appendix 1: accuracy criteria...

30 Appendix 1: Accuracy Criteria Tables These tables have been adapted from the dabl Educational Trust website (http://www.dableducational.org/accuracy_criteria.html)

ESH International Protocol [ESH-IP2] 2010

Sequential Measurements

IP Grading Part 1

N < 5mmHg < 10mmHg < 15mmHg

Two of 73 87 96

All of 65 81 93

IP Grading Part 2

N 2/3 < 5mmHg 0/3 < 5mmHg

At least 24

At most 3

ESH International Protocol [ESH-IP1] 2002


IP Grading Phase 1


At least one of 25 35 40

IP Grading Phase 2.1


Two of 65 80 95

All of 60 75 90

IP Grading Phase 2.2

N 2/3 < 5mmHg 0/3 < 5mmHg

At least 22

At most 3

BHS Revised Protocol (1993)


Grading

Grade < 5mmHg < 10mmHg < 15mmHg

A 60 85 95

http://www.dableducational.org/accuracy_criteria.html

31

B 50 75 90

C 40 65 85

D 0 0 0

BHS Protocol (Original 1990)

Simultaneous or Bracketed Sequential Measurements

Grading

Grade < 5mmHg < 10mmHg < 15mmHg

A 80 90 95

B 65 85 95

C 45 75 90

D 0 0 0

AAMI Protocol

Simultaneous Measurements

Grading

Grade Mean SD

Pass < 5mmHg and < 8mmHg

Fail > 5mmHg or > 8mmHg

32 Appendix 2: Search Strategy

Medline search strategy: 1. ((bp or blood pressure or hypertens*) adj5 (device* or monitor* or meter* or metre*)).tw. 2. exp Sphygmomanometers/ 3. sphygmomanometer*.tw. 4. 1 or 2 or 3 5. Blood Pressure Monitoring, Ambulatory/ 6. (ambulatory or abpm or 24h or 24hour or 24 hour* or daytime or day time or nighttime or night time or non dipper or nocturnal dip or white coat).tw. 7. 5 or 6 8. Calibration/ 9. "reproducibility of results"/ 10. exp "Sensitivity and Specificity"/ 11. diagnostic errors/ or false negative reactions/ or false positive reactions/ 12. (calibrat* or accura* or error* or inaccuracy or inaccurate or reliab* or unreliable or unreliability or valid* or invalid* or reproducib* or standard deviation or precis*).tw. 13. (false positiv or false negative).tw. 14. 8 or 9 or 10 or 11 or 12 or 13 15. 4 and 7 and 14 16. (blood pressure or bp or hypertension).tw. 17. blood pressure/ or hypertension/ 18. 16 or 17 19. ("A&D" or tm-2421 or tm-2430 or agilis or meditech or ABPM-04 or abpm-05 or mobil o graph or oscar or save 33 or schiller or br-102 or spacelabs or sl90207 or sl90217 or sl90202 or tensioday or welch allyn abpm or suntech or abp-2000 or daypress 500 or diasys or integra or es-h531 or nissei or tm-2420 or ch-druck or profilomat or quiettrak or quiet trak or bpro or advanced biosensor am5600 or bplab or cardiette BP one or jotatec or p24b or microlife watchBP or ds-250 or ds-240 or seinex or se-25m or tonoport or pressurometer IV or oscill-it or medilog abp or diasys 200 or accutracker or dyasis 300r or sl5200 or abpm 630 or colin abpm).tw. 20. 18 and 19 21. 15 or 20 22. exp animals/ not (exp animals/ and humans/) 23. 21 not 22 Embase search strategy: 1. ((bp or blood pressure or hypertens*) adj5 (device* or monitor* or meter* or metre*)).tw. 2. sphygmomanometer/ 3. sphygmomanometer*.tw. 4. 1 or 2 or 3 5. ambulatory monitoring/ 6. (ambulatory or abpm or 24h or 24hour or 24 hour* or daytime or day time or nighttime or night time or non dipper or nocturnal dip or white coat).tw. 7. 5 or 6 8. calibration/ 9. reproducibility/ 10. "sensitivity and specificity"/ 11. diagnostic accuracy/ 12. exp diagnostic error/ 13. (calibrat* or accura* or error* or inaccuracy or inaccurate or reliab* or unreliable or unreliability or valid* or invalid* or reproducib* or standard deviation or precis*).tw. 14. (false positiv or false negative).tw. 15. 8 or 9 or 10 or 11 or 12 or 13 or 14 16. 4 and 7 and 15 17. (bp or blood pressure or hypertens*).tw. 18. blood pressure/ or hypertension/ 19. 17 or 18 20. ("A&D" or tm-2421 or tm-2430 or agilis or meditech or ABPM-04 or abpm-05 or mobil o graph or oscar or save 33 or schiller or br-102 or spacelabs or sl90207 or sl90217 or sl90202 or tensioday or welch allyn abpm or suntech or abp-2000 or daypress 500 or diasys or integra or es-h531 or nissei or tm-2420 or ch-druck or profilomat or quiettrak or quiet trak or bpro or advanced biosensor am5600 or bplab or cardiette BP one or jotatec or p24b or microlife watchBP or ds-250 or ds-240 or seinex or se-25m or tonoport or pressurometer

