Original ArticleMethod of Blood Pressure Measurement in Neonates and Infants: A Systematic Review and Analysis
Section snippets
Methods
A literature search was conducted by a professional librarian in MEDLINE, PubMed, Embase, the Cochrane Library, and CINAHL. The search terms were (blood pressure OR hypertension OR hypotension) AND (infant OR newborn OR neonate) AND infant [MeSH] AND (measurement OR normative) AND humans [MeSH]. Study design inclusion criteria were prospective or retrospective, cohort, case series, and randomized controlled trials. Study design exclusion criteria: absence of extractable data in letters,
Results
The systematic search identified 5299 reports. After removing duplicates, 3587 titles and abstracts were reviewed by 11 members of the working group (Figure 1). 602 articles were reviewed and data extracted according to predefined criteria (in spreadsheet). A total of 401 were excluded leaving 201 for further consideration. These articles were identified as being pertinent to ≥1 of the 3 primary research questions of the working group; 34 were identified as relevant to the current research
Discussion
The ideal BP measurement method is the one that provides the most accurate readings, with the least variability, and lowest potential for side effects or complications. The technique is even more important in neonates because expected MAP values are lower than older children and adults and may be in the 30-50 mm Hg range. Our systematic review of the literature identified some important measurement practices for accurate readings, but also some areas of uncertainty. Implementing a standardized
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Cited by (0)
Funded by International Neonatal Consortium industry member dues and in part by the Food and Drug Administration (U18 FD 005320). The views expressed in publications do not necessarily reflect the official policies of the Department of Health and Human Services; nor does any mention of trade names, commercial practices, or organization imply endorsement by the United States Government. The authors declare no conflicts of interest.