Evidence map›Paper›PMID 30383781›Full record

Trial reportPloS one2018

Oscillometric central blood pressure and central systolic loading in stroke patients: Short-term reproducibility and effects of posture and fasting state.

Andrew Mitchelmore, Lee Stoner, Danielle Lambrick, Lucy Sykes, Charlotte Eglinton, Simon Jobson, James Faulkner

Erratum issued Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02537652 (Effect of Posture and Fasting State on Central and Peripheral Blood Pressure in Patients With Stroke), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02537652 completednot on this map

Effect of Posture and Fasting State on Central and Peripheral Blood Pressure in Patients With Stroke

TypeobservationalSponsorHampshire Hospitals NHS Foundation TrustRan2016 to 2017Enrolled29ConditionsStroke, Acute, Blood PressureArmsBlood pressure assessment
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Andrew MitchelmoreDepartment of Sport, Exercise and Health, University of Winchester, Winchester, United Kingdom.ORCID 0000-0002-1493-9735
Lee StonerDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID 0000-0002-0682-2270
Danielle LambrickFaculty of Health Sciences, University of Southampton, Southampton, United Kingdom.
Lucy SykesHyper-Acute Stroke Unit, Hampshire Hospitals Foundation NHS Trust, Winchester, United Kingdom.
Charlotte EglintonHyper-Acute Stroke Unit, Hampshire Hospitals Foundation NHS Trust, Winchester, United Kingdom.
Simon JobsonDepartment of Sport, Exercise and Health, University of Winchester, Winchester, United Kingdom.
James FaulknerDepartment of Sport, Exercise and Health, University of Winchester, Winchester, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study examined the short-term reproducibility of non-invasive estimates of central and peripheral blood pressure and markers of central systolic loading (augmentation index [AIx; a measure of central systolic loading] and AIx75 [AIx standardised to 75 b·min-1 heart rate]) and the effect of posture and fasting state on these variables in patients with acute stroke.

methodsTwenty-two acute stroke patients (72 ± 10y) had blood pressure measured using the SphygmoCor XCEL in supine and seated postures and whilst fasted and non-fasted.

resultsAcceptable short-term reproducibility (ICC >0.75) was reported for all peripheral and central variables in all conditions (ICC = 0.77-0.90) and for AIx and AIx75 in both fasted postures (ICC = 0.78-0.81). Food consumption significantly lowered all blood pressures (p <0.05; η2p = 0.20-0.55). The seated posture resulted in a significantly greater AIx than supine (p <0.05; η2p = 0.22). Fasting state had significant main effects on AIx and AIx75 (p <0.05; η2p = 0.14-0.22). CONSLUSIONS: Oscillometric estimates of central blood pressure have high short-term reproducibility in different postures and fasting states but markers of systolic load should be assessed whilst fasted. Fasting state has a large effect on central and peripheral blood pressures and on measures of systolic loading. It is important for clinicians to be aware of optimal assessment conditions without this impacting on patient wellbeing.

trial registrationClinical trial registry name: NCT02537652.

Indexed as

Acute DiseaseAgedAged, 80 and overBlood PressureBlood Pressure DeterminationFastingFemaleHumansMaleMiddle AgedOscillometryPosturePulse Wave AnalysisReproducibility of ResultsStrokeSystole

Identifiers

PMID30383781
PMCPMC6211701

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.