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Comparison of Auscultatory and Oscillometric Blood Pressures
Myung K. Park, MD;
Shirley W. Menard, RN, PhD;
Cheng Yuan, PhD
Arch Pediatr Adolesc Med. 2001;155:50-53.
Objective To study the differences in blood pressure readings between the auscultatory
and oscillometric (Dinamap model 8100; Critikon, Tampa, Fla) methods.
Design Survey of 2 blood pressure instruments.
Setting Public schools.
Participants Seven thousand two hundred eight schoolchildren aged 5 through 17 years.
Main Outcome Measure Blood pressure levels.
Results For all children combined, Dinamap systolic
pressure readings were 10 mm Hg higher (95% confidence interval, -4
to 24 mm Hg) than the auscultatory systolic pressure readings. Dinamap diastolic
pressure readings were 5 mm Hg higher (95% confidence interval, -14
to 23 mm Hg) than the auscultatory Korotkoff phase V diastolic pressure readings.
Conclusion These findings preclude the interchange of readings by the 2 methods.
Caution must be exercised in the diagnosis of hypertension when an automated
device is used.
From the Department of Pediatrics, School of Medicine (Dr Park), School
of Nursing (Dr Menard), and the Department of Computing Resources (Dr Yuan),
University of Texas Health Science Center, San Antonio.
Corresponding author and reprints: Myung K. Park, MD, Department
of Pediatrics, MSC 7734, University of Texas Health Science Center, 7703 Floyd
Curl Dr, San Antonio, TX 78229-3900 (e-mail: parkm{at}uthscsa.edu).
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