Clinical Comparisons of Forearm (FA) and Upper Arm (UA) Automatic, Noninvasive Blood Pressures (NIBP) in Three Body Positions

2.50
Hdl Handle:
http://hdl.handle.net/10755/163564
Category:
Abstract
Type:
Presentation
Title:
Clinical Comparisons of Forearm (FA) and Upper Arm (UA) Automatic, Noninvasive Blood Pressures (NIBP) in Three Body Positions
Author(s):
Schell, Kathleen; Bradley, Elisabeth; Lyons, Denise; Bucher, Linda; Seckel, Maureen; Wakai, Sandra; Bartell, Deborah; Carson, Elizabeth; Chichester, Melanie
Author Details:
Kathleen Schell, DNSc, RN, Assistant Professor, University of Delaware Department of Nursing, Newark, Delaware, USA, email: kaschell@udel.edu; Elisabeth Bradley, MS, RN, APRN, BC, CCRN; Denise Lyons, MSN, RN, APRN,BC; Linda Bucher, DNSc, RN; Maureen Seckel, MSN, RN, APRN. BC, CCRN; Sandra Wakai, BSN, RN, CCRN; Deborah Bartell, BSN, RN, BC; Elizabeth Carson, RNC; Melanie Chichester, BSN, RNC
Abstract:
Purpose: To compare automatic NIBPs taken on the FA with those taken on the UA with patients seated in the first study, and positioned supine and with head of bed (HOB) 45o in a follow-up study. Methods: Subjects' FA and UA circumferences were measured and cuff sizes selected based on manufacturer's recommendations. In Study 1, medically stable, emergency department patients (n=204) were seated with the left FA at heart level. NIBPs were taken on the FA and then on the UA. Order of BP measurements was alternated on subsequent subjects. In Study 2, NIBPs were taken on supine medical-surgical inpatients (n=221) with their arms resting at their sides, first on the FAs and then on their UAs. Patients were repositioned with HOB 45o and, after 2 minutes, NIBPs were taken first on the UAs and then on the FAs. Starting positions were alternated on subsequent subjects. Results: In Study 1, paired t-tests revealed significant group differences between UA and FA systolic BPs (t = 2.07, p < .05). Paired t-tests for Study 2 revealed significant group differences between UA and FA systolic and diastolic BPs in supine and HOB 45o positions (t = -10.10, p < .0001and t = -3.51, p = .0006; t = -11.29, p < .0001 and t = -13.64, p < .0001, respectively). In both studies, the Bland-Altman procedure, used to calculate the amount of agreement between the UA and FA BPs, revealed that the distances between the mean values and the limits of agreement ranged from 15 mm Hg to 33 mm Hg for individual subjects. Conclusions and Implications: UA and FA NIBPs of adult patients are not interchangeable in seated, supine or HOB 45o positions. FA BPs are not recommended but may be the only choice in some patients. Selection of proper-sized cuffs, and documentation and use of the same site for trending of BPs are essential.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
17th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
New York, New York, USA
Description:
�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New York
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleClinical Comparisons of Forearm (FA) and Upper Arm (UA) Automatic, Noninvasive Blood Pressures (NIBP) in Three Body Positionsen_GB
dc.contributor.authorSchell, Kathleenen_US
dc.contributor.authorBradley, Elisabethen_US
dc.contributor.authorLyons, Deniseen_US
dc.contributor.authorBucher, Lindaen_US
dc.contributor.authorSeckel, Maureenen_US
dc.contributor.authorWakai, Sandraen_US
dc.contributor.authorBartell, Deborahen_US
dc.contributor.authorCarson, Elizabethen_US
dc.contributor.authorChichester, Melanieen_US
dc.author.detailsKathleen Schell, DNSc, RN, Assistant Professor, University of Delaware Department of Nursing, Newark, Delaware, USA, email: kaschell@udel.edu; Elisabeth Bradley, MS, RN, APRN, BC, CCRN; Denise Lyons, MSN, RN, APRN,BC; Linda Bucher, DNSc, RN; Maureen Seckel, MSN, RN, APRN. BC, CCRN; Sandra Wakai, BSN, RN, CCRN; Deborah Bartell, BSN, RN, BC; Elizabeth Carson, RNC; Melanie Chichester, BSN, RNCen_US
dc.identifier.urihttp://hdl.handle.net/10755/163564-
dc.description.abstractPurpose: To compare automatic NIBPs taken on the FA with those taken on the UA with patients seated in the first study, and positioned supine and with head of bed (HOB) 45o in a follow-up study. Methods: Subjects' FA and UA circumferences were measured and cuff sizes selected based on manufacturer's recommendations. In Study 1, medically stable, emergency department patients (n=204) were seated with the left FA at heart level. NIBPs were taken on the FA and then on the UA. Order of BP measurements was alternated on subsequent subjects. In Study 2, NIBPs were taken on supine medical-surgical inpatients (n=221) with their arms resting at their sides, first on the FAs and then on their UAs. Patients were repositioned with HOB 45o and, after 2 minutes, NIBPs were taken first on the UAs and then on the FAs. Starting positions were alternated on subsequent subjects. Results: In Study 1, paired t-tests revealed significant group differences between UA and FA systolic BPs (t = 2.07, p < .05). Paired t-tests for Study 2 revealed significant group differences between UA and FA systolic and diastolic BPs in supine and HOB 45o positions (t = -10.10, p < .0001and t = -3.51, p = .0006; t = -11.29, p < .0001 and t = -13.64, p < .0001, respectively). In both studies, the Bland-Altman procedure, used to calculate the amount of agreement between the UA and FA BPs, revealed that the distances between the mean values and the limits of agreement ranged from 15 mm Hg to 33 mm Hg for individual subjects. Conclusions and Implications: UA and FA NIBPs of adult patients are not interchangeable in seated, supine or HOB 45o positions. FA BPs are not recommended but may be the only choice in some patients. Selection of proper-sized cuffs, and documentation and use of the same site for trending of BPs are essential.en_GB
dc.date.available2011-10-27T11:09:45Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:09:45Z-
dc.conference.date2005en_US
dc.conference.name17th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationNew York, New York, USAen_US
dc.description�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New Yorken_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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