| A new solar-powered blood pressure measuring device for low-resource settings. | |
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MedLine Citation:
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PMID: 21059998 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The management of high blood pressure (BP) is particularly inadequate in low-income countries, where the unavailability of a reliable, durable, and affordable BP-measurement device is a major obstacle to accurate diagnosis. Recognizing this, a World Health Organization committee was established to correct this deficiency by influencing manufacturers to produce a device according to predetermined criteria and to demonstrate the suitability of the device for low resource settings. A device, which fulfilled stipulated criteria in being inexpensive, semiautomated, and solar powered, was validated according to the International Protocol of the European Society of Hypertension; it was then subjected to field testing in 716 subjects from 2 centers in Uganda and 1 in Zambia. The Omron HEM-SOLAR having previously fulfilled accuracy criteria of the International Protocol for both systolic blood pressure (SBP) and diastolic blood pressure (DBP), fulfilled criteria for SBP, but not for DBP, when revalidated. In field testing, average SBPs and DBPs were 120.5 ± 21.6/74.6 ± 13.8 mm Hg and 122.3 ± 21.8/71.2 ± 14.0 mm Hg, respectively, with the auscultatory technique and the Omron HEM-SOLAR, respectively. Between-device agreement in defining SBP was 93.7%. The Omron HEM-SOLAR was favored over the mercury sphygmomanometer by both patients and investigators. In summary, considering the accuracy, robustness, relatively low cost, operational simplicity, and advantages such as solar power, the Omron HEM-SOLAR is likely to be a valuable device for improving BP measurement in low-resource settings with nonphysician health workers. |
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Authors:
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Gianfranco Parati; Michael Ochan Kilama; Andrea Faini; Elisa Facelli; Kenneth Ochen; Cyprian Opira; Shanthi Mendis; Jiguang Wang; Neil Atkins; Eoin O'Brien |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2010-11-08 |
Journal Detail:
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Title: Hypertension Volume: 56 ISSN: 1524-4563 ISO Abbreviation: Hypertension Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-18 Completed Date: 2010-12-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7906255 Medline TA: Hypertension Country: United States |
Other Details:
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Languages: eng Pagination: 1047-53 Citation Subset: IM |
Affiliation:
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Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Belfield, Dublin 4, Ireland. eobrien@iol.ie. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Blood Pressure Determination / economics, instrumentation*, standards Durable Medical Equipment Equipment Design Humans Hypertension / diagnosis* Male Middle Aged Reproducibility of Results Solar Energy* Uganda Young Adult Zambia |
| Comments/Corrections | |
Comment In:
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Hypertension. 2010 Dec;56(6):1038-9
[PMID:
21059994
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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