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Blood Pressure Measurement Error in Children: Lessons in Measurement Reliability

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Abstract

Background and Purpose

Blood pressure measurement represents the pressure exerted during heart ejection and filling. There are several ways to measure blood pressure and a valid measure is essential. The purpose of this study was to evaluate the approach to noninvasive blood pressure measurement in children.

Methods

Blood pressure measurements were taken using the automatic Phillips MP30 monitor and compared against Welch Allyn blood pressure cuffs with Medline manual sphygmomanometers.

Results

A total of 492 measurements were taken on 82 subjects, and they demonstrated comparability between automatic and manual devices.

Conclusions

Although our study indicated acceptable agreement between automatic and manual blood pressure measurement, it also revealed measurement error remains a concern, with sample size, study protocol, training, and environment all playing a role.

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