Measurement error in the Hawksley random zero sphygmomanometer: what damage has been done and what can we learn?
- PMID: 8518574
- PMCID: PMC1677762
- DOI: 10.1136/bmj.306.6888.1319
Measurement error in the Hawksley random zero sphygmomanometer: what damage has been done and what can we learn?
Abstract
The Hawksley random zero sphygmomanometer is used in all aspects of blood pressure research, from clinical trials to evaluation of new blood pressure recorders. It is designed to reduce observer bias in blood pressure measurement. The problem is that it also underestimates blood pressure. Furthermore, this was first reported more than two decades ago. In this paper Rónán Conroy and colleagues explore the consequences of using an inaccurate instrument for important research and why prestigious organisations like the World Health Organisation continue to use it.
Comment in
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The Hawksley random zero sphygmomanometer. Repeat experiment exonerates instrument.BMJ. 1993 Jul 10;307(6896):123. doi: 10.1136/bmj.307.6896.123-a. BMJ. 1993. PMID: 8240507 Free PMC article. Clinical Trial. No abstract available.
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The Hawksley random zero sphygmomanometer. No harm done.BMJ. 1993 Aug 28;307(6903):563. doi: 10.1136/bmj.307.6903.563. BMJ. 1993. PMID: 8280222 Free PMC article. No abstract available.
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The Hawksley random zero sphygmomanometer. Manufacturer fights back.BMJ. 1993 Jul 10;307(6896):123. doi: 10.1136/bmj.307.6896.123-b. BMJ. 1993. PMID: 8343710 Free PMC article. No abstract available.
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The Hawksley random zero sphygmomanometer. Should be abandoned.BMJ. 1993 Jul 10;307(6896):123. doi: 10.1136/bmj.307.6896.123. BMJ. 1993. PMID: 8343711 Free PMC article. No abstract available.
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The Hawksley random zero sphygmomanometer. Don't condemn it without proper evidence.BMJ. 1993 Jul 10;307(6896):123-4. doi: 10.1136/bmj.307.6896.123-c. BMJ. 1993. PMID: 8343712 Free PMC article. No abstract available.
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The Hawksley random zero sphygmomanometer. Instrument is accurate if used properly.BMJ. 1993 Jul 10;307(6896):124. doi: 10.1136/bmj.307.6896.124-a. BMJ. 1993. PMID: 8343713 Free PMC article. No abstract available.
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The Hawksley random zero sphygmomanometer. Used in epidemiology, not individual people.BMJ. 1993 Jul 10;307(6896):124-5. doi: 10.1136/bmj.307.6896.124-b. BMJ. 1993. PMID: 8343714 Free PMC article. No abstract available.
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The Hawksley random zero sphygmomanometer. Comparison with mercury instrument is illogical.BMJ. 1993 Aug 28;307(6903):562-3. doi: 10.1136/bmj.307.6903.562-a. BMJ. 1993. PMID: 8400991 Free PMC article. No abstract available.
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