Validation of the CAS Medical Systems, inc. OscilloMitt, hand-blood-pressure cuff.
BACKGROUND
There are technical difficulties in accurately measuring blood pressure of individuals with varying arm and body sizes.


OBJECTIVE
To perform validation testing with 109 children of a novel cuff that occludes the palm rather than the upper arm.


METHODS
This cuff, the OscilloMitt made by CAS Medical Systems, Inc. , was used in conjunction with a commercially available monitor. Readings of blood pressure taken by trained auscultatory observers were compared with those of the OscilloMitt monitor. The mean difference in systolic blood pressure was 1.13mmHg and the mean difference in diastolic blood pressure was 0.94mmHg. The OscilloMitt was tolerated very well, especially by the young children (those aged <5years).


CONCLUSIONS
The OscilloMitt is accurate and its use should be preferable to traditional upper-arm placement of cuffs for assessing many specific groups of patients. We recommend its use for persons aged 2 years and more.
School of Medicine, University of Tennessee, Memphis, Tennessee, USA. BSALPERT@UTMEM.EDU
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Alpert
D000293:Adolescent; D001314:Auscultation; D001795:Blood Pressure Determination / Q000295:instrumentation*; D002648:Child; D002675:Child, Preschool; D003971:Diastole; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D005260:Female; D006225:Hand / Q000098:blood supply; D006801:Humans; D007223:Infant; D008297:Male; D015588:Observer Variation; D010342:Patient Acceptance of Health Care; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D019722:Sphygmomanometers; D013599:Systole