33 IV or oscill-it or medilog abp or diasys 200 or accutracker or dyasis 300r or sl5200 or abpm 630 or colin abpm).tw. 21. 19 and 20 22. 16 or 21 23. limit 22 to human Cochrane Library search strategy: #1 ((bp or blood pressure or hypertens*) and (device* or monitor* or meter* or metre*)):ti,ab,kw #2 MeSH descriptor Sphygmomanometers explode all trees #3 (sphygmomanometer*):ti,ab,kw #4 (#1 OR #2 OR #3) in Title, Abstract or Keywords #5 MeSH descriptor Blood Pressure Monitoring, Ambulatory explode all trees #6 (ambulatory or abpm or 24h or 24hour or 24 hour* or daytime or day time or nighttime or night time or non dipper or nocturnal dip or white coat):ti,ab,kw #7 (#5 OR #6) in Title, Abstract or Keywords #8 MeSH descriptor Calibration explode all trees #9 MeSH descriptor Reproducibility of Results explode all trees #10 MeSH descriptor Sensitivity and Specificity explode all trees #11 MeSH descriptor Diagnostic Errors, this term only #12 MeSH descriptor False Positive Reactions explode all trees #13 MeSH descriptor False Negative Reactions explode all trees #14 (calibrat* or accura* or error* or inaccuracy or inaccurate or reliab* or unreliable or unreliability or valid* or invalid* or reproducib* or standard deviation or precis*):ti,ab,kw #15 (false positiv or false negative):ti,ab,kw #16 (#8 OR #9 OR #10 OR #11 OR #12 OR #13 OR #14 OR #15) in Title, Abstract or Keywords #17 (#4 AND #7 AND #16) in Title, Abstract or Keywords #18 (bp or blood pressure or hypertension):ti,ab,kw #19 "A&D" or tm-2421 or tm-2430 or agilis or meditech or ABPM-04 or abpm-05 or mobil o graph or oscar or save 33 or schiller or br-102 or spacelabs or sl90207 or sl90217 or sl90202 or tensioday or welch allyn abpm or suntech or abp-2000 or daypress 500 or diasys or integra or es-h531 or nissei or tm-2420 or ch-druck or profilomat or quiettrak or quiet trak or bpro or advanced biosensor am5600 or bplab or cardiette BP one or jotatec or p24b or microlife watchBP or ds-250 or ds-240 or seinex or se-25m or tonoport or pressurometer IV or oscill-it or medilog abp or diasys 200 or accutracker or dyasis 300r or sl5200 or abpm 630 or colin abpm:ti,ab,kw #20 (#18 AND #19) in Title, Abstract or Keywords #21 (#17 AND #20) in Title, Abstract or Keywords Cinahl search strategy: S23 S19 or S22 S22 S20 and S21 S21 TI ( "A&D" or tm-2421 or tm-2430 or agilis or meditech or ABPM-04 or abpm-05 or mobil o graph or oscar or save 33 or schiller or br-102 or spacelabs or sl90207 or sl90217 or sl90202 or tensioday or welch allyn abpm or suntech or abp-2000 or daypress 500 or diasys or integra or es-h531 or nissei or tm-2420 or ch-druck or profilomat or quiettrak or quiet trak or bpro or advanced biosensor am5600 or bplab or cardiette BP one or jotatec or p24b or microlife watchBP or ds-250 or ds-240 or seinex or se-25m or tonoport or pressurometer IV or oscill-it or medilog abp or diasys 200 or accutracker or dyasis 300r or sl5200 or abpm 630 or colin abpm ) or AB ( "A&D" or tm-2421 or tm-2430 or agilis or meditech or ABPM-04 or abpm-05 or mobil o graph or oscar or save 33 or schiller or br-102 or spacelabs or sl90207 or sl90217 or sl90202 or tensioday or welch allyn abpm or suntech or abp-2000 or daypress 500 or diasys or integra or es-h531 or nissei or tm-2420 or ch-druck or profilomat or quiettrak or quiet trak or bpro or advanced biosensor am5600 or bplab or cardiette BP one or jotatec or p24b or microlife watchBP or ds-250 or ds-240 or seinex or se-25m or tonoport or pressurometer IV or oscill-it or medilog abp or diasys 200 or accutracker or dyasis 300r or sl5200 or abpm 630 or colin abpm )TI ( "A&D" or tm-2421 or tm-2430 or agilis or meditech or ABPM-04 or abpm-05 or mobil o graph or oscar or save 33 or schiller or br-102 or spacelabs or sl90207 or sl90217 or sl90202 or tensioday or welch allyn abpm or suntech or abp-2000 or daypress 500 or diasys or integra or es-h531 or nissei or tm-2420 or ch-druck or profilomat or quiettrak or quiet trak or bpro or advanced biosensor am5600 or bplab or cardiette BP one or jotatec or p24b or microlife watchBP or ds-250 or ds-240 or seinex or s ...Show Less S20 TI ( bp or blood pressure or hypertens* ) or AB ( bp or blood pressure or hypertens* ) S19 S7 and S10 and S18 S18 S11 or S12 or S13 or S14 or S15 or S16 or S17

