‘Legacy publication of a 2009 validation of the Riester Big Ben Square Desk aneroid device for blood pressure measurement according to the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults (2002)’

Author:

McNally Ryan J.1,Dunkerley Janette2,Holland Maureen2,Eatough Ruth2,Lacy Peter3,McManus Richard J.4,Chapman Neil5,Chowienczyk Philip J.1,Lewis Philip6,Clark Christopher E.7,Denver Elizabeth8,Neary Annette9,McDonagh Sinead T.J.7,Sheppard James P.4,

Affiliation:

1. Department of Clinical Pharmacology, St. Thomas’ Hospital London, King’s College London, British Heart Foundation Centre, London

2. Cardiovascular Trials Unit 1st Floor, Purple Zone Manchester Royal Infirmary Oxford Road Manchester

3. Institute of Cardiovascular Sciences, NIHR UCL Hospitals Biomedical Research Centre, University College London

4. Nuffield Department of Primary Care Health Sciences, University of Oxford

5. Imperial College Healthcare NHS Trust

6. Stepping Hill Hospital, Stockport

7. University of Exeter, Medical School, England

8. Whittington Health NHS Trust, London

9. Galway Clinic, Ireland

Abstract

Objective To report a validation of the Riester Big Ben Square Desk Aneroid Sphygmomanometer according to the international protocol developed by the Working Group on Blood Pressure Monitoring of the European Society of Hypertension 2002 (ESH-IP 2002) in the interest of transparency. This legacy publication is intended to assure users that the device satisfied the requirements in place at that time. Methods Performance of the device was assessed by participants’ age, sex, arm circumference and entry SBP/DBP. Validation was performed in 33 participants. The sphygmomanometer was assessed according to the ESH-IP, which defines zones of accuracy compared to the mercury standard as ≤5, ≤10, ≤15 mmHg or more. Results The mean (± SD) age was 50.5 ± 13.0 years, range 29–71 years, entry SBP 142.6 ± 23.7 mmHg, entry DBP 89.0 ± 17.8 mmHg. The device passed all the requirements listed and the validation protocol. The Riester Big Ben Square Desk aneroid sphygmomanometer slightly underestimated the observer-measured SBP, yet slightly overestimated DBP. The observer-device disagreement was −0.8 ± 6.4 mmHg SBP and +0.6 ± 4.0 mmHg DBP. Conclusion These data show that the Riester Big Ben Square Desk aneroid sphygmomanometer fulfilled the ESH-IP 2002 requirements for the validation of BP monitors. It was on this basis that the British and Irish Hypertension Society recommended it for clinical use in the adult population.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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