Accuracy Assessment of Measured Blood Pressures in Three Departments of one Tertiary Hospital

نویسندگان
doi
10.1111/j.1365-2702.2010.03528.x
چکیده

Background: Auscultatory methods with a mercury sphygmomanometer had been approved as BP measurement method. Decline in accuracy of BP measurement might lead to pitfalls in diagnosis and management of patients. Objectives: Present study was performed for assessment differences between standard and routine measurement of blood pressure in study wards. Results: In the clinical survey 86 patients were included into the study. Correlation coefficient between two measurements was 0.82 and 0.59 in systolic and diastolic blood pressure (P = 0.00). Mean and standard deviation of differences between standard and routine systolic and diastolic blood pressures had significant differences (7.62 ± 12.69 and 6.39 ± 11.55 mmhg; P = 0.00). Conclusions: One of the possible causes of difference between routine and standard measured blood pressures in the present study was lack of calibration in a sphygmomanometer and this defect was also the easier problem to correct by change of damaged portions. Findings of our study showed that physicians did not reliance only to routine blood pressure measurements for clinical decision making about patients due to several confounding variables that had impact on measurements.

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