Comparison of cuff-based and cuffless continuous blood pressure measurements in children and adolescents
Objective In recent times, new methods of blood pressure measurements have been introduced, including cuffless blood pressure (BP) measurement device using pulse transit time (PTT) for calculation of BP values. However, it is still unknown how values obtained with a new cuffless device compare with...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-08-01
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| Series: | Clinical and Experimental Hypertension |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/10641963.2020.1714642 |
| _version_ | 1797681334646210560 |
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| author | Jacek Zachwieja Anna Neyman-Bartkowiak Alina Rabiega Marta Wojciechowska Małgorzata Barabasz Anna Musielak Magdalena Silska-Dittmar Danuta Ostalska-Nowicka |
| author_facet | Jacek Zachwieja Anna Neyman-Bartkowiak Alina Rabiega Marta Wojciechowska Małgorzata Barabasz Anna Musielak Magdalena Silska-Dittmar Danuta Ostalska-Nowicka |
| author_sort | Jacek Zachwieja |
| collection | DOAJ |
| description | Objective In recent times, new methods of blood pressure measurements have been introduced, including cuffless blood pressure (BP) measurement device using pulse transit time (PTT) for calculation of BP values. However, it is still unknown how values obtained with a new cuffless device compare with standard ambulatory measurements in children. The main aim of the study was to investigate whether BP values measured by a cuffless PTT device are comparable with measurements by a standard upper arm cuff-based BP device. Methods Thirty children were prospectively included. Blood pressure measurements using the cuffless device (Somnotouch-NIBP) and cuff-based standard device (Omron 907) were performed simultaneously on the left and right arm. Results Mean systolic BP of the standard measurements was 123,47 ± 14,91 mmHg and 127,48 ± 15,98 mmHg (p < .001) measured by cuffless method. Mean diastolic BP of the standard ABPM measurements was 66,88 ± 11,86 mmHg and 68,52 ± 12,36 mmHg (p < .001). There were significant positive correlations between standard and cuffless measurements. Conclusion The results show that the created PWV–BP function produces a significant correlation between BP derived from the PWV and the SBP measured by sphygmomanometry. When applying this device in clinical practice, one may keep in mind that the reported mean values over 24 hours, awake and asleep time are not directly interchangeable with cuff-based standard 24-hour BP values. The measured BP values were higher by the new technique. Although differences in SBP between both methods reached values up to 20 mmHg, we think that the development of a cuffless BP monitoring system will provide novel solutions in various medical situations. |
| first_indexed | 2024-03-11T23:43:22Z |
| format | Article |
| id | doaj.art-db1581335fbc417a91c1c11e1404c6d7 |
| institution | Directory Open Access Journal |
| issn | 1064-1963 1525-6006 |
| language | English |
| last_indexed | 2024-03-11T23:43:22Z |
| publishDate | 2020-08-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Clinical and Experimental Hypertension |
| spelling | doaj.art-db1581335fbc417a91c1c11e1404c6d72023-09-19T15:19:28ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062020-08-0142651251810.1080/10641963.2020.17146421714642Comparison of cuff-based and cuffless continuous blood pressure measurements in children and adolescentsJacek Zachwieja0Anna Neyman-Bartkowiak1Alina Rabiega2Marta Wojciechowska3Małgorzata Barabasz4Anna Musielak5Magdalena Silska-Dittmar6Danuta Ostalska-Nowicka7Poznan University of Medical SciencesPoznan University of Medical SciencesPoznan University of Medical SciencesPoznan University of Medical SciencesPoznan University of Medical SciencesPoznan University of Medical SciencesPoznan University of Medical SciencesPoznan University of Medical SciencesObjective In recent times, new methods of blood pressure measurements have been introduced, including cuffless blood pressure (BP) measurement device using pulse transit time (PTT) for calculation of BP values. However, it is still unknown how values obtained with a new cuffless device compare with standard ambulatory measurements in children. The main aim of the study was to investigate whether BP values measured by a cuffless PTT device are comparable with measurements by a standard upper arm cuff-based BP device. Methods Thirty children were prospectively included. Blood pressure measurements using the cuffless device (Somnotouch-NIBP) and cuff-based standard device (Omron 907) were performed simultaneously on the left and right arm. Results Mean systolic BP of the standard measurements was 123,47 ± 14,91 mmHg and 127,48 ± 15,98 mmHg (p < .001) measured by cuffless method. Mean diastolic BP of the standard ABPM measurements was 66,88 ± 11,86 mmHg and 68,52 ± 12,36 mmHg (p < .001). There were significant positive correlations between standard and cuffless measurements. Conclusion The results show that the created PWV–BP function produces a significant correlation between BP derived from the PWV and the SBP measured by sphygmomanometry. When applying this device in clinical practice, one may keep in mind that the reported mean values over 24 hours, awake and asleep time are not directly interchangeable with cuff-based standard 24-hour BP values. The measured BP values were higher by the new technique. Although differences in SBP between both methods reached values up to 20 mmHg, we think that the development of a cuffless BP monitoring system will provide novel solutions in various medical situations.http://dx.doi.org/10.1080/10641963.2020.1714642blood pressurechildrenphotoplethysmography (ppg)pulse transit timepulse arrival timeelectrocardiogram (ecg) |
| spellingShingle | Jacek Zachwieja Anna Neyman-Bartkowiak Alina Rabiega Marta Wojciechowska Małgorzata Barabasz Anna Musielak Magdalena Silska-Dittmar Danuta Ostalska-Nowicka Comparison of cuff-based and cuffless continuous blood pressure measurements in children and adolescents Clinical and Experimental Hypertension blood pressure children photoplethysmography (ppg) pulse transit time pulse arrival time electrocardiogram (ecg) |
| title | Comparison of cuff-based and cuffless continuous blood pressure measurements in children and adolescents |
| title_full | Comparison of cuff-based and cuffless continuous blood pressure measurements in children and adolescents |
| title_fullStr | Comparison of cuff-based and cuffless continuous blood pressure measurements in children and adolescents |
| title_full_unstemmed | Comparison of cuff-based and cuffless continuous blood pressure measurements in children and adolescents |
| title_short | Comparison of cuff-based and cuffless continuous blood pressure measurements in children and adolescents |
| title_sort | comparison of cuff based and cuffless continuous blood pressure measurements in children and adolescents |
| topic | blood pressure children photoplethysmography (ppg) pulse transit time pulse arrival time electrocardiogram (ecg) |
| url | http://dx.doi.org/10.1080/10641963.2020.1714642 |
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