34 S17 TI ( calibrat* or accura* or error* or inaccuracy or inaccurate or reliab* or unreliable or unreliability or valid* or invalid* or reproducib* or standard deviation or precis* ) or AB ( calibrat* or accura* or error* or inaccuracy or inaccurate or reliab* or unreliable or unreliability or valid* or invalid* or reproducib* or standard deviation or precis* ) or TI ( false positive or false negative ) or AB ( false positive or false negative ) S16 (MH "Diagnostic Errors") S15 (MH "False Negative Results") S14 (MH "False Positive Results") S13 (MH "Sensitivity and Specificity") S12 (MH "Reproducibility of Results") S11 (MH "Calibration") S10 S8 or S9 S9 TI ( ambulatory or abpm or 24h or 24hour or 24 hour* or daytime or day time or nighttime or night time or non dipper or nocturnal dip or white coat ) or AB ( ambulatory or abpm or 24h or 24hour or 24 hour* or daytime or day time or nighttime or night time or non dipper or nocturnal dip or white coat ) S8 (MH "Blood Pressure Monitoring, Ambulatory") S7 S1 or S2 or S3 or S4 or S5 or S6 S6 (MH "Blood Pressure Devices+") S5 TI sphygmomanometer* or AB sphygmomanometer* S4 TI bp n5 metre* or AB bp n5 metre* or TI blood pressure n5 metre* or AB blood pressure n5 metre* or TI hypertens* n5 metre* or AB hypertens* n5 metre* S3 TI bp n5 meter* or AB bp n5 meter* or TI blood pressure n5 meter* or AB blood pressure n5 meter* or TI hypertens* n5 meter* or AB hypertens* n5 meter* S2 TI bp n5 device* or AB bp n5 device* or TI blood pressure n5 device* or AB blood pressure n5 device* or TI hypertens* n5 device* or AB hypertens* n5 device* S1 TI bp n5 monitor* or AB bp n5 monitor* or TI blood pressure n5 monitor* or AB blood pressure n5 monitor* or TI hypertens* n5 monitor* or AB hypertens* n5 monitor* Medion search strategy:

