Validation of A&D UA-767 device for the self-measurement of blood pressure
Autor: | Marina V. Sergeeva, Anatoly N. Rogoza, Tatjana S. Pavlova |
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Rok vydání: | 2000 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Stethoscope Adult population Sphygmomanometer Assessment and Diagnosis Medical instrumentation law.invention Mercury manometer law Internal medicine Internal Medicine medicine Humans Aged Aged 80 and over Advanced and Specialized Nursing business.industry Blood Pressure Determination General Medicine Middle Aged Mercury sphygmomanometer Self Care Blood pressure Equipment and Supplies Cardiology Female Cardiology and Cardiovascular Medicine business Monitoring blood pressure |
Zdroj: | Blood Pressure Monitoring. 5:227-231 |
ISSN: | 1359-5237 |
DOI: | 10.1097/00126097-200008000-00006 |
Popis: | Background The validation of self-measurement devices has been recommended. Automatic monitor A&D UA-767 (A&D Company, Ltd, Tokyo, Japan) is well known and widely used, but not tested according to the Association for Advancement of Medical Instrumentation (AAMI) and British Hypertension Society (BHS) recommendations. Objective To perform a clinical validation for use by adults of the A&D UA-767 device according to the criteria of the AAMI and a modified BHS protocol. Methods The test concerned 101 subjects (57 men and 44 women) aged 15-85 years with arm circumferences of 22-39 cm, a systolic blood pressure (SBP) range of 89-206 mmHg, and a diastolic blood pressure (DBP) range of 53-122 mmHg. For each subject, three readings of the UA-767 were compared with simultaneous auscultatory measurements by two trained independent observers who used a mercury manometer and dual stethoscope. The results were graded according to the BHS (1990 and 1993) and AAMI recommendations. Results Observers showed close agreement, with mean differences of 1.1+/-2.4 mmHg for SBP and -0.7+/-2.0 mmHg for DBP. The proportion of values agreeing to within 5, 10 and 15 mmHg were 93, 100, and 100% for SBP and 97, 100, and 100% for DBP for the two observers. The sphygmomanometer measurements were 132+/-24/79+/-14 mmHg (mean+/-SD). The average difference between the mercury sphygmomanometer and A&D UA-767 readings for SBP and DBP were, respectively, -0.4+/-5.4 and -0.4+/-4. 8 mmHg. The proportion of values agreeing to within 5,10, and 15 mmHg were 82, 94, and 98% for SBP and 80, 95, and 98% for DBP for the observers and device (A/A grade for BHS). Conclusions For an adult population, the A&D UA-767 device for the self-measurement of blood pressure satisfied the AAMI criteria, achieved a BHS grade of A/A and can therefore be recommended for monitoring blood pressure in home and clinical conditions by patients with mild-to-moderate arterial hypertension. |
Databáze: | OpenAIRE |
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