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December 1, 1993Archives of Disease in ChildhoodOpen Access

Ambulatory blood pressure monitoring.

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Key result

ABPM shows <1 mm Hg bias versus mercury sphygmomanometers and is well tolerated by children.

  • bias < 1.0 mm Hg
  • n=31

Why the study?

The accuracy and acceptability of ambulatory blood pressure monitoring in the lower blood pressure range encountered in children were uncertain.

Is ambulatory blood pressure monitoring accurate and acceptable in children?

Comparison

Ambulatory blood pressure monitor using auscultatory method vs mercury sphygmomanometer and oscillometric device

Design

Observational study

Follow-up

At least 16 hours

Authors

WNW R NicholsonFreeman HospitalJMJ. N. S. MatthewsInternational Fund for Animal WelfareJOJohn O’SullivanHeart Failure & Transplant

Discussion

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Implication

Supports ABPM validation in children 6-18 years; leaves open outcome trials before routine adoption.

Study Design

Type

Observational (n=31)

Structured PICO

Is ambulatory blood pressure monitoring accurate and acceptable in children?

P
Population
31 children aged 6 to 18 years who underwent ambulatory blood pressure monitoring to assess its accuracy and acceptability.
E
Exposure
Ambulatory blood pressure monitor using an auscultatory method, worn for at least 16 hours
C
Comparator
Mercury sphygmomanometer and an oscillometric device measured in the contralateral arm at the beginning and end of the study
O
Outcome
Accuracy (agreement with sphygmomanometer) and acceptability to childrensurrogate

Main Result

Effect estimate: bias < 1.0 mm Hg

Ambulatory blood pressure monitoring using an auscultatory method is accurate and well-tolerated in children.

Cite This Study

Nicholson et al. (1993) conducted an observational in Blood pressure monitoring in children (n=31). Ambulatory blood pressure monitoring (ABPM) vs. Mercury sphygmomanometer and oscillometric device was evaluated on Agreement with sphygmomanometer and acceptability (bias < 1.0 mm Hg). Ambulatory blood pressure monitoring showed close agreement with a mercury sphygmomanometer (bias <1.0 mm Hg) and was well tolerated by children aged 6 to 18 years.

synapsesocial.com/papers/6aacf28c85e4e1f7b8636280https://doi.org/10.1136/adc.69.6.681
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A new compact 24-hour indirect blood-pressure recorder and its clinical application.1988 · 22 citations
  2. 2Report of the Second Task Force on Blood Pressure Control in Children—19871987 · 1,149 citations