The search on Medion was conducted by looking for ―blood pressure‖ in the title.

35 Appendix 3: Data Extraction Sheet

Name of reviewer: Date of review: A. Details of the Paper 1. ID number of paper: 2. Author: 3. Title: 4. Year: 5. Source (e.g. journal title, website): 6. Identification of report Electronic database (specify) Citation Contact Other/ Unknown 7. Status Published In press Unpublished B. Population of the Study 1a. Planned size of the population group? 1b. Actual size of the population group? 2. Country of study 3. Age of the population group (specify mean age if recorded) 4. Gender of the population group

Males: Females: 5. Ethnicity of the population group 6. Any other important details about the population group (include e.g. reference to arm circumference range specified where relevant) 7. Has the device been validated for any of these special groups? Elderly patients (specify ages below if stated) Pregnancy Children (specify ages below if stated) Obese patients Use with atrial fibrillation

36

Not specified 8. Inclusion criteria 9. Exclusions C. Details of the Intervention 1a.Comparison ABPM (Auscultatory method) vs. Standard sphygmomanometer

ABPM (Oscillometric method) vs. Standard sphygmomanometer ABPM (Both methods) vs. Standard sphygmomanometer Not specified

1b. Definition of diastole (according to the auscultatory method) Korotkoff phase IV Korotkoff phase V Other Not specified Auscultatory method not used

2. Details of the monitoring

Ambulatory Test

Type of monitor used

Currently in use? (refer to BHS/dabl Educational trust websites)

Number of different monitors of this type tested

Number of measurements used

Who carried out the monitoring

Time of day of measurement (specify if daytime, night time or 24h)

Which arm was used

Was the patient rested before measurement/ was physical activity standardised

3. Was the execution of the tests described in sufficient detail to permit replication of the test?

37

Yes No Unclear 4. Were the measurements taken simultaneously or sequentially?

Simultaneously Sequentially Not specified 5. If sequentially, what was the order of the measurements?

Randomised Set pattern Other (please specify) N/A (measurements taken simultaneously)

6. If sequentially, what was the time period between the different methods of measurements? 7. What was the mean blood pressure across all the included participants? (as measured by reference standard) 8. What was the range of blood pressures all the included participants? (as measured by reference standard) D. Validation protocol used? 1. What validation protocol was used?

British Hypertension Society protocol (if yes, see 2a.) Association for the Advancement of Medical Instrumentation (if yes, see 2b.) European Society of Hypertension International Protocol (if yes, see 2c.) Other (please specify) Not specified

2. Has the validation protocol been following correctly?

a) British Hypertension Society protocol Correct sample size? (85 subjects) Correct age range? (15-80 years)

Correct SBP range? (90-180mmHg) or (100-240mmHg pre. 1993) Correct DBP range? (60-110mmHg) or (60-120mmHg pre. 1993) Correct number of measurements? (3 with each device) Correct reference device? (Standard mercury sphygmomanometer) Correct method of comparison? (Sequential) Total number of measurements? (255 with each device)

b) Association for the Advancement of Medical Instrumentation Correct sample size? (85 subjects) Age & gender noted?

