Institute for Research in Military Medicine, Faculty of Medicine, The Hebrew University of Jerusalem and the Israel Defense Force Medical Corps, POB 12272, 91120, Jerusalem, Israel.
Heart Institute, Hadassah Ein Kerem Medical Center, Jerusalem, Israel.
Sci Rep. 2020 Sep 30;10(1):16116. doi: 10.1038/s41598-020-73172-3.
Repeated blood pressure (BP) measurements allow better control of hypertension. Current measurements rely on cuff-based devices. The aim of the present study was to compare BP measurements using a novel cuff-less photoplethysmography-based device to a standard sphygmomanometer device. Males and females were recruited from within the general population who arrived at a public BP screening station. One to two measurements were taken from each using a sphygmomanometer-based and the photoplethysmography-based devices. Devices were considered equal if the mean difference between paired measurements was below 5 mmHg and the Standard Deviation (SD) was no greater than 8 mmHg. Agreement and reliability analyses were also performed. 1057 subjects were included in the study analysis. There were no adverse events during the study. The mean (± SD) difference between paired measurements for all subjects was -0.1 ± 3.6 mmHg for the systolic and 0.0 ± 3.5 mmHg for the diastolic readings. We found 96.31% agreement in identifying hypertension and an Interclass Correlation Coefficient of 0.99 and 0.97 for systolic and diastolic measurements, respectively. The photoplethysmography-based device was found similar to the gold-standard sphygmomanometer-based device with high agreement and reliability levels. The device might enable a reliable, more convenient method for repeated BP monitoring.
重复测量血压(BP)可更好地控制高血压。目前的测量依赖于基于袖带的设备。本研究旨在比较基于无袖带光电容积脉搏波法的新型设备与标准血压计设备的血压测量值。在公共血压筛查站,从一般人群中招募男性和女性。使用基于血压计和基于光电容积脉搏波法的设备对每个人进行一到两次测量。如果配对测量的平均差值低于 5mmHg,且标准差(SD)不超过 8mmHg,则认为设备相等。还进行了一致性和可靠性分析。该研究共纳入 1057 名受试者。研究期间无不良事件发生。所有受试者的配对测量差值的平均值(±SD)为收缩压-0.1±3.6mmHg,舒张压 0.0±3.5mmHg。我们发现,在识别高血压方面,该设备与金标准的基于血压计的设备具有 96.31%的一致性,收缩压和舒张压的组内相关系数分别为 0.99 和 0.97。该光电容积脉搏波法设备与金标准的基于血压计的设备具有高度一致性和可靠性,可能为重复监测血压提供一种可靠、更方便的方法。
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