家庭和办公室血压仪在临床环境中的比较
Stephen P Juraschek1,2,3, Medha Vyavahare2, Jennifer L Cluett1,2,3
1Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
American journal of hypertension
|December 27, 2023
概括
许多家庭血压器在准确性测试中失败. 基于办公室的比较对于高血压管理中可靠的自我测量血压监测至关重要.
科学领域:
- 心血管医学 心血管医学
- 医疗器械 医疗器械
- 高血压管理 高血压管理
背景情况:
- 自测血压 (SMBP) 监测对于远程高血压管理至关重要.
- 家庭血压 (BP) 设备的真实准确性在很大程度上是未知的.
- 本研究使用标准化准确性测试来评估家庭BP设备的性能.
研究的目的:
- 为了评估患者家用血压仪的准确性.
- 为了比较不同品牌家用血压监测器的性能.
- 为了确定与设备协议失败相关的患者因素.
主要方法:
- 152名患者同时使用家庭设备和自动化办公设备 (Omron HEM-907XL) 进行血压测量.
- 遵循美国医学会 (AMA) 的SMBP设备准确性测试协议.
- 设备协议故障是由家庭和办公室设备之间的特定缩血压差异来定义的.
主要成果:
- 测试的家庭高血压设备中有22.4%的设备未能通过AMA准确性协议.
- 19.1%的欧姆龙设备和27.6%的非欧姆龙设备显示协议失败.
- 没有患者人口统计学特征与设备协议失败有关.
结论:
- 很大一部分家庭血压仪不符合准确性标准.
- 家庭高血压器件的办公室验证对于准确的高血压管理至关重要.
- 确保设备的准确性对于有效的远程患者监控至关重要.
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