38 Correct SBP range? (at least 10% below 100/60mmHg)

Correct DBP range? (at least 10% above 160/100mmHg) Correct number of measurements? (3 with each device) Correct reference device? (Standard mercury sphygmomanometer) Correct method of comparison? (Simultaneous) Total number of measurements? (255 with each device)

c) European Society of Hypertension protocol Correct sample size? (33 subjects) Correct age range? (>30 years) Correct gender distribution? (> 10 males, > 10 females)

Correct SBP range? (90-180mmHg) Correct DBP range? (40-130mmHg) Correct number of measurements? (3 with each device) Correct reference device? (Standard mercury sphygmomanometer) Correct method of comparison? (Sequential) Total number of measurements? (99 with each device)

F. Results 1. Mean and standard deviation of ambulatory blood pressure vs. reference

Measurement (Auscultatory)

Ambulatory Monitor

Reference Difference

Systolic

Diastolic

Measurement (Oscillometric)

Ambulatory Monitor

Reference Difference

Systolic

Diastolic

2. % of recorded values within 5, 10 and 15 mmHg of reference value

Measurement (Auscultatory)

<5 mmHg <10 mmHg <15 mmHg

Systolic

Diastolic

Measurement (Oscillometric)

<5 mmHg <10 mmHg <15 mmHg

Systolic

Diastolic

3. Did the ambulatory blood pressure monitor pass the validation protocol?

Yes No Unclear 4. If using BHS protocol, what specific grade? Systolic blood pressure measurements:

Diastolic blood pressure measurements:

39

Not specified 5. Any other significant issues to raise?

40 Appendix 4: List of studies included in data extraction but excluded from in-depth review

(as noted in Figure 1, in all but one case these studies were excluded as they assessed monitors not currently in use, according to the dabl Educational Trust or BHS websites)

Author(s) Title Journal details Year ABPM monitor

Abetel G, Haissly JC, Brunori A.

Evaluation of a new ambulatory blood pressure measuring device, the Sandoz Pressure System [translated]

Schweizerische Medizinische Wochenschrift. 119(49):1786-1790.

1989 Sandoz Pressure System

Appel LJ, Whelton PK, Seidler AJ, Patel AR, Klag MJ

The accuracy and precision of the Accutracker ambulatory blood pressure monitor.

American Journal of Epidemiology, 1990; 132(2):343-354.

1990 Accutracker

Boaventura I, Clara JG, Ramalhinho V, da Costa JN.

Ambulatory monitoring of blood pressure. Validation of a method [translated]

Revista Portuguesa de Cardiologia; 1991; 10(7-8):569-574.

1991 Medilog ABP

Brown MA, Buddle ML, Cario GM, Whitworth JA.

Ambulatory blood pressure monitoring during pregnancy. Comparison with mercury sphygmomanometry.

American Journal of Hypertension; 6(9):745-749.

1993 Accutracker II

Brugmann VU, Luther M

24-hour blood pressure monitoring. Validation of a new automatic device [translated]

Fortschritte der Medizin 1991; 109(35):717-720.

1991 Accutracker II

Chaves AM, Garcia RG, Gamboa W, Rodriguez L, Arenas IC, Villa-Roel H et al.

Construction and clinical validation of an automated measuring device for continuous non-invasive ambulatory blood pressure measurement. [translated]

Revista Colombiana de Cardiologia; 16(1):11-18.

2009 MAPA-FCV prototype#

Clark S, Hofmeyr GJ, Coats AJ, Redman CW.

Ambulatory blood pressure monitoring during pregnancy: validation of the TM-2420 monitor

Obstetrics and Gynecology; 77(1):152-155.

1991 TM-2420

Clark S, Fowlie S, Pannarale G, Bebb G, Coats A.

Age and blood pressure measurement: experience with the TM2420 ambulatory blood pressure monitor and elderly people.

Age and Ageing; 21(6):398-403.

1992 TM-2420

Eidemak I, Hoegholm A, Kristensen KS, Madsen NH, Nielsen HS.

The new ambulatory non-invasive 24-hour blood pressure monitoring system, Takeda Medical TM 2420. Reliability and practical experiences [translated]

Ugeskrift For Laeger; 1991; 153(5):335-338.

1991 TM-2420

Fitzgerald D, O'Donnell D, Brennan M,

Accuracy and reliability of the Del Mar Avionics pressurometer III.

