通过上臂袖估计中央大动脉SBP的方法的准确性:系统性审查和元分析
Dean S Picone1,2, Nadège Côté3, Raphaela Corney2
1School of Health Sciences, University of Sydney, Sydney.
Journal of hypertension
|May 15, 2024
概括
基于袖口的中央血压 (BP) 装置的准确性因品牌而异. 并非所有设备都能准确估计心血压,这会影响临床研究的解释.
科学领域:
- 心血管医学 心血管医学
- 生物医学工程 生物医学工程
- 临床诊断 临床诊断 临床诊断
背景情况:
- 中枢大动脉血压 (BP) 与手臂血压相比,是心血管结果的优越预测因素.
- 技术的进步使得中央BP估计使用外围波形从上臂袖子.
- 这些非侵入性设备的准确性需要彻底验证.
研究的目的:
- 系统地审查和评估商业上可用的基于袖口的中央BP估计设备的准确性.
- 为了比较设备的准确性与侵入性大动脉血压测量.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 包括2008-2023年间发表的观察性研究.
- 按设备进行分层分析,并使用随机效应模型进行聚合估计.
主要成果:
- 从28项涉及2125名参与者的研究中分析了7种商业设备的数据.
- 观察到显著的异质性 (I2 = 97.5%),表明在准确性方面高度依赖设备.
- 设备的精度从-12.4 mmHg到3.2 mmHg不等;两个缺乏外部验证.
结论:
- 基于袖口的中央血压装置的准确性与设备型号高度相关.
- 并非所有设备都可靠地估计中心系统血压 (SBP).
- 这些发现需要仔细解释使用估计中心BP的研究.
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