de Greeff Annemarie, Shennan Andrew H
Division of Reproduction and Endocrinology, Maternal and Fetal Research Unit, King's College London, St Thomas' Hospital, London, UK.
Blood Press Monit. 2008 Feb;13(1):43-8. doi: 10.1097/MBP.0b013e3282ca913f.
Any device intended for blood pressure measurement should be subjected to an independent accuracy assessment. This is particularly relevant to automated oscillometric devices that do not use Korotkoff sounds to identify blood pressure. Various validation protocols have been published with the view of standardizing the acceptable level of accuracy for such devices. We evaluated the accuracy of the Rossmax (ME 701 series, Taipei, Taiwan) device according to the International protocol of the European Society of Hypertension and the British Hypertension Society (BHS) protocol.
Local ethics committee approval was obtained and 91 participants were recruited from the staff and patients at a large teaching hospital. Two trained observers took nine sequential same arm measurements from each participant. Initially, the data from 33 participants were analysed according to the International protocol guidelines. A further 52 participants were then included to fulfil the BHS protocol requirement of 85 participants.
The Rossmax (ME 701 series) device passed the criteria for both the International and the BHS protocols and achieved an A/A grade. The mean difference and standard deviation for systolic and diastolic pressures according to the International protocol [-0.1 (6.2) mmHg and -2.8 (5.3) mmHg] and the BHS protocol [1.5 (7.6) mmHg and -1.2 (6.1) mmHg] also meet the requirements of the Association for the Advancement of Medical Instrumentation that is <or=5 (8) mmHg.
The Rossmax (ME 701 series) upper arm device can be recommended for clinical use in an adult population.
任何用于血压测量的设备都应接受独立的准确性评估。这对于不使用柯氏音来识别血压的自动示波装置尤为重要。为了规范此类设备可接受的准确性水平,已发布了各种验证方案。我们根据欧洲高血压学会的国际方案和英国高血压学会(BHS)方案评估了罗斯迈克斯(ME 701系列,台湾台北)设备的准确性。
获得了当地伦理委员会的批准,并从一家大型教学医院的工作人员和患者中招募了91名参与者。两名经过培训的观察者对每位参与者的同一手臂进行了九次连续测量。最初,根据国际方案指南对33名参与者的数据进行了分析。然后又纳入了52名参与者,以满足BHS方案中85名参与者的要求。
罗斯迈克斯(ME 701系列)设备通过了国际方案和BHS方案的标准,获得了A/A级。根据国际方案[收缩压为-0.1(6.2)mmHg,舒张压为-2.8(5.3)mmHg]和BHS方案[收缩压为1.5(7.6)mmHg,舒张压为-1.2(6.1)mmHg]得出的收缩压和舒张压的平均差值及标准差也符合医学仪器促进协会的要求,即≤5(8)mmHg。
罗斯迈克斯(ME 701系列)上臂设备可推荐用于成年人群的临床使用。