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. 2017 Apr;19(4):381-387.
doi: 10.1111/jch.12943. Epub 2016 Nov 7.

Can auscultatory blood pressure normative values be used for evaluation of oscillometric blood pressure in children?

Terezie Šuláková  1 , Astrida Šuláková  1 , Jiří Strnadel  1 , Jan Pavlíček  1 , Barbora Obermannová  2 , Janusz Feber  3
Affiliations

Can auscultatory blood pressure normative values be used for evaluation of oscillometric blood pressure in children?

Terezie Šuláková et al. J Clin Hypertens (Greenwich). 2017 Apr.

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.

Keywords: auscultatory normative values; blood pressure; children; oscillometric normative values.

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Conflict of interest statement

The authors have nothing to disclose nor have any competing financial interest in relation to the work described.

Figures

Figure 1
Figure 1
Correlation between the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) and the Fourth Task Force (4TF) formulas for systolic blood pressure (SBP) and diastolic blood pressure (DBP). sds indicates standard deviation score
Figure 2
Figure 2
Bland‐Altman analysis of German Health Interview and Examination Survey for Children and Adolescents (KiGGS) and Fourth Task Force (4TF) formulas for systolic blood pressure (SBP) and diastolic blood pressure (DBP). SD indicates standard deviation; sds, standard deviation score
Figure 3
Figure 3
Receiver operating characteristic analysis in German Health Interview and Examination Survey for Children and Adolescents (KiGGS) and Fourth Task Force (4TF) formulas for systolic blood pressure (SBP) and diastolic blood pressure (DBP). AUC indicates area under the curve; HTN, hypertension; NT, normotension; SDS, standard deviation score
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