Is the Measurement of Blood Pressure by Automatic Monitor in the South American Pediatric Population Accurate?: SAYCARE Study

Keisyanne Araújo-Moura; Augusto César Ferreira De Moraes; Elsie C O Forkert; Gabriela Berg; Gabriel Grizzo Cucato; Claúdia Lucia de Moraes Forjaz; Paula Moliterno; Diego Gaitan-Charry; Carlos A Delgado; Esther M González-Gil; Luis Alberto Moreno; Heráclito Barbosa Carvalho; Francisco Leonardo Torres-Leal

doi:10.1002/oby.22119

Is the Measurement of Blood Pressure by Automatic Monitor in the South American Pediatric Population Accurate? SAYCARE Study

Keisyanne Araújo-Moura, Augusto César Ferreira De Moraes, Elsie C O Forkert, Gabriela Berg, Gabriel Grizzo Cucato, Claúdia Lucia de Moraes Forjaz, Paula Moliterno, Diego Gaitan-Charry, Carlos A Delgado, Esther M González-Gil, Luis Alberto Moreno, Heráclito Barbosa Carvalho, Francisco Leonardo Torres-Leal

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

OBJECTIVE: This study aimed to test the validity of an automatic oscillometric device to measure the blood pressure (BP) in children (n = 191) and adolescents (n = 127) aged 3 to 18 years.

METHODS: Systolic BP (SBP) and diastolic BP (DBP) levels were measured simultaneous by automatic device and mercury column with Y-connection. To verify the validity, Bland-Altman plots and limits of agreement of 95% (95% LOA), specificity and sensitivity of the device, and the grade of British Hypertension Society (BHS) criteria were used.

RESULTS: The monitor measurements demonstrated lower measurement bias (mean difference [95% LOA]): 1.4 (-9.9 to 12.8) mmHg in children and 4.3 (-7.8 to 16.5) mmHg in adolescents for SBP. For DBP, it was 2.2 (-7.4 to 11.7) mmHg in children and 1.4 (-8.4 to 11.1) mmHg in adolescents. The sensitivity in children was 21.4 (95% CI = 16.3-26.6), and in adolescents, it was 20.0 (95% CI = 13.2-26.8); the specificity was 95.9 (95% CI = 93.4-98.4) in children and 100.0 (95% CI = 100.0-100.0) in adolescents. The monitor-tested ratings are Grade B for SBP in children and SBP and DBP in adolescents and Grade C for DBP in children.

CONCLUSIONS: The automatic monitor presented high values of specificity and lower values of sensitivity to the diagnosis of HBP; however, it can be considered accurate (lower measurement bias) and valid for epidemiological and clinical practice in accordance with BHS criteria.

Original language	English
Pages (from-to)	S41-S46
Number of pages	6
Journal	Obesity
Volume	26
Issue number	S1
Early online date	21 Feb 2018
DOIs	https://doi.org/10.1002/oby.22119
Publication status	Published - Mar 2018
Externally published	Yes

Keywords

Adolescent
Blood Pressure
Blood Pressure Determination/instrumentation
Blood Pressure Monitors/standards
Child
Child, Preschool
Cross-Sectional Studies
Electronic Data Processing
Ethnic Groups
Feasibility Studies
Female
Humans
Hypertension/diagnosis
Male
Monitoring, Physiologic/instrumentation
Reproducibility of Results
Sensitivity and Specificity
South America/epidemiology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1002/oby.22119

Cite this

Araújo-Moura, K., De Moraes, A. C. F., Forkert, E. C. O., Berg, G., Cucato, G. G., Forjaz, C. L. D. M., Moliterno, P., Gaitan-Charry, D., Delgado, C. A., González-Gil, E. M., Moreno, L. A., Carvalho, H. B., & Torres-Leal, F. L. (2018). Is the Measurement of Blood Pressure by Automatic Monitor in the South American Pediatric Population Accurate? SAYCARE Study. Obesity, 26(S1), S41-S46. https://doi.org/10.1002/oby.22119

