{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T19:40:30Z","timestamp":1765309230678,"version":"3.46.0"},"reference-count":18,"publisher":"BMJ","issue":"6356","license":[{"start":{"date-parts":[[1982,12,11]],"date-time":"1982-12-11T00:00:00Z","timestamp":408412800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1982,12,11]]},"abstract":"<jats:p>Self-recording of the blood pressure by patients away from hospital or office (\"home blood pressure\") has been advocated as providing a better estimate of \"true\" blood pressure. The reliability of home blood-pressure recording has been assessed only by standard indirect methods which themselves are subject to considerable error and variability. The accuracy of self-recorded blood pressures was therefore assessed in 57 patients with essential hypertension by comparison with simultaneous measurements of clinic blood pressures and with intra-arterial blood pressures recorded at home and at hospital. Home systolic blood pressures showed good agreement with clinic and intra-arterial pressures, but home diastolic blood pressures overestimated intra-arterial pressures, as did clinic diastolic pressures. The clinic and home diastolic pressures showed good agreement. There was considerable variability in individual differences comparing the indirect and intra-arterial methods, though the two indirect methods showed much closer agreement. This study suggests that home blood pressures are as accurate as clinic readings but may be recorded more frequently and thus provide more useful information. Neither is likely to approximate the intra-arterial blood pressure.<\/jats:p>","DOI":"10.1136\/bmj.285.6356.1691","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1691-1694","source":"Crossref","is-referenced-by-count":25,"title":["Assessment of the accuracy and role of self-recorded blood pressures in the management of hypertension."],"prefix":"10.1136","volume":"285","author":[{"given":"B A","family":"Gould","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H A","family":"Kieso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Hornung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D G","family":"Altman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P M","family":"Cashman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E B","family":"Raftery","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1982,12,11]]},"reference":[{"key":"ref_1","first-page":"504","article-title":"The accuracy of clinical measurements of arterial blood pressure","volume":"69","author":"Ragan, C.; Bordley, J.","year":"1941","unstructured":"Ragan C, Bordley J. The accuracy of clinical measurements of arterial blood pressure. Bulletin of the3Johns Hopkins Hospital 1941;69:504-28.","journal-title":"Bulletin of the3Johns Hopkins Hospital"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1161\/01.CIR.8.2.232","article-title":"A comparison of direct and indirect blood pressure determinations","volume":"8","author":"Roberts, L.N.; Smiley, JR, Manning; G.W.","year":"1953","unstructured":"Roberts LN, Smiley JR, Manning GW. A comparison of direct and indirect blood pressure determinations. 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J Chronic Dis 1964;17:391-6.","journal-title":"Am 7 Med Sci; Comparison of various clinical measurements of blood pressure with the self determination technique in normotensive college males"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1161\/01.CIR.36.6.980","article-title":"Report to the American Heart Association: recommendations for human blood pressure determination by sphygmomanometers","volume":"36","author":"Kirkendall, W.M.; Burton, A.C.; Epstein, F.H.; Freis, E.D.","year":"1967","unstructured":"Kirkendall WM, Burton AC, Epstein FH, Freis ED. Report to the American Heart Association: recommendations for human blood pressure determination by sphygmomanometers. Circulation 1967;36: 980-8.","journal-title":"Circulation"},{"issue":"36","key":"ref_9","first-page":"329","article-title":"Direct arterial pressure recording in unrestricted man","volume":"1969","author":"Bevan, A.T.; Honour, A.J.; Stott, F.D.","unstructured":"Bevan AT, Honour AJ, Stott FD. Direct arterial pressure recording in unrestricted man. Clin Sci 1969;36:329-44.","journal-title":"Clin Sci"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1007\/BF02442453","article-title":"New system for recording ambulatory blood pressure in man","volume":"16","author":"Millar-Craig, M.W.; Hawes, D.; Whittington, J.","year":"1978","unstructured":"Millar-Craig MW, Hawes D, Whittington J. New system for recording ambulatory blood pressure in man. Med Biol Eng Comput 1978;16: 727-31.","journal-title":"Med Biol Eng Comput"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1007\/BF02440908","article-title":"Hybrid system for fast data reduction on long term blood pressure recordings","volume":"17","author":"Cashman, P.M.M.; Stott, F.D.; Millar-Craig, M.W.","year":"1979","unstructured":"Cashman PMM, Stott FD, Millar-Craig MW. Hybrid system for fast data reduction on long term blood pressure recordings. Med Biol Eng Comput 1979;17:629-35.","journal-title":"Med Biol Eng Comput"},{"article-title":"Measurement in medicine: the analysis of method comparison studies","author":"JM, Altman D.G.Bland","key":"ref_12","unstructured":"Altman DG. Bland JM. Measurement in medicine: the analysis of method comparison studies. Statistician (in press)."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/0021-9681(80)90064-8","article-title":"Comparison of clinic and home blood pressure levels in essential hypertension and variables associated with clinic-home differences","volume":"33","author":"Laughlin, K.D.; Sherrard, D.J.; Fisher, L.","year":"1980","unstructured":"Laughlin KD, Sherrard DJ, Fisher L. Comparison of clinic and home blood pressure levels in essential hypertension and variables associated with clinic-home differences. J Chronic Dis 1980;33:197-206.","journal-title":"J Chronic Dis"},{"issue":"179","key":"ref_14","first-page":"53","article-title":"Observer factors in the measurement of blood pressure","volume":"1962","author":"Wilcox, J.","unstructured":"Wilcox J. Observer factors in the measurement of blood pressure. JAMA 1962;179:53.","journal-title":"JAMA"},{"key":"ref_15","article-title":"Some sources of error in the clinical measurement of blood pressure","author":"thesis, King GE. MD","year":"1967","unstructured":"King GE. MD thesis. Some sources of error in the clinical measurement of blood pressure. University of London, 1967."},{"key":"ref_16","series-title":"Proceedings of a workshop in Leuven (Belgium); Commission of the European Communities Biological SciencesMedical Research. Methodology and standardisation of non-invasive blood pressure measurement in epidemiological studies","article-title":"The value of home blood pressure recordings. A tool for epidemiological studies","author":"Joossens, J.V.; Brems-Heyns, E.; Claessens, J.","year":"1974","unstructured":"Joossens JV, Brems-Heyns E, Claessens J. The value of home blood pressure recordings. A tool for epidemiological studies. In: Kesteloof W, ed. Commission of the European Communities Biological SciencesMedical Research. Methodology and standardisation of non-invasive blood pressure measurement in epidemiological studies. Proceedings of a workshop in Leuven (Belgium), 1974."},{"key":"ref_17","article-title":"Belgium: Commission of the European Communities, Directorate General \"Research and Education,\"","author":"Brussels","year":"1976","unstructured":"Brussels, Belgium: Commission of the European Communities, Directorate General \"Research and Education,\" 1976."},{"article-title":"Accepted","year":"1982","key":"ref_18","unstructured":"(Accepted 8 October 1982)"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.285.6356.1691","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.285.6356.1691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T19:35:47Z","timestamp":1765308947000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.285.6356.1691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1982,12,11]]},"references-count":18,"journal-issue":{"issue":"6356","published-online":{"date-parts":[[1982,12,11]]},"published-print":{"date-parts":[[1982,12,11]]}},"alternative-id":["10.1136\/bmj.285.6356.1691"],"URL":"https:\/\/doi.org\/10.1136\/bmj.285.6356.1691","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"type":"print","value":"0007-1447"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1982,12,11]]}}}