Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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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
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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.

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References

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