Risk of over-diagnosis of hypotension in children: a comparative analysis of over 50,000 blood pressure measurements

This is a preview of subscription content, log in to check access.

Fig. 1

Change history

  • 06 June 2017

    An erratum to this article has been published.


  1. 1.

    Brierley J, Carcillo JA, Choong K et al (2009) Clinical practice parameters for hemodynamic support of pediatric and neonatal septic shock: 2007 update from the American College of Critical Care Medicine. Crit Care Med 37:666–688

    Article  PubMed  PubMed Central  Google Scholar 

  2. 2.

    Joffe R, Duff J, Garcia Guerra G et al (2016) The accuracy of blood pressure measured by arterial line and non-invasive cuff in critically ill children. Crit Care 20(1):177

    Article  PubMed  PubMed Central  Google Scholar 

  3. 3.

    Holt TR, Withington DE, Mitchell E (2011) Which pressure to believe? A comparison of direct arterial with indirect blood pressure measurement techniques in the pediatric intensive care unit. Pediatr Crit Care Med 12(6):e391–e394

    Article  PubMed  Google Scholar 

  4. 4.

    Clark JA, Lieh-Lai MW, Sarnaik A et al (2002) Discrepancies between direct and indirect blood pressure measurements using various recommendations for arm cuff selection. Pediatrics 110(5):920–923

    Article  PubMed  Google Scholar 

  5. 5.

    Meyer S, Sander J, Gräber S et al (2010) Agreement of invasive versus non-invasive blood pressure in preterm neonates is not dependent on birth weight or gestational age. J Paediatr Child Health 46(5):249–254

    Article  PubMed  Google Scholar 

Download references

Funding information

No direct funding was received for this study. Part of this work was undertaken at UCL GOS Institute of Child Health, which received a proportion of funding from the Department of Health’s NIHR Biomedical Research Centre’s funding scheme.

Author’s contributions

SR, MJP, SN and DPI conceived and designed the study; SR, LR, RD and DPN collected and verified the data; SR and LR analysed the data; SR, MJP and DPI drafted the manuscript, and all authors contributed to and approved the final version of the manuscript.

Author information



Corresponding author

Correspondence to Samiran Ray.

Ethics declarations

Ethical approval and consent to participate

Ethical approval was not sought as we used routinely collected clinical data retrospectively. Consent to participate was not sought as this is a retrospective observational study and no patient-identifiable data are presented.

Consent to publish

Consent was not sought as no patient-identifiable data are reported.

Availability of data and materials

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.

Conflicts of interest

The authors declare that they have no conflict of interest.

Additional information

An erratum to this article is available at https://doi.org/10.1007/s00134-017-4861-6.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (TIFF 181 kb)

Supplementary material 2 (TIFF 550 kb)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ray, S., Rogers, L., Noren, D.P. et al. Risk of over-diagnosis of hypotension in children: a comparative analysis of over 50,000 blood pressure measurements. Intensive Care Med 43, 1540–1541 (2017). https://doi.org/10.1007/s00134-017-4843-8

Download citation


  • Systolic Blood Pressure
  • Diastolic Blood Pressure
  • Linear Regression Model
  • Paediatric Intensive Care Unit
  • Electronic Health Record