Mazoteras-Pardo Victoria, Gómez-Cantarino Sagrario, Ramírez-Jiménez Miguel, Navarro-Flores Emmanuel, Ugarte-Gurrutxaga María Idoia
Research Group "ENDOCU", Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45071 Toledo, Spain.
Faculty of Education REDAFLED, University of Valladolid, 42004 Soria, Spain.
J Pers Med. 2022 Dec 21;13(1):9. doi: 10.3390/jpm13010009.
Preventing, diagnosing, and controlling high blood pressure is a global health priority. The self-measurement of blood pressure is therefore fundamental and should be done with devices validated by recognized protocols, although most are not. The most widely used and current protocols are the 2010 European Society of Hypertension (ESH) revision and the 2018 Association for the Advancement of Medical Instrumentation (AAMI)/ ESH/ the International Organization for Standardization (ISO) universal standard, respectively. The aim of this study was to find out which blood pressure measuring devices have been adequately validated by the above protocols. A narrative review of blood pressure device validations was conducted by searching the PubMed database. From 52 records identified, 37 studies were included. Most validations follow the 2010 revision and only six follow the 2018 protocol, which is more demanding. Almost all validated sphygmomanometers are automated oscillometric sphygmomanometers in the general population. Wrist devices and devices combining new technologies are also validated, as well as in specific populations, such as the obese, pregnant women, or children. There is sufficient evidence to confirm that the universal AAMI/ ESH/ISO standard is considered the protocol of the century. However, it is necessary to increase the number of validations following it and, above all, validations of the new technologies that are invading the current market.
预防、诊断和控制高血压是全球卫生工作的重点。因此，血压的自我测量至关重要，应该使用经过公认方案验证的设备进行测量，不过大多数设备并未经过验证。目前使用最广泛的方案分别是2010年欧洲高血压学会（ESH）修订版和2018年美国医学仪器促进协会（AAMI）/ESH/国际标准化组织（ISO）通用标准。本研究的目的是找出哪些血压测量设备已通过上述方案的充分验证。通过检索PubMed数据库对血压设备验证进行了叙述性综述。从识别出的52条记录中，纳入了37项研究。大多数验证遵循2010年修订版，只有六项遵循要求更高的2018年方案。在普通人群中，几乎所有经过验证的血压计都是自动振荡式血压计。腕式设备和结合新技术的设备也经过了验证，在肥胖者、孕妇或儿童等特定人群中也是如此。有充分证据证实，AAMI/ESH/ISO通用标准被视为世纪方案。然而，有必要增加遵循该标准的验证数量，最重要的是，增加对当前市场上新兴新技术的验证。
