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  4. Evaluation of a new smartphone optical blood pressure application (OptiBP™) in the post-anesthesia care unit: a method comparison study against the non-invasive automatic oscillometric brachial cuff as the reference method.
 
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Titre

Evaluation of a new smartphone optical blood pressure application (OptiBP™) in the post-anesthesia care unit: a method comparison study against the non-invasive automatic oscillometric brachial cuff as the reference method.

Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Journal of Clinical Monitoring and Computing  
Auteur(s)
Desebbe, O.
Auteure/Auteur
El Hilali, M.
Auteure/Auteur
Kouz, K.
Auteure/Auteur
Alexander, B.
Auteure/Auteur
Karam, L.
Auteure/Auteur
Chirnoaga, D.
Auteure/Auteur
Knebel, J.F.
Auteure/Auteur
Degott, J.
Auteure/Auteur
Schoettker, P.
Auteure/Auteur
Michard, F.
Auteure/Auteur
Saugel, B.
Auteure/Auteur
Vincent, J.L.
Auteure/Auteur
Joosten, A.
Auteure/Auteur
Liens vers les personnes
Schoettker, Patrick  
Liens vers les unités
Anesthésiologie  
ISSN
1573-2614
Statut éditorial
Publié
Date de publication
2022-10
Volume
36
Numéro
5
Première page
1525
Dernière page/numéro d’article
1533
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
We compared blood pressure (BP) values obtained with a new optical smartphone application (OptiBP™) with BP values obtained using a non-invasive automatic oscillometric brachial cuff (reference method) during the first 2 h of surveillance in a post-anesthesia care unit in patients after non-cardiac surgery. Three simultaneous BP measurements of both methods were recorded every 30 min over a 2-h period. The agreement between measurements was investigated using Bland-Altman and error grid analyses. We also evaluated the performance of the OptiBP™ using ISO81060-2:2018 standards which requires the mean of the differences ± standard deviation (SD) between both methods to be less than 5 mmHg ± 8 mmHg. Of 120 patients enrolled, 101 patients were included in the statistical analysis. The Bland-Altman analysis demonstrated a mean of the differences ± SD between the test and reference methods of + 1 mmHg ± 7 mmHg for mean arterial pressure (MAP), + 2 mmHg ± 11 mmHg for systolic arterial pressure (SAP), and + 1 mmHg ± 8 mmHg for diastolic arterial pressure (DAP). Error grid analysis showed that the proportions of measurement pairs in risk zones A to E were 90.3% (no risk), 9.7% (low risk), 0% (moderate risk), 0% (significant risk), 0% (dangerous risk) for MAP and 89.9%, 9.1%, 1%, 0%, 0% for SAP. We observed a good agreement between BP values obtained by the OptiBP™ system and BP values obtained with the reference method. The OptiBP™ system fulfilled the AAMI validation requirements for MAP and DAP and error grid analysis indicated that the vast majority of measurement pairs (≥ 99%) were in risk zones A and B.Trial Registration ClinicalTrials.gov Identifier: NCT04262323.
Sujets

Anesthesia

Blood Pressure/physio...

Blood Pressure Determ...

Blood Pressure Monito...

Humans

Oscillometry

Smartphone

Arterial hypertension...

Hemodynamic

Hemodynamic monitorin...

Mobile health

Mobile phone

Postoperative

PID Serval
serval:BIB_DB3637B5D2C2
DOI
10.1007/s10877-021-00795-w
PMID
34978654
WOS
000737740900003
Permalien
https://iris.unil.ch/handle/iris/246545
Date de création
2022-01-11T12:49:36.702Z
Date de création dans IRIS
2025-05-21T06:20:14Z
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