Proposal of a method for the evaluation of inaccuracy of home sphygmomanometers.

作者: Tekin Akpolat

DOI: 10.1097/MBP.0B013E328330D47B

关键词: SphygmomanometerReliability engineeringMedicineObserver (quantum physics)Protocol (science)

摘要: Objective There is no formal protocol for evaluating the individual accuracy of home sphygmomanometers. The aims this study were to propose a method achieving in automated sphygmomanometers and test applicability defined method. purposes avoid major inaccuracies estimate optimal circumstance accuracy. Methods has three stages sequential measurement blood pressure used. tested devices categorized into four groups: accurate, acceptable, inaccurate very (major inaccuracy). takes approximately 10 min (excluding relaxation time) was on different occasions. Results application shown that inaccuracy common problem among non-tested devices, validated are superior those non-validated or whose validation status unknown, common, especially does not guarantee Conclusion A addressing particular sphygmomanometer an patient required, practical been suggested achieve this. This can be modified, but main idea approach should preserved unless better proposed. purchase evaluation purchased device will improve monitoring self-measurement at home. addresses inaccuracy, errors related patient, observer technique underestimated, strict adherence manufacturer's instructions essential.

参考文章(17)
Bruce A. Friedman, Bruce S. Alpert, David Osborn, L. Michael Prisant, David E. Quinn, John Seller, Assessment of the validation of blood pressure monitors: a statistical reappraisal. Blood Pressure Monitoring. ,vol. 13, pp. 187- 191 ,(2008) , 10.1097/MBP.0B013E3283071A64
Cesare Cuspidi, Stefano Meani, Laura Lonati, Veronica Fusi, Gaia Magnaghi, Guido Garavelli, Gaetana Palumbo, Claudio Pini, Alvaro Vaccarella, Gianfranco Parati, Gastone Leonetti, Alberto Zanchetti, Cesare Cuspidi, Stefano Meani, Laura Lonati, Veronica Fusi, Gaia Magnaghi, Guido Garavelli, Gaetana Palumbo, Claudio Pini, Alvaro Vaccarella, Gianfranco Parati, Gastone Leonetti, Alberto Zanchetti, Prevalence of home blood pressure measurement among selected hypertensive patients: Results of a multicenter survey from six hospital outpatient hypertension clinics in Italy Blood Pressure. ,vol. 14, pp. 251- 256 ,(2005) , 10.1080/08037050500210765
L P Hahn, A R Folsom, J M Sprafka, R J Prineas, Prevalence and accuracy of home sphygmomanometers in an urban population. American Journal of Public Health. ,vol. 77, pp. 1459- 1461 ,(1987) , 10.2105/AJPH.77.11.1459
Gianfranco Parati, George S Stergiou, Roland Asmar, Grzegorz Bilo, Peter De Leeuw, Yutaka Imai, Kazuomi Kario, Empar Lurbe, Athanasios Manolis, Thomas Mengden, Eoin O'brien, Takayoshi Ohkubo, Paul Padfield, Paolo Palatini, Thomas Pickering, Josep Redon, Miriam Revera, Luis M Ruilope, Andrew Shennan, Jan A Staessen, Andras Tisler, Bernard Waeber, Alberto Zanchetti, Giuseppe Mancia, ESH Working Group on Blood Pressure Monitoring, European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring. Journal of Hypertension. ,vol. 26, pp. 1505- 1526 ,(2008) , 10.1097/HJH.0B013E328308DA66
Andrew J. Coleman, Stephen D. Steel, Mark Ashworth, Sarah L. Vowler, Andrew Shennan, Accuracy of the pressure scale of sphygmomanometers in clinical use within primary care Blood Pressure Monitoring. ,vol. 10, pp. 181- 188 ,(2005) , 10.1097/01.MBP.0000168398.87167.C2
Stefano Omboni, Carlo Costantini, Claudio Pini, Roberto Bulegato, Dario Manfellotto, Damiano Rizzoni, Paolo Palatini, Eoin OʼBrien, Gianfranco Parati, Pa.net International Quality Certification Protocol for blood pressure monitors Blood Pressure Monitoring. ,vol. 13, pp. 285- 289 ,(2008) , 10.1097/MBP.0B013E3283057AD0
William CW Wong, Ivan KL Shiu, Thomas MT Hwong, James A Dickinson, Reliability of Automated Blood Pressure Devices used by Hypertensive Patients Journal of the Royal Society of Medicine. ,vol. 98, pp. 111- 113 ,(2005) , 10.1258/JRSM.98.3.111
Thomas G. Pickering, Nancy Houston Miller, Gbenga Ogedegbe, Lawrence R. Krakoff, Nancy T. Artinian, David Goff, Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring The Journal of Cardiovascular Nursing. ,vol. 23, pp. 299- 323 ,(2008) , 10.1097/01.JCN.0000317429.98844.04
Tekin Akpolat, Melda Dilek, Turkan Aydogdu, Zelal Adibelli, Dilek Gurgenyatagi Erdem, Emre Erdem, Home sphygmomanometers: validation versus accuracy. Blood Pressure Monitoring. ,vol. 14, pp. 26- 31 ,(2009) , 10.1097/MBP.0B013E3283262F31
Melda Dilek, Zelal Adibelli, Turkan Aydogdu, Ali Riza Koksal, Burcu Cakar, Tekin Akpolat, Self‐measurement of blood pressure at home: Is it reliable? Blood Pressure. ,vol. 17, pp. 34- 41 ,(2008) , 10.1080/08037050701758018