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Validated Automated Cuff Blood Pressure Devices for Children: STRIDE BP Report and Call to Action
George S Stergiou1, Ariadni Menti1, Paolo Palatini2
1Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Third Department of Medicine, Sotiria Hospital, Greece (G.S.S., A.M., D.M., A.K.).
Hypertension (Dallas, Tex. : 1979)
|July 15, 2026
Summary
Automated blood pressure devices are recommended for children, but few are validated for pediatric use. More research is urgently needed to ensure accurate blood pressure monitoring in children.
Area of Science:
- Pediatric Cardiology
- Medical Device Validation
- Hypertension Management
Background:
- Automated cuff devices are recommended for pediatric blood pressure (BP) measurement, similar to adults.
- Devices validated in adults may not be accurate in children, necessitating separate validation studies.
- Current guidelines suggest confirming automated device-detected hypertension with auscultation in children.
Purpose of the Study:
- To present evidence on automated BP devices validated for children aged 3-12 years.
- To assess the availability and quality of validation studies for pediatric BP devices.
Main Methods:
- Systematic PubMed searches were performed by STRIDE BP (Science and Technology for Regional Innovation and Development in Europe-Blood Pressure).
- A dataset of validation studies including children was analyzed.
- Meta-analysis was conducted on studies with successful validation and sufficient data.
Main Results:
- Out of 628 studies, 51 included children; only 22 (43%) were approved by STRIDE BP due to protocol violations.
- Twenty automated BP devices were validated in these 22 studies, with 14 currently on the market.
- Meta-analysis showed minimal pooled differences in systolic (0.6 mm Hg) and diastolic (-0.3 mm Hg) BP when including children and older individuals.
Conclusions:
- There is a significant lack of automated BP device models validated for children.
- Published validation studies frequently suffer from methodological issues.
- Validated automated BP devices can aid in diagnosing pediatric hypertension, but more validation studies are urgently required.
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01:28Special considerations while measuring blood pressure
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Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
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