Comparison of forearm and intra-arterial blood pressure measurements according to body and arm positions in obese patients

dc.authoridsahan, seda/0000-0003-4071-2742
dc.contributor.authorİsmailoğlu, Elif Günay
dc.contributor.authorAygün, Hakan
dc.contributor.authorŞahan, Seda
dc.contributor.authorErgin, Eda
dc.contributor.authorGeçtan, Eliz
dc.date.accessioned2025-03-20T09:50:47Z
dc.date.available2025-03-20T09:50:47Z
dc.date.issued2025
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractRationaleNoninvasive blood pressure (BP) monitoring is very important also difficult for accurate diagnosis and monitor of obese patients.AimsThe study aimed to assess the agreement between forearm arm BP and intra-arterial BP values in a different body and arm positions in obese patients.MethodsThe descriptive study was carried out on 60 intensive care patients with a body mass index above 30 kg/m2 who were monitored with invasive radial BP in the general and surgical intensive care units. BP values obtained from the upper arm and forearm with different arm and body positions were compared with intra-arterial BP results. Bland-Altman analysis and correlation coefficient were used for the accuracy of upper and forearm noninvasive BP reading in different positions.ResultsThe best agreement was found between the forearm systolic BP in the supine and half-sitting position with the arm down and intra-arterial BP values. Also, the best agreement in diastolic BP was found between the half-sitting and half-sitting position with the arm down and intra-arterial BP.ConclusionsForearm systolic BP measurement, especially in the supine and half-sitting position with the arm below the heart level position, was best agreement with intra-arterial measurement, regarded as the gold standard. For this reason, it is more appropriate to use forearm BP measurement in obese patients monitored in intensive care to obtain accurate results.
dc.identifier.doi10.1111/jep.14093
dc.identifier.issn1356-1294
dc.identifier.issn1365-2753
dc.identifier.issue1
dc.identifier.pmid39038205
dc.identifier.scopus2-s2.0-85199092645
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1111/jep.14093
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2317
dc.identifier.volume31
dc.identifier.wosWOS:001273626500001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal of Evaluation in Clinical Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250319
dc.subjectblood pressure
dc.subjectforearm blood pressure
dc.subjectintensive care
dc.subjectobese patients
dc.subjectupper arm blood pressure
dc.titleComparison of forearm and intra-arterial blood pressure measurements according to body and arm positions in obese patients
dc.typeArticle

Dosyalar