wgerin@med.cornell.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Analysis of Variance Bias (Epidemiology) Blood Pressure Determination / methods*, psychology, standards Female Humans Hypertension / physiopathology Male Middle Aged Nurses Office Visits* Physicians Reproducibility of Results Self Care |
| Grant Support | |
ID/Acronym/Agency:
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HL 57540/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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