Evaluation of the DINAMAP blood pressure monitor in an ambulatory primary care setting.

作者: Ornstein S , Litchfield L , Markert G , Zemp L

DOI:

关键词: Blood pressureGold standard (test)Mean differenceEmergency medicineStudent's t-testPrimary careSphygmomanometerMedicineClinical trialAmbulatory

摘要: Automatic blood pressure recorders have gained acceptance in many clinical settings. New devices usually been validated with invasive monitoring as the "gold standard." There is a lack of sound empirical evidence, however, supporting routine use these monitors ambulatory This study evaluated DINAMAP 8100, an oscillometric automated monitor, using Hawksley Random-Zero Sphygmomanometer standard. A sample 80 normotensive and hypertensive patients from Department Family Medicine at Medical University South Carolina were studied. trial was conducted which readings 8100 compared those Sphygmomanometer, 2 (instrument) X (arm) (investigators) 4 (pairs simultaneous measurements) factorial design. The overestimated systolic (mean difference = 7.6 +/- 9.1 mmHg, P less than .0001, paired t test). More one third measurements quarter diastolic greater 10 mmHg discrepant results this suggest that would lead to serious misclassification errors screening for hypertension follow-up known patients. therefore, not appropriate instrument primary care

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