01 April 2011
Limitations of the of the oscillometric method for blood pressure measurements in dialyzed patients
Marek CzarkowskiABCDEFG, Monika StaszkowBDEF, Kacper KostyraBF, Zuhier ShebaniB, Krzysztof RozanowskiE, Joanna Matuszkiewicz-RowinskaDEG, Stanislaw NiemczykDEGDOI: 10.12659/MSM.881701
Med Sci Monit 2011; 17(4): MT35-40
Abstract
Background: Despite more frequent use of the oscillometric method (OSC) for arterial blood pressure (BP) measurement, little is known about OSC’s accuracy when used with hemodialysed patients. This study was undertaken to determine if hemodialysis (HD) and individual features in examined patients can affect the accuracy of OSC for BP measurement.
Material/Methods: In 54 hemodialysed patients (57±15 years), during 2 sessions (before and after HD), 3 pairs of BP measurements each were performed on arms, alternately employing OSC and auscultatory method, with mercury manometers by 2 observers (REF).
Results: No difference was found in systolic BP measured before and after HD (SBP before HD: REF –147.3±27.3, OSC –147.5±25.0 mmHg, p>0.05, SBP after HD: REF-141.1±33.9, OSC-141.2±31.5 mmHg, p>0.05, respectively), but diastolic BP (DBP) was significantly higher both before and after HD during REF measurement in comparison with OSC (DBP before HD: REF –79.0±17.0, OSC –76.7±15.0 mmHg, DBP after HD: REF –78.6±18.8, OSC –76.7±16.7 mmHg, p<0.001, respectively). No significant correlation between loss of body weight caused by HD and differences in BP measured by REF and OSC after HD was indicated (Pearson’s correlation coefficients: for SBP –0.041, for DBP 0.030). However, a significant correlation between differences in BP measured by REF and OSC before HD and differences in BP measured by REF and OSC after HD was observed (Spearman’s rank correlation coefficients: for SBP 0.502 and for DBP 0.557, p<0.000001).
Conclusions: Our study found that individual features, not HD, determine the accuracy of OSC for BP measurement in hemodialysed patients.
Keywords: Diastole - physiology, Blood Pressure Determination - methods, Blood Pressure - physiology, Aged, 80 and over, Oscillometry - methods, Renal Dialysis, Systole - physiology, young adult
1140 1
Editorial
01 December 2023 : Editorial
Editorial: Outbreaks of Post-Pandemic Childhood Pneumonia and the Re-Emergence of Endemic Respiratory InfectionsDOI: 10.12659/MSM.943312
Med Sci Monit 2023; 29:e943312
In Press
30 Nov 2023 : Review article
Decoding the Neurological Sequelae of General Anesthesia: A ReviewMed Sci Monit In Press; DOI:
30 Nov 2023 : Clinical Research
Enhanced Pain Relief and Muscle Growth in Individuals with Low Back Instability: The Impact of Blood Flow R...Med Sci Monit In Press; DOI:
29 Nov 2023 : Clinical Research
Comparative Analysis of Intramedullary Nail versus Plate Fixation for Fibula Fracture in Supination Externa...Med Sci Monit In Press; DOI:
29 Nov 2023 : Clinical Research
Impact of COVID-19 on Academic Burnout among Medical College Students in China: Findings from a Web-Based S...Med Sci Monit In Press; DOI:
Most Viewed Current Articles
13 Nov 2021 : Clinical Research
Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...DOI :10.12659/MSM.932788
Med Sci Monit 2021; 27:e932788
30 Dec 2021 : Clinical Research
Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...DOI :10.12659/MSM.935379
Med Sci Monit 2021; 27:e935379
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
08 Mar 2022 : Review article
A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...DOI :10.12659/MSM.936292
Med Sci Monit 2022; 28:e936292