PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
January 18, 2023Journal of Human Hypertension20 citationsOpen Access

Validation testing of five home blood pressure monitoring devices for the upper arm according to the ISO 81060-2:2018/AMD 1:2020 protocol

YPYaw PeprahJLJi Young LeeSPStephen D. Persell

Key Result

The Omron BP7450 and BP5450 home blood pressure monitors met the ISO validation criteria for accuracy, whereas the Walmart, Walgreens, and CVS store-brand monitors failed to meet the standard.

Study Design

Type

Cross-Sectional (n=85)

Blinding

Observer-blinded

Multicenter

No

Structured PICO

Do commercially available home blood pressure monitors provide accurate measurements meeting ISO validation standards compared to a mercury sphygmomanometer in a general adult population?

P
Population
85 adults from the general population with arm circumferences of 17 to 43 cm underwent validation testing of home blood pressure monitors against a mercury sphygmomanometer.
I
Intervention
Five automated oscillometric home blood pressure monitors for the upper arm: Omron 10 Series BP7450, Omron Platinum BP5450, Walmart Equate Premium 8000 Series UA-8000WM, Walgreens Premium 15+ WGNBPA-960BT, and CVS Series 800 BP3MW1-4YCVS.
C
Comparator
Reference standard auscultatory blood pressure measurements taken by two blinded observers using a connected y-tube standard mercury sphygmomanometer.
O
Outcome
Accuracy of the devices compared to the reference standard according to the ISO 81060-2:2018/AMD 1:2020 validation procedure (Criterion 1: mean difference ≤5.0 mm Hg and SD ≤8.0 mm Hg; Criterion 2 based on SD of averaged paired determinations).surrogate

Two Omron home blood pressure monitors met ISO validation criteria for accuracy, while three widely available store-brand monitors did not, highlighting the critical need for consumers to verify device validation status before use.

Main Result

Mean Difference: 0.5

Limitations

  • Study population was limited to a general adult population, and the generalizability of these findings to other populations (e.g., pregnant women, children) is unknown.
  • The study's interpretation of the ISO protocol regarding the removal and repeating of reference measurements with discrepant observer readings differed from some other experts.
  • Study population was limited to a general adult population, so generalizability to other populations (e.g., pregnant women, children) is unknown.
  • Removed and repeated reference measurements with discrepant observer readings but did not remove and repeat the preceding test device measurement when the repeated reference measurement met the criteria for observer agreement.

Abstract

The accuracy of Omron 10 Series BP7450 (HEM-7342T-Z), Omron Platinum BP5450 (HEM-7343T-Z), Walmart Equate Premium 8000 Series UA-8000WM, Walgreens Premium 15+ WGNBPA-960BT, and CVS Series 800 BP3MW1-4YCVS were assessed in an adult general population compared to a mercury sphygmomanometer standard according to the ISO 81060-2:2018/AMD 1:2020 validation procedure. Omron selected the monitors and included three non-Omron monitors because they were from large retail vendors in the United States and these monitors did not have accessible results from validation testing. The BP7450, N = 85, passed both criteria for the standard. Mean (SD) differences in paired SBP and DBP determinations between the test device and reference were 0.5 (7.7) and 2.5 (6.8) mm Hg. The BP5450, N = 86, passed both criteria. Mean (SD) differences in paired SBP and DBP determinations were 1.9 (7.0) and 3.6 (6.4) mm Hg. The UA-8000WM, N = 85, did not meet the first criterion for the standard. Mean (SD) differences in paired SBP and DBP determinations were 2.5 (8.0) and 5.1 (6.4) mm Hg. The WGNBPA-240BT, N = 85, did not meet the first criterion for the standard. Mean (SD) differences in paired SBP and DBP determinations were 7.9 (8.5) and 5.5 (6.7) mm Hg. The BP3MW1-4YCVS, N = 85, did not meet the first criterion for the standard. Mean (SD) differences in paired SBP and DBP determinations were 5.8 (8.7) and 3.1 (5.6) mm Hg. These findings emphasize the importance of verifying the validation status of home blood pressure monitors before use by consumers.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Peprah et al. (2023) conducted a cross-sectional in General population (n=85). Home blood pressure monitoring devices vs. Mercury sphygmomanometer was evaluated on Mean difference in paired systolic blood pressure (SBP) determinations between the test device (BP7450) and reference (MD 0.5 mm Hg). The Omron BP7450 and BP5450 home blood pressure monitors met the ISO validation criteria for accuracy, whereas the Walmart, Walgreens, and CVS store-brand monitors failed to meet the standard.

synapsesocial.com/papers/6a992bd3f3ae593e013635b0https://doi.org/10.1038/s41371-022-00795-6
Ask AI
Helpful
Bookmark
Share
View Full Paper