Journal of Hypertension; 1985;

1985 Del Mar Avionics Pressurometer

41 O'Malley K, O'Brien E.

3(3):S359-S361. III

Fitzgerald DJ, O'Callaghan WG, McQuaid R.

Accuracy and reliability of two indirect ambulatory blood pressure recorders: Remler M2000 and Cardiodyne Sphygmolog.

British Heart Journal; 48(6):572-579.

1982 Remler M2000; Cardiodyne Sphygmolog*

Franx A, Van Der Post JAM, van Montfrans GA, Bruinse HW.†

Comparison of an auscultatory versus an oscillometric ambulatory blood pressure monitor in normotensive, hypertensive, and preeclamptic pregnancy.

Hypertension in Pregnancy; 16(2):187-202.

1997 Profilomat

Ganslmayer M, Perret F, Waeber B, Nussberger J, Brunner HR.

Preliminary evaluation of the Profilomat, a new portable blood pressure recorder [translated]

Schweizerische Medizinische Wochenschrift; 122(15):544-548.

1992 Profilomat

Germano G, Caparra A, Valentino S, Coia F, Federico L, Santucci A.

A validation of the data obtained with the simultaneous recording of blood pressure and the 24-hour electrocardiogram [translated]

Cardiologia, 1993; 38(6):383-392.

1993 Micro AM

Germano G, Muscolo M, Angotti S, Bravo S, Codispoti P, Federico L et al.

Evaluation of a new ambulatory blood pressure device.

American Journal of Hypertension; 11(12):1486-1491.

1998 OSCILL-IT

Gould BA, Hornung RS, Kieso HA, Altman DG, Cashman PM, Raftery EB.

Evaluation of the Remler M2000 blood pressure recorder. Comparison with intraarterial blood pressure recordings both at hospital and at home.

Hypertension; 6(2 Pt 1): 209-215.

1984 Remler M2000

Gould BA, Hornung RS, Cashman PM, Altman D, Raftery EB.

An evaluation of the Avionics Pressurometer III 1978 at home and in hospital.

Clinical Cardiology; 9(7):335-343.

1986 Del Mar Avionics Pressurometer III

Harshfield GA, Hwang C, Grim CE.

A validation study of the Del Mar Avionics Pressurometer IV according to AAMI guidelines.

Journal of Hypertension; 1988; 6(11):913-918.

1988 Del Mar Avionics Pressurometer IV

Harshfield GA, Pickering TG, Laragh JH.

A validation of the Del Mar Avionics ambulatory blood pressure system.

Ambul Electrocardiogr.;1:7-12.

1979 Del Mar Avionics Pressurometer II

Hoegholm A, Eidemak I, Kristensen KS, Bang LE,

Clinical evaluation of the Takeda Medical (A & D) TM 2420 ambulatory blood pressure monitor. Practical experience and comparison with direct

Scandinavian Journal of Clinical and Laboratory Investigation; 1992;

1992 TM-2420

42 Madsen NH. and indirect measurements. 52(4):261-268.

Hope SL, Alun-Jones E, Sleight P.

Validation of the accuracy of the Medilog ABP non-invasive blood-pressure monitor

Journal of Ambulatory Monitoring; 1988;1:39-51.

1988 Medilog ABP

Imai Y, Abe K, Sasaki S, Minami N, Munakata M, Sekino H et al.

Determination of clinical accuracy and nocturnal blood pressure pattern by new portable device for monitoring indirect ambulatory blood pressure.

American Journal of Hypertension; 1990; 3(4):293-301.

1990 Colin ABPM 630

Imai Y, Sasaki S, Minami N, Munakata M, Hashimoto J, Sakuma H et al.

The accuracy and performance of the A&D TM 2421, a new ambulatory blood pressure monitoring device based on the cuff-oscillometric method and the Korotkoff sound technique.

American Journal of Hypertension; 1992; 5(10):719-726.

