DOI QR코드

DOI QR Code

Validation study of the Dinamap ProCare 200 upper arm blood pressure monitor in children and adolescents

  • Lee, Chong-Guk (Department of Pediatrics, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Park, Hyang-Mi (Department of Pediatrics, National Medical Center) ;
  • Shin, Hye-Jung (Department of Pediatrics, National Medical Center) ;
  • Moon, Jin-Soo (Department of Pediatrics, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Hong, Young-Mi (Department of Pediatrics, Ewha Womans University Mockdong Hospital, Ewha Womans University School of Medicine) ;
  • Kim, Nam-Soo (Department of Pediatrics, Hanyang University Seoul Hospital, Hanyang University College of Medicine) ;
  • Ha, Il-Soo (Department of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine) ;
  • Chang, Myeong-Jin (Department of Chronic Disease Investigation, Korea Center for Disease and Prevention) ;
  • Oh, Kyeong-Won (Department of Chronic Disease Investigation, Korea Center for Disease and Prevention)
  • Received : 2011.08.01
  • Accepted : 2011.10.26
  • Published : 2011.11.15

Abstract

Purpose: To validate the Dinamap ProCare 200 blood pressure (BP) monitor against a mercury sphygmomanometer in children 7 to 18 years old in accordance with the 2010 International Protocol of European Society of Hypertension (ESH-IP2) and the British Hypertension Society (BHS) protocol. Methods: Forty-five children were recruited for the study. A validation procedure was performed following the protocol based on the ESH-IP2 and BHS protocols for children and adolescents. Each subject underwent 7 sequential BP measurements alternatively with a mercury sphygmomanometer and the test device by trained nurses. The results were analyzed according to the validation criteria of ESH-IP2. Results: The mean (${\pm}SD$) difference in the absolute BP values between test device and mercury sphygmomanometer readings was $1.85{\pm}1.65$ mmHg for systolic BP (SBP) and $4.41{\pm}3.53$ mmHg for diastolic BP (DBP). These results fulfilled the Association for the Advancement of Medical Instrumentation criterion of a mean${\pm}$SD below $5{\pm}8$ mmHg for both SBP and DBP. The percentages of test device-observer mercury sphygmomanometer BP differences within 5, 10, and 15 mmHg were 96%, 100%, and 100% for SBP, and 69%, 92%, and 100% for DBP, respectively, in the part 1 analysis; both SBP and DBP passed the part 1 criteria. In the part 2 analysis, SBP passed the criteria but DBP failed. Conclusion: Although the Dinamap ProCare 200 BP monitor failed an adapted ESH-IP2, SBP passed. When comparing BP readings measured by oscillometers and mercury sphygmomanometers, one has to consider the differences between them, particularly in DBP, because DBP can be underestimated.

Keywords

References

  1. Centers for Disease Control (CDC). National Health and Nutrition Examination Survey (NHANES) Health Tech / Blood Pressure Procedure Manual. Hyattsville: CDC, 2009.
  2. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114(2 Suppl 4th Report):555-76. https://doi.org/10.1542/peds.114.2.S2.555
  3. Pickering TG. What will replace the mercury sphygmomanometer? Blood Press Monit 2003;8:23-5. https://doi.org/10.1097/00126097-200302000-00005
  4. Canzanello VJ, Jensen PL, Schwartz GL. Are aneroid sphygmomanometers accurate in hospital and clinic settings? Arch Intern Med 2001;161:729-31. https://doi.org/10.1001/archinte.161.5.729
  5. van Montfrans GA. Oscillometric blood pressure measurement: progress and problems. Blood Press Monit 2001;6:287-90. https://doi.org/10.1097/00126097-200112000-00004
  6. American National Standards Institute, Association for the Advancement of Medical Instrumentation. American national standard for electronic or automated sphygmomanometers. Arlington: AAMI, c1987.
  7. O'Brien E, Petrie J, Littler W, de Swiet M, Padfield PL, Altman DG, et al. An outline of the revised British Hypertension Society protocol for the evaluation of blood pressure measuring devices. J Hypertens 1993;11:677-9. https://doi.org/10.1097/00004872-199306000-00013
  8. O'Brien E, Pickering T, Asmar R, Myers M, Parati G, Staessen J, et al. Working Group on Blood Pressure Monitoring of the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults. Blood Press Monit 2002;7:3-17. https://doi.org/10.1097/00126097-200202000-00002
  9. O'Brien E, Atkins N, Stergiou G, Karpettas N, Parati G, Asmar R, et al. European Society of Hypertension International Protocol revision 2010 for the validation of blood pressure measuring devices in adults. Blood Press Monit 2010;15:23-38. https://doi.org/10.1097/MBP.0b013e3283360e98
  10. Lee CG, Moon JS, Choi JM, Nam CM, Lee SY, Oh K, et al. Normative blood pressure references for Korean children and adolescents. Korean J Pediatr 2008;51:33-41. https://doi.org/10.3345/kjp.2008.51.1.33
  11. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;1:307-10.
  12. Wong SN, Tz Sung RY, Leung LC. Validation of three oscillometric blood pressure devices against auscultatory mercury sphygmomanometer in children. Blood Press Monit 2006;11:281-91. https://doi.org/10.1097/01.mbp.0000209082.09623.b4
  13. Narogan MV, Narogan MI, Syutkina EV. Validation of A&D UA-778 blood pressure monitor in children. Blood Press Monit 2009;14:228-31. https://doi.org/10.1097/MBP.0b013e328330eeb2
  14. Reinders A, Reggiori F, Shennan AH. Validation of the DINAMAP ProCare blood pressure device according to the international protocol in an adult population. Blood Press Monit 2006;11:293-6. https://doi.org/10.1097/01.mbp.0000217998.96967.fb
  15. Park MK, Menard SW, Yuan C. Comparison of auscultatory and oscillometric blood pressures. Arch Pediatr Adolesc Med 2001;155:50-3. https://doi.org/10.1001/archpedi.155.1.50

