Can auscultatory blood pressure normative values be used for evaluation of oscillometric blood pressure in children?

The aim of the study was to analyze whether auscultatory normative values (Fourth Task Force [4TF]) can be applied to blood pressure (BP) obtained by oscillometric devices. The authors performed a retrospective analysis of oscillometric office BP and ambulatory BP monitoring in 229 children (116 boy...

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Bibliographic Details
Published in:The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2017-04, Vol.19 (4), p.381-387
Main Authors: Šuláková, Terezie, Šuláková, Astrida, Strnadel, Jiří, Pavlíček, Jan, Obermannová, Barbora, Feber, Janusz
Format: Article
Language:English
Subjects:
Adolescent
Auscultation - instrumentation
Auscultation - methods
auscultatory normative values
blood pressure
Blood Pressure - physiology
Blood Pressure Determination - methods
Blood Pressure Monitoring, Ambulatory - methods
Blood Pressure Studies
Child
children
Female
Humans
Male
Original Paper
oscillometric normative values
Oscillometry - instrumentation
Oscillometry - methods
Retrospective Studies
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Summary:The aim of the study was to analyze whether auscultatory normative values (Fourth Task Force [4TF]) can be applied to blood pressure (BP) obtained by oscillometric devices. The authors performed a retrospective analysis of oscillometric office BP and ambulatory BP monitoring in 229 children (116 boys), median age 15.31 years. Office systolic BP (SBP) and diastolic BP (DBP) values were converted into Z scores using 4TF and oscillometric (German Health Interview and Examination Survey for Children and Adolescent [KiGGS]) reference values. There was good correlation between the two normative methods (r=0.9773 for SBP, r=0.9627 for DBP). Results from Bland‐Altman test revealed only minimal differences in Z scores between 4TF and KiGGS for SBP, but a significant proportional error for DBP. 4TF and KiGGS Z scores were equally predictive of ambulatory hypertension. In conclusion, auscultatory and oscillometric normative data are interchangeable for SBP but not for DBP.
ISSN:1524-6175
1751-7176
DOI:10.1111/jch.12943