@article{208548afce9244edb07e9c947273cc7c,

title = "Is the Measurement of Blood Pressure by Automatic Monitor in the South American Pediatric Population Accurate?: SAYCARE Study",

abstract = "OBJECTIVE: This study aimed to test the validity of an automatic oscillometric device to measure the blood pressure (BP) in children (n = 191) and adolescents (n = 127) aged 3 to 18 years.METHODS: Systolic BP (SBP) and diastolic BP (DBP) levels were measured simultaneous by automatic device and mercury column with Y-connection. To verify the validity, Bland-Altman plots and limits of agreement of 95% (95% LOA), specificity and sensitivity of the device, and the grade of British Hypertension Society (BHS) criteria were used.RESULTS: The monitor measurements demonstrated lower measurement bias (mean difference [95% LOA]): 1.4 (-9.9 to 12.8) mmHg in children and 4.3 (-7.8 to 16.5) mmHg in adolescents for SBP. For DBP, it was 2.2 (-7.4 to 11.7) mmHg in children and 1.4 (-8.4 to 11.1) mmHg in adolescents. The sensitivity in children was 21.4 (95% CI = 16.3-26.6), and in adolescents, it was 20.0 (95% CI = 13.2-26.8); the specificity was 95.9 (95% CI = 93.4-98.4) in children and 100.0 (95% CI = 100.0-100.0) in adolescents. The monitor-tested ratings are Grade B for SBP in children and SBP and DBP in adolescents and Grade C for DBP in children.CONCLUSIONS: The automatic monitor presented high values of specificity and lower values of sensitivity to the diagnosis of HBP; however, it can be considered accurate (lower measurement bias) and valid for epidemiological and clinical practice in accordance with BHS criteria.",

keywords = "Adolescent, Blood Pressure, Blood Pressure Determination/instrumentation, Blood Pressure Monitors/standards, Child, Child, Preschool, Cross-Sectional Studies, Electronic Data Processing, Ethnic Groups, Feasibility Studies, Female, Humans, Hypertension/diagnosis, Male, Monitoring, Physiologic/instrumentation, Reproducibility of Results, Sensitivity and Specificity, South America/epidemiology",

author = "Keisyanne Ara{\'u}jo-Moura and {De Moraes}, {Augusto C{\'e}sar Ferreira} and Forkert, {Elsie C O} and Gabriela Berg and Cucato, {Gabriel Grizzo} and Forjaz, {Cla{\'u}dia Lucia de Moraes} and Paula Moliterno and Diego Gaitan-Charry and Delgado, {Carlos A} and Gonz{\'a}lez-Gil, {Esther M} and Moreno, {Luis Alberto} and Carvalho, {Her{\'a}clito Barbosa} and Torres-Leal, {Francisco Leonardo}",

note = "{\textcopyright} 2018 The Obesity Society.",

year = "2018",

month = mar,

doi = "10.1002/oby.22119",

language = "English",

volume = "26",

pages = "S41--S46",

journal = "Obesity",

issn = "1930-7381",

publisher = "Blackwell Publishing",

number = "S1",

}

Araújo-Moura, K, De Moraes, ACF, Forkert, ECO, Berg, G, Cucato, GG, Forjaz, CLDM, Moliterno, P, Gaitan-Charry, D, Delgado, CA, González-Gil, EM, Moreno, LA, Carvalho, HB & Torres-Leal, FL 2018, 'Is the Measurement of Blood Pressure by Automatic Monitor in the South American Pediatric Population Accurate? SAYCARE Study', Obesity, vol. 26, no. S1, pp. S41-S46. https://doi.org/10.1002/oby.22119

TY - JOUR

T1 - Is the Measurement of Blood Pressure by Automatic Monitor in the South American Pediatric Population Accurate?

