Evidence map›Paper›PMID 36943856›Full record

ArticlePloS one2023

Are portable ankle brachial pressure index measurement devices suitable for hypertension screening?

Justyna Janus, Jennifer K Nicholls, Edward Pallett, Matthew Bown, Emma M L Chung

Open access · goldFull text read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 94% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Justyna JanusDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.ORCID 0000-0003-1951-3861
Jennifer K NichollsDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.ORCID 0000-0002-2741-3652
Edward PallettDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
Matthew BownDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
Emma M L ChungDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
University of Leicester · GB

Funding

British Heart Foundation CH/F/22/90014British Heart Foundation RG/18/10/33842
6 · The paper itself

Abstract

objectiveIn a large-scale population cardiovascular screening programme, peripheral artery disease (PAD) and hypertension would ideally be rapidly assessed using a single device. The ankle-brachial pressure index (ABPI) is calculated by comparing the ankle and brachial blood pressure (BP). However, it is currently unclear whether brachial BP measurements provided by automated PAD screening systems are sufficiently accurate for simultaneous hypertension screening.

methodsTwo portable PAD screening devices, the MESI ABPI MD and Huntleigh's Dopplex ABIlity, were evaluated following the European Society of Hypertension International Protocol (ESH-IP) Revision 2010 using a mercury-free sphygmomanometer as a reference device.

resultsOn average, the MESI slightly underestimated brachial systolic blood pressure (BP) with a bias and standard deviation (SD) of -3.5 (SD: 3.3) mmHg and diastolic BP with a bias of -1.5 (SD: 2.3) mmHg. For systolic BP estimates, the Dopplex was more accurate than the MESI with a lower bias of -0.5 (SD: 4.2) mmHg but less precise. The MESI successfully fulfilled all the requirements of the ESH-IP for hypertension screening. The Dopplex device failed the ESH-IP due to the absence of DBP measurements.

conclusionsThe MESI device appears to be suitable for simultaneous PAD and hypertension screening as part of a preventative care programme. Huntleigh's Dopplex ABIlity failed to pass the ESH-IP validation test. Further clinical trials are underway to assess the use of the MESI for simultaneous screening for hypertension and PAD in a population screening setting.

Indexed as

HypertensionPeripheral Arterial DiseaseAnkleAnkle Brachial IndexBlood PressureBlood Pressure DeterminationBlood Pressure MonitorsHumans

Identifiers

PMID36943856
PMCPMC10030014
OpenAlexW4328049693

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read11
identifiers read6
Read underepoch 390

Registered trials

None linked

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.