title: Can auscultatory blood pressure normative values be used for evaluation of oscillometric blood pressure in children?
abstract: The aim of the study was to analyze whether auscultatory normative values (Fourth Task Force [4TF]) can be applied to blood pressure (BP) obtained by oscillometric devices. The authors performed a retrospective analysis of oscillometric office BP and ambulatory BP monitoring in 229 children (116 boys), median age 15.31 years. Office systolic BP (SBP) and diastolic BP (DBP) values were converted into Z scores using 4TF and oscillometric (German Health Interview and Examination Survey for Children and Adolescent [KiGGS]) reference values. There was good correlation between the two normative methods (r=0.9773 for SBP, r=0.9627 for DBP). Results from Bland-Altman test revealed only minimal differences in Z scores between 4TF and KiGGS for SBP, but a significant proportional error for DBP. 4TF and KiGGS Z scores were equally predictive of ambulatory hypertension. In conclusion, auscultatory and oscillometric normative data are interchangeable for SBP but not for DBP.
authors.affiliation: Department of Pediatrics, University Hospital Ostrava and Medical Faculty University of Ostrava, Ostrava, Czech Republic.
authors.forename: Terezie
authors.identifier: http://orcid.org/0000-0001-8272-1175
authors.initials: T
authors.lastname: Šuláková
authors.affiliation: Department of Pediatrics, University Hospital Ostrava and Medical Faculty University of Ostrava, Ostrava, Czech Republic.
authors.forename: Astrida
authors.initials: A
authors.lastname: Šuláková
authors.affiliation: Department of Pediatrics, University Hospital Ostrava and Medical Faculty University of Ostrava, Ostrava, Czech Republic.
authors.forename: Jiří
authors.initials: J
authors.lastname: Strnadel
authors.affiliation: Department of Pediatrics, University Hospital Ostrava and Medical Faculty University of Ostrava, Ostrava, Czech Republic.
authors.forename: Jan
authors.initials: J
authors.lastname: Pavlíček
authors.affiliation: Department of Pediatrics, University Hospital Motol and 2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
authors.forename: Barbora
authors.initials: B
authors.lastname: Obermannová
authors.affiliation: Children Hospital of Eastern Ontario Ottawa and University of Ottawa, Ottawa, ON, Canada.
authors.forename: Janusz
authors.initials: J
authors.lastname: Feber
mesh_terms: D000293:Adolescent; D001314:Auscultation / Q000295:instrumentation* / Q000379:methods; D001794:Blood Pressure / Q000502:physiology*; D001795:Blood Pressure Determination / Q000379:methods*; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D009991:Oscillometry / Q000295:instrumentation* / Q000379:methods; D012189:Retrospective Studies
keywords: auscultatory normative values; blood pressure; children; oscillometric normative values