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February 1, 1985American Journal of Epidemiology

The Random-Zero Versus the Standard Mercury Sphygmomanometer: A Systematic Blood Pressure Difference

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Why the study?

Does the random-zero sphygmomanometer yield systematically different blood pressure readings compared to the standard mercury sphygmomanometer?

Population

Subjects undergoing blood pressure measurement in a series of six experiments

Comparison

Blood pressure measurement using a random-zero… vs Simultaneous blood pressure measurement using a…

Design

Other, Order of use of the random-zero sphygmomanometer was randomly assigned…

Authors

RGR. De GaudemarisCentre National de la Recherche Scientifique
Aaron R. Folsom
Aaron R. FolsomGeneral / Preventive / Lipids
RPRonald J. PrineasPreventive Cardiology

Discussion

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Implication

Random-zero sphygmomanometers may underestimate BP versus mercury at standard deflation; leaves open whether device-specific adjustments are required in legacy cohorts.

Structured PICO

Does the random-zero sphygmomanometer yield systematically different blood pressure readings compared to the standard mercury sphygmomanometer?

P
Population
Subjects undergoing blood pressure measurement in a series of six experiments
I
Intervention
Blood pressure measurement using a random-zero sphygmomanometer
C
Comparator
Simultaneous blood pressure measurement using a standard mercury sphygmomanometer
O
Outcome
Difference in systolic, fourth-phase, and fifth-phase diastolic blood pressure readingssurrogate

The random-zero sphygmomanometer yields systematically lower blood pressure readings than the standard mercury sphygmomanometer, indicating they should not be used interchangeably in epidemiologic studies.

Cite This Study

Gaudemaris et al. (1985) studied this question.

synapsesocial.com/papers/6a8219a747f72330e2ffaf2bhttps://doi.org/10.1093/oxfordjournals.aje.a113998
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A comparison of the random-zero and standard mercury sphygmomanometers.1988 · 48 citations
  2. 2Comparison of performance of various sphygmomanometers with intra-arterial blood-pressure readings.1978 · 121 citations
  3. 3Development of equations for converting random-zero to automated oscillometric blood pressure values2019 · 1 citations
  4. 4Comparison of blood pressure measurements between an automated oscillometric device and a Hawksley random-zero sphygmomanometer in the northern Sweden MONICA study2012 · 12 citations
  5. 5Development of equations for converting random-zero to automated oscillometric blood pressure values2019 · 1 citations