Blood pressure measurement in pediatric population: comparison between automated oscillometric devices and mercury sphygmomanometers-a systematic review and meta-analysis

Autor(es)

Araujo-Moura, Keisyanne ^{[1, 2, 3]} ; Souza, Leticia Gabrielle ^{[1, 2, 3]} ; Mello, Gabriele Luz ^{[1, 2, 3]} ; Ferreira De Moraes, Augusto Cesar ^{[1, 2, 3, 4]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Fac Med, YCARE Youth Child cArdiovasc Risk & Environm Res, Sao Paulo, SP - Brazil

^[2] Univ Sao Paulo, Sch Publ Hlth, Dept Epidemiol, Grad Program Publ Hlth, BR-01246904 Sao Paulo, SP - Brazil

^[3] Univ Sao Paulo, Sch Publ Hlth, Grad Program Epidemiol, BR-01246904 Sao Paulo, SP - Brazil

^[4] Univ Texas Hlth Sci Ctr Houston, Dept Epidemiol, Sch Publ Hlth Human Genet & Environm Sci, Michael & Susan Ctr Hlth Living, Austin, TX - USA

• Tipo de documento: Artigo de Revisão
• Fonte: EUROPEAN JOURNAL OF PEDIATRICS; v. 181, n. 1 JUL 2021.
• Citações Web of Science: 0

Resumo

With the progressive elimination of mercury column devices for blood pressure (BP) measurement in children and adolescents, valid alternatives are needed. Oscillometric devices provide a replacement without mercury, are fully automated, and have excellent reliability among evaluators. Here, the goal was to test the accuracy of automatic blood pressure monitor devices compared to the mercury sphygmomanometer for BP measurement in children and adolescents. Electronic databases are EMBASE, MEDLINE (PubMed), SCOPUS, and Web of Science. We selected 8974 potentially eligible articles and two authors independently. We separately reviewed 370 full papers. Potentially eligible articles were selected according to the following criteria: (a) articles published in Portuguese, English, and Spanish; (b) screening of titles; (c) screening of abstracts; and (d) retrieval and screening of the full article to determine whether it met the inclusion criteria. We included 45 articles for analysis, 28 of which were selected for meta-analysis. The systolic BP measured by automatic blood pressure monitors presents 1.17 mmHg on average (95% CI 0.85; 1.48); for diastolic BP, it produced -0.08 mmHg (95% CI -0.69; 0.54) compared with a mercury sphygmomanometer. There is high heterogeneity between studies (> 90%) in the meta-analysis, partly explained by the device model, study environment, and observer training. Only articles that reported BP measurement by both methods were included. Conclusion: Automatic blood pressure monitors have strong measurement validity when compared with the mercury column. Thus, these can be safely used in blood pressure measurements of children and adolescents in clinical and epidemiological studies. (AU)

• Processo FAPESP: 19/10852-0 - Consumo de bebidas açucaradas em crianças sul-americanas: validação de um questionário de frequência alimentar e padrão de consumo
• Beneficiário: Gabriele da Luz Mello
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica
• Processo FAPESP: 19/13527-3 - Imagem e peso corporal: associação entre a percepção dos pais e a adiposidade corporal de crianças sul-americanas: SAYCARE Cohort Study
• Beneficiário: Leticia Gabrielle de Assis Souza
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica
• Processo FAPESP: 19/24224-1 - Prevalência e incidência de pressão arterial elevada e sua associação com fatores ambientais e estilo de vida em crianças da América do Sul: SAYCARE cohort study
• Beneficiário: Keisyanne de Araujo Moura
• Modalidade de apoio: Bolsas no Brasil - Doutorado
• Processo FAPESP: 17/20317-0 - Novas fronteiras em saúde nutricional e cardiovascular pediátrica: desenvolvimento de métodos para avaliar a dupla carga de má-nutrição e a saúde cardiovascular ideal em países de baixa-média renda - SAYCARE cohort study
• Beneficiário: Augusto César Ferreira de Moraes
• Modalidade de apoio: Auxílio à Pesquisa - Jovens Pesquisadores
• Processo FAPESP: 19/02617-1 - Novas fronteiras em saúde nutricional e cardiovascular pediátrica: Desenvolvimento de métodos para avaliar a dupla carga de má-nutrição e a saúde cardiovascular ideal em países de baixa-média renda - SAYCARE Cohort Study
• Beneficiário: Augusto César Ferreira de Moraes
• Modalidade de apoio: Bolsas no Brasil - Jovens Pesquisadores