Why the study?
Does the Omron MIT Elite automated device accurately measure blood pressure compared to a mercury sphygmomanometer in pregnant women with an arm circumference ≥32 cm?
Does the Omron MIT Elite automated device accurately measure blood pressure compared to a mercury sphygmomanometer in pregnant women with an arm circumference ≥32 cm?
The Omron MIT Elite automated blood pressure device overestimates blood pressure in pregnant women with large arm circumferences and fails validation standards, precluding its recommended use in this population.
Omron MIT Elite overestimation warrants caution in pregnant women with large arms; leaves open validation of accurate alternatives in this subgroup.
OBJECTIVE: The aim of this study was to evaluate the accuracy of the Omron MIT Elite automated device in pregnant women with an arm circumference of or above 32 cm, using the British Hypertension Society validation protocol. METHODS: Blood pressure was measured sequentially in 46 women of any gestation requiring the use of a large cuff (arm circumference ≥32 cm) alternating between the mercury sphygmomanometer and the Omron MIT Elite device. RESULTS: The Omron MIT Elite achieved an overall D/D grade with a mean of the device-observer difference being 7.17±6.67 and 9.31±6.59 for systolic and diastolic blood pressure respectively. Interobserver accuracy was 94.6% for systolic and 95% for diastolic readings within 5 mmHg. CONCLUSION: The Omron MIT Elite overestimates blood pressure and has failed the British Hypertension Society protocol requirements. Therefore, it cannot be recommended for use in pregnant women with an arm circumference of or above 32 cm.
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James et al. (2017) studied this question.
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