Confiabilidad de un monitor automatizado para la medición de la presión arterial
Background A correct blood pressure (BP) measurement is essential for the diagnosis and control of high BP. Aim: To evaluate the agreement and repeatability of BP measurements with the OMRON HEM-7320-LA device compared to a mercury sphygmomanometer. Material and Methods: A cross-sectional study c...
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Sociedad Médica de Santiago
2018
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oai:scielo:S0034-988720180002001902018-06-20Confiabilidad de un monitor automatizado para la medición de la presión arterialCardona-Müller,DavidGrover-Páez,FernandoGuzmán-Saldivar,VíctorAlanis-Sánchez,Guillermo A.Murguía-Soto,CésarTotsuka-Sutto,Sylvia E.Quezada-Fernández,PatriciaMacías-Chumacera,AgustínCardona-Muñoz,Ernesto G.Ramos-Becerra,Carlos G. Blood Pressure Blood Pressure Determination Hypertension Background A correct blood pressure (BP) measurement is essential for the diagnosis and control of high BP. Aim: To evaluate the agreement and repeatability of BP measurements with the OMRON HEM-7320-LA device compared to a mercury sphygmomanometer. Material and Methods: A cross-sectional study comparing BP measurements made by two randomly selected trained nurses and an automatic oscillometric device. The mercurial sphygmomanometer was connected to the automated device via a “T” type connector and a dual-head stethoscope was used, allowing simultaneous measurements. The results were analyzed with one-factor analysis of variance, Bland-Altman's test, repeatability coefficient (RC), and intra-class correlation coefficient (ICC). Results: Forty-nine participants aged 56 ± 19 years were included. Nineteen had hypertension (38%). We did not observe a significant difference in either systolic (SBP) or diastolic blood pressure (DBP) pressure measurements between the observers and the device. The mean difference was −0.09 mmHg (95% confidence intervals (CI)-0.9 to 0.7) for SBP and −0.9 mmHg (95% CI −1.7 to −0.13) for DBP. The RC for SBP (6.2, 5.2 and 5.8 mmHg) and DBP (4.7, 4.2 y 5.2 mmHg) was similar between the observers and the device. The ICC for SBP was 0.990 (95% CI 0.983 to 0.995, p < 0.01) and 0.986 (95% CI 0.977 to 0.991, p < 0.01) for DBP. Conclusions: There was a high level of agreement and similar measurement repeatability in the measurements performed by the automatic device and the mercurial sphygmomanometer. No differences in BP measurements were observed.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.2 20182018-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000200190es10.4067/s0034-98872018000200190 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Blood Pressure Blood Pressure Determination Hypertension |
| spellingShingle |
Blood Pressure Blood Pressure Determination Hypertension Cardona-Müller,David Grover-Páez,Fernando Guzmán-Saldivar,Víctor Alanis-Sánchez,Guillermo A. Murguía-Soto,César Totsuka-Sutto,Sylvia E. Quezada-Fernández,Patricia Macías-Chumacera,Agustín Cardona-Muñoz,Ernesto G. Ramos-Becerra,Carlos G. Confiabilidad de un monitor automatizado para la medición de la presión arterial |
| description |
Background A correct blood pressure (BP) measurement is essential for the diagnosis and control of high BP. Aim: To evaluate the agreement and repeatability of BP measurements with the OMRON HEM-7320-LA device compared to a mercury sphygmomanometer. Material and Methods: A cross-sectional study comparing BP measurements made by two randomly selected trained nurses and an automatic oscillometric device. The mercurial sphygmomanometer was connected to the automated device via a “T” type connector and a dual-head stethoscope was used, allowing simultaneous measurements. The results were analyzed with one-factor analysis of variance, Bland-Altman's test, repeatability coefficient (RC), and intra-class correlation coefficient (ICC). Results: Forty-nine participants aged 56 ± 19 years were included. Nineteen had hypertension (38%). We did not observe a significant difference in either systolic (SBP) or diastolic blood pressure (DBP) pressure measurements between the observers and the device. The mean difference was −0.09 mmHg (95% confidence intervals (CI)-0.9 to 0.7) for SBP and −0.9 mmHg (95% CI −1.7 to −0.13) for DBP. The RC for SBP (6.2, 5.2 and 5.8 mmHg) and DBP (4.7, 4.2 y 5.2 mmHg) was similar between the observers and the device. The ICC for SBP was 0.990 (95% CI 0.983 to 0.995, p < 0.01) and 0.986 (95% CI 0.977 to 0.991, p < 0.01) for DBP. Conclusions: There was a high level of agreement and similar measurement repeatability in the measurements performed by the automatic device and the mercurial sphygmomanometer. No differences in BP measurements were observed. |
| author |
Cardona-Müller,David Grover-Páez,Fernando Guzmán-Saldivar,Víctor Alanis-Sánchez,Guillermo A. Murguía-Soto,César Totsuka-Sutto,Sylvia E. Quezada-Fernández,Patricia Macías-Chumacera,Agustín Cardona-Muñoz,Ernesto G. Ramos-Becerra,Carlos G. |
| author_facet |
Cardona-Müller,David Grover-Páez,Fernando Guzmán-Saldivar,Víctor Alanis-Sánchez,Guillermo A. Murguía-Soto,César Totsuka-Sutto,Sylvia E. Quezada-Fernández,Patricia Macías-Chumacera,Agustín Cardona-Muñoz,Ernesto G. Ramos-Becerra,Carlos G. |
| author_sort |
Cardona-Müller,David |
| title |
Confiabilidad de un monitor automatizado para la medición de la presión arterial |
| title_short |
Confiabilidad de un monitor automatizado para la medición de la presión arterial |
| title_full |
Confiabilidad de un monitor automatizado para la medición de la presión arterial |
| title_fullStr |
Confiabilidad de un monitor automatizado para la medición de la presión arterial |
| title_full_unstemmed |
Confiabilidad de un monitor automatizado para la medición de la presión arterial |
| title_sort |
confiabilidad de un monitor automatizado para la medición de la presión arterial |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2018 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000200190 |
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