Measurement with an automated oscillometric wrist device with position sensor leads to lower values than measurements obtained with an automated oscillometric arm device from the same manufacturer in elderly persons.

Détails

ID Serval
serval:BIB_4A3A0D2BFBF4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Measurement with an automated oscillometric wrist device with position sensor leads to lower values than measurements obtained with an automated oscillometric arm device from the same manufacturer in elderly persons.
Périodique
Blood Pressure Monitoring
Auteur(s)
Guggiari C., Büla C., Iglesias K., Waeber B.
ISSN
1473-5725 (Electronic)
ISSN-L
1359-5237
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
19
Numéro
1
Pages
32-37
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
OBJECTIVE: Home blood pressure (BP) monitoring is recommended by several clinical guidelines and has been shown to be feasible in elderly persons. Wrist manometers have recently been proposed for such home BP measurement, but their accuracy has not been previously assessed in elderly patients.
METHODS: Forty-eight participants (33 women and 15 men, mean age 81.3±8.0 years) had their BP measured with a wrist device with position sensor and an arm device in random order in a sitting position.
RESULTS: Average BP measurements were consistently lower with the wrist than arm device for systolic BP (120.1±2.2 vs. 130.5±2.2 mmHg, P<0.001, means±SD) and diastolic BP (66.0±1.3 vs. 69.7±1.3 mmHg, P<0.001). Moreover, a 10 mmHg or greater difference between the arm and wrist device was observed in 54.2 and 18.8% of systolic and diastolic measures, respectively.
CONCLUSION: Compared with the arm device, the wrist device with position sensor systematically underestimated systolic as well as diastolic BP. The magnitude of the difference is clinically significant and questions the use of the wrist device to monitor BP in elderly persons. This study points to the need to validate BP measuring devices in all age groups, including in elderly persons.
Pubmed
Web of science
Création de la notice
21/03/2014 19:54
Dernière modification de la notice
20/08/2019 14:57
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