T2 - SAYCARE Study

AU - Araújo-Moura, Keisyanne

AU - De Moraes, Augusto César Ferreira

AU - Forkert, Elsie C O

AU - Berg, Gabriela

AU - Cucato, Gabriel Grizzo

AU - Forjaz, Claúdia Lucia de Moraes

AU - Moliterno, Paula

AU - Gaitan-Charry, Diego

AU - Delgado, Carlos A

AU - González-Gil, Esther M

AU - Moreno, Luis Alberto

AU - Carvalho, Heráclito Barbosa

AU - Torres-Leal, Francisco Leonardo

PY - 2018/3

Y1 - 2018/3

N2 - OBJECTIVE: This study aimed to test the validity of an automatic oscillometric device to measure the blood pressure (BP) in children (n = 191) and adolescents (n = 127) aged 3 to 18 years.METHODS: Systolic BP (SBP) and diastolic BP (DBP) levels were measured simultaneous by automatic device and mercury column with Y-connection. To verify the validity, Bland-Altman plots and limits of agreement of 95% (95% LOA), specificity and sensitivity of the device, and the grade of British Hypertension Society (BHS) criteria were used.RESULTS: The monitor measurements demonstrated lower measurement bias (mean difference [95% LOA]): 1.4 (-9.9 to 12.8) mmHg in children and 4.3 (-7.8 to 16.5) mmHg in adolescents for SBP. For DBP, it was 2.2 (-7.4 to 11.7) mmHg in children and 1.4 (-8.4 to 11.1) mmHg in adolescents. The sensitivity in children was 21.4 (95% CI = 16.3-26.6), and in adolescents, it was 20.0 (95% CI = 13.2-26.8); the specificity was 95.9 (95% CI = 93.4-98.4) in children and 100.0 (95% CI = 100.0-100.0) in adolescents. The monitor-tested ratings are Grade B for SBP in children and SBP and DBP in adolescents and Grade C for DBP in children.CONCLUSIONS: The automatic monitor presented high values of specificity and lower values of sensitivity to the diagnosis of HBP; however, it can be considered accurate (lower measurement bias) and valid for epidemiological and clinical practice in accordance with BHS criteria.

AB - OBJECTIVE: This study aimed to test the validity of an automatic oscillometric device to measure the blood pressure (BP) in children (n = 191) and adolescents (n = 127) aged 3 to 18 years.METHODS: Systolic BP (SBP) and diastolic BP (DBP) levels were measured simultaneous by automatic device and mercury column with Y-connection. To verify the validity, Bland-Altman plots and limits of agreement of 95% (95% LOA), specificity and sensitivity of the device, and the grade of British Hypertension Society (BHS) criteria were used.RESULTS: The monitor measurements demonstrated lower measurement bias (mean difference [95% LOA]): 1.4 (-9.9 to 12.8) mmHg in children and 4.3 (-7.8 to 16.5) mmHg in adolescents for SBP. For DBP, it was 2.2 (-7.4 to 11.7) mmHg in children and 1.4 (-8.4 to 11.1) mmHg in adolescents. The sensitivity in children was 21.4 (95% CI = 16.3-26.6), and in adolescents, it was 20.0 (95% CI = 13.2-26.8); the specificity was 95.9 (95% CI = 93.4-98.4) in children and 100.0 (95% CI = 100.0-100.0) in adolescents. The monitor-tested ratings are Grade B for SBP in children and SBP and DBP in adolescents and Grade C for DBP in children.CONCLUSIONS: The automatic monitor presented high values of specificity and lower values of sensitivity to the diagnosis of HBP; however, it can be considered accurate (lower measurement bias) and valid for epidemiological and clinical practice in accordance with BHS criteria.

KW - Adolescent

KW - Blood Pressure

KW - Blood Pressure Determination/instrumentation

KW - Blood Pressure Monitors/standards

KW - Child

KW - Child, Preschool

KW - Cross-Sectional Studies

KW - Electronic Data Processing

KW - Ethnic Groups

KW - Feasibility Studies

KW - Female

KW - Humans

KW - Hypertension/diagnosis

KW - Male

KW - Monitoring, Physiologic/instrumentation

KW - Reproducibility of Results

KW - Sensitivity and Specificity

KW - South America/epidemiology

U2 - 10.1002/oby.22119

DO - 10.1002/oby.22119

M3 - Article

C2 - 29464919

SN - 1930-7381

VL - 26

SP - S41-S46

JO - Obesity

JF - Obesity

IS - S1