Comparison of blood pressure measurements on the bare arm, below a rolled-up sleeve, or over a sleeve.

Abstract:

BACKGROUND:This study examined the effect of measuring blood pressure below subjects' rolled-up sleeves, over the sleeve, or on the bare arm. This is an important day-to-day issue for the busy GP. METHODS:The sample consisted of 201 subjects in family practice clinics and residents of a senior citizens' home. A digital device was used in all cases. Each participant underwent three blood pressure measurements in each of the following conditions in random order: cuff on bare arm; cuff over the sleeve; and cuff below the rolled-up sleeve. Differences between measurements were plotted against the mean blood pressure. Confounding factors controlled for were age, sex, clothing pressure and skin-fold thickness. RESULTS:Differences in mean blood pressure readings between the clothed and bare arm were 0.5 mmHg (SD 7.5) for systolic pressure and 1 mmHg (SD 5) for diastolic pressure; neither difference was significant. However, in hypertensive subjects (>140 mmHg systolic), although the mean difference remained small (systolic pressure, 2 mmHg, SD 10), the range of difference for individual subjects was -32 mmHg to +22 mmHg. CONCLUSION:The degree of clothing under the sphygmomanometer cuff does not have a clinically important effect on the blood pressure measurement. In patients known or found to be hypertensive, measurement on the bare arm is recommended.

journal_name

Fam Pract

journal_title

Family practice

authors

Kahan E,Yaphe J,Knaani-Levinz H,Weingarten MA

doi

10.1093/fampra/cmg618

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

730-2

issue

6

eissn

0263-2136

issn

1460-2229

journal_volume

20

pub_type

临床试验,杂志文章,随机对照试验
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    更新日期:1988-12-01 00:00:00

  • Different models to mobilize peer support to improve diabetes self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research.

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    更新日期:2010-06-01 00:00:00

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    更新日期:2000-12-01 00:00:00

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    doi:10.1093/fampra/14.4.295

    authors: Larsen JH,Risør O,Putnam S

    更新日期:1997-08-01 00:00:00

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    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Melbye H,Aasebø U,Straume B

    更新日期:1991-09-01 00:00:00

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    更新日期:1990-06-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/fampra/cmh401

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    更新日期:2004-08-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1996-02-01 00:00:00

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    journal_title:Family practice

    pub_type: 杂志文章,随机对照试验

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    更新日期:2010-04-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2014-02-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/fampra/16.6.619

    authors: Jemec GB

    更新日期:1999-12-01 00:00:00

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    doi:10.1093/fampra/1.2.69

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    更新日期:1984-06-01 00:00:00

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    doi:10.1093/fampra/11.2.162

    authors: Irigoyen-Coria A,Gomez-Clavelina FJ

    更新日期:1994-06-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/fampra/cmh504

    authors: Weiss MC,Deave T,Peters TJ,Salisbury C

    更新日期:2004-10-01 00:00:00

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    pub_type: 临床试验,杂志文章,评审

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    更新日期:1987-12-01 00:00:00

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    abstract:Background:Most well-developed healthcare systems are facing the challenge of managing the increasing prevalence of patients with chronic diseases. Comprehensive frameworks, such as the chronic care model (CCM), receive widespread acceptance for improving care processes, clinical outcomes and costs. Objective:The purp...

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    pub_type: 杂志文章

    doi:10.1093/fampra/cmx123

    authors: Desmedt M,Vertriest S,Petrovic M,Bergs J,Vrijhoef H,Dessers E,Hellings J,Vandijck D

    更新日期:2018-07-23 00:00:00

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    journal_title:Family practice

    pub_type: 杂志文章,多中心研究,随机对照试验

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    更新日期:2009-04-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/fampra/cmi116

    authors: Iliffe S,Wilcock J,Haworth D

    更新日期:2006-06-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/fampra/16.5.515

    authors: Nilsson B,Westman G

    更新日期:1999-10-01 00:00:00

  • People with learning disabilities, carers and care workers awareness of health risks and implications for primary care.

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    pub_type: 杂志文章

    doi:10.1093/fampra/cmm067

    authors: Young AF,Chesson RA,Wilson AJ

    更新日期:2007-12-01 00:00:00

  • The effect of introduction of a guideline on the management of vaginal discharge and in particular bacterial vaginosis in primary care.

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    pub_type: 杂志文章

    doi:10.1093/fampra/18.3.253

    authors: Langsford MJ,Dobbs FF,Morrison GM,Dance DA

    更新日期:2001-06-01 00:00:00

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    journal_title:Family practice

    pub_type: 杂志文章

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    更新日期:2020-02-19 00:00:00

  • A new method for describing smokers' consulting behaviours which indicate their motivation to stop smoking: an exploration of validity and reliability.

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    journal_title:Family practice

    pub_type: 杂志文章

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    更新日期:2002-04-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/fampra/cmy054

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    pub_type: 杂志文章,多中心研究

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