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Letters |18 October 2011

Measuring Blood Pressure for Decision Making and Quality Reporting

Benjamin J. Powers, MD, MHS; Eugene Z. Oddone, MD, MHS; Hayden B. Bosworth, PhD

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Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-2595.
  • From Durham Veterans Affairs Medical Center, Durham, NC 27705.
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Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-2595.
IN RESPONSE:
As Dr. Logan Silva pointed out, the common errors of a poorly fitting cuff, instrument miscalibration, and sloppy technique all contribute to imprecise blood pressure measurement. Unless we insist on high standards for blood pressure measurement, the reported value may not mean much (1). In addition, terminal digit preference (for example, the tendency to report manual readings with 0 or 5) and remeasurement of blood pressure when the initial value is high but never when it is normal are common biases. There is substantial room for improvement...
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Powers BJ, Oddone EZ, Bosworth HB. Measuring Blood Pressure for Decision Making and Quality Reporting. Ann Intern Med. 2011;155:565–566. doi: 10.7326/0003-4819-155-8-201110180-00027

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Published: Ann Intern Med. 2011;155(8):565-566.

DOI: 10.7326/0003-4819-155-8-201110180-00027

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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