Cited by

  1. Association between Pulse Pressure and Carotid Intima-Media Thickness in Healthy Adolescents: Jangseong High School Study vol.18, pp.1, 2012, https://doi.org/10.5646/jksh.2012.18.1.29
  2. Auscultatory Measured Normative Blood Pressure of Korean Adolescents: Using the Korean National Health and Nutrition Examination Survey 2001-2007 vol.42, pp.12, 2012, https://doi.org/10.4070/kcj.2012.42.12.809
  3. The Emerging Epidemic of Hypertension in Asian Children and Adolescents vol.16, pp.12, 2014, https://doi.org/10.1007/s11906-014-0495-z
  4. Urinary markers in the early stage of nephropathy in patients with childhood-onset type 1 diabetes vol.31, pp.4, 2011, https://doi.org/10.1007/s00467-015-3253-9
  5. Introducing Contactless Blood Pressure Assessment Using a High Speed Video Camera vol.40, pp.4, 2016, https://doi.org/10.1007/s10916-016-0439-z
  6. Oscillometric and auscultatory blood pressure measurement methods in children: a systematic review and meta-analysis vol.35, pp.2, 2011, https://doi.org/10.1097/hjh.0000000000001178
  7. Accuracy of Automated Blood Pressure Measurement in Children : Evidence, Issues, and Perspectives vol.69, pp.6, 2011, https://doi.org/10.1161/hypertensionaha.116.08553
  8. Blood pressure control over time in childhood-onset systemic lupus erythematous vol.27, pp.4, 2011, https://doi.org/10.1177/0961203317751061
  9. Modifiable Clinical Correlates of Vascular Health in Children and Adolescents with Dyslipidemia vol.40, pp.4, 2011, https://doi.org/10.1007/s00246-019-02071-w
  10. Static cut‐points of hypertension and increased arterial stiffness in children and adolescents: The International Childhood Vascular Function Evaluation Consortium vol.21, pp.9, 2011, https://doi.org/10.1111/jch.13642
  11. Blood Pressure Curve for Children Less than 10 Years of Age: Findings from the Ewha Birth and Growth Cohort Study vol.35, pp.12, 2011, https://doi.org/10.3346/jkms.2020.35.e91
  12. NCS Assessments of the Motor, Sensory, and Physical Health Domains vol.9, pp.None, 2011, https://doi.org/10.3389/fped.2021.622542
  13. Trajectories of Systolic Blood Pressure in Children: Risk Factors and Cardiometabolic Correlates vol.236, pp.None, 2011, https://doi.org/10.1016/j.jpeds.2021.05.027
  14. Diagnosis of hypertension: Ambulatory pediatric American Heart Association/European Society of Hypertension versus blood pressure load thresholds vol.23, pp.11, 2011, https://doi.org/10.1111/jch.14368