title: Differences in automated and manual blood pressure measurement in hospitalized psychiatric patients.
abstract: Few studies have been conducted recently with noncritically ill patients evaluating commonly used automated blood pressure (BP) devices. The purpose of this study was to compare BP values obtained using a manual sphygmomanometer versus an oscillometric automated electronic BP device on an acute care psychiatry unit. A method-comparison design was used, and data were analyzed using the Bland-Altman method. Outliers were removed, resulting in 39 participants for analyses of systolic readings and 41 participants for diastolic readings. Paired t tests revealed a significant difference in manual versus automatic systolic BP readings (p < 0.05). Automated readings averaged 3.9 points higher. No significant differences in diastolic readings (p = 0.72) were found. Care must be taken in using automated or manual BP readings to make important clinical decisions. Based on these findings, a protocol was instituted in an acute care psychiatry unit indicating that BP must be measured manually for patients with medication-hold parameters for BP.
authors: Cooper University Hospital, Camden, NJ, USA. Suokhrie-lucy@cooperhealth.edu
authors: Lucy Neinguii
authors: LN
authors: Suokhrie
authors: Carole-Rae
authors: CR
authors: Reed
authors: Carolyn
authors: C
authors: Emory
authors: Rosemarie
authors: R
authors: White
authors: Carol T
authors: CT
authors: Moriarity
authors: Jamie
authors: J
authors: Mayberry
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000494:pharmacology*; D001331:Automation; D001795:Blood Pressure Determination / Q000379:methods*; D003971:Diastole; D016903:Drug Monitoring; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D001523:Mental Disorders / Q000188:drug therapy*; D008875:Middle Aged; D009515:New Jersey; D009991:Oscillometry; D015203:Reproducibility of Results; D019722:Sphygmomanometers; D013599:Systole
chemical_list: D014150:Antipsychotic Agents