1992 TM-2420; TM-2421*

Imai Y, Hashimoto J, Minami N, Munakata M, Watanabe N, Sakuma H et al.

Accuracy and performance of the Terumo ES-H51, a new portable blood pressure monitor.

American Journal of Hypertension. 1994;7(3):255-260

1994 Terumo ES-H51

Jamieson MJ, Fowler G, MacDonald TM, Webster J, Witte K, Lawson L et al.

Bench and ambulatory field evaluation of the A & D TM-2420 automated sphygmomanometer.

Journal of Hypertension; 1990; 8(7):599-605.

1990 TM-2420

Johnson AG, Nuygen TV, Day RO.

Evaluation of the accuracy and reproducibility of ambulatory blood pressure monitoring in the very elderly using the Takeda TM-2420.

Journal of Human Hypertension; 1994; 8(6):433-439.

1994 TM-2420

Jyothinagaram SG, Watson D, Padfield PL.

Suntech Accutracker ambulatory blood pressure monitor -clinical validation.

Journal of Ambulatory Monitoring; 3:63-67.

1990 Accutracker

Keavney B, Bird R, Caiazza A, Casadei B, Conway J.

Measurement of blood pressure using the auscultatory and oscillometric methods in the same cuff deflation: validation and field trial of the A&D TM2421 monitor.

Journal of Human Hypertension; 2000; 14(9):573-579.

2000 TM-2421

Kelly JJ, Hunyor SN, Ho KY.

Evaluation of the reproducibility and accuracy of ambulatory blood pressure monitoring using the Takeda TM-2420 automated blood pressure monitor.

Clinical and Experimental Hypertension; 1993; 15(2):271-287.

1993 TM-2420

Kuwajima I, Nishinaga M, Kanamaru A

The accuracy and clinical performance of a new compact ambulatory blood pressure monitoring device, the ES-H531.

American Journal of Hypertension; 1998; 11(11 Pt 1):1328-1333.

1998 Terumo ES-H531

Livi R, Teghini L, Cagnoni S,

Simultaneous and sequential same-arm measurements in the validation

American Journal of Hypertension; 1996;

1996 Daypress 500

43 Scarpelli PT. studies of automated blood pressure

measuring devices. 9(12 Pt 1):1228-1231.

McGrath BP, Syme S, Blake D.

Evaluation of the "accutracker", a non-invasive ambulatory blood pressure recorder

Australian and New Zealand Journal of Medicine, 1988;365.

1988 Accutracker

Mee F, Atkins N, O'Brien E.

Evaluation of the Profilomat II ambulatory blood pressure system according to the protocols of the British Hypertension Society and the Association for the Advancement of Medical Instrumentation.

Blood Pressure Monitoring 1998; 3(6):353-361.

1998 Profilomat II

Mee F, Atkins N, O‘Brien E.

Validation of the Nissei DS-240 ambulatory blood pressure measuring system as determined by the British Hypertension Society protocol

J Hum Hypertens. 1994;8:295.

1994 Nissei DS-240

Modesti PA, Gensini GF, Conti C, Neri Serneri GG.

Clinical evaluation of an automatic blood-pressure monitoring device

Journal of Clinical Hypertension, 3(4):631-644.

1987 SpaceLabs ICR-5200

Modesti PA, Gensini GF, Brogi E, Neri Serneri GG

Clinical evaluation of a novel ambulatory automatic blood pressure monitoring system

Angiology, 41(10):855-861


Mora-Macia J, Ocon Pujadas J.

Validation of a model of an automatic device for the ambulatory monitoring of blood pressure: the Spacelab 5200 [translated]

Medicina Clinica (Barcelona), 1992; 98(9):321-324.

1992 Spacelabs 5200

Mora-Macia J, Ocon Pujadas JM, Donate Cubells T, del Rio Perez G.

The evaluation of a noninvasive monitor to record ambulatory arterial pressure: the DIASYS 200 Novacor [translated]

Medicina Clinica (Barcelona), 1993; 101(12):450-454.

1993 DIASYS 200

Natarajan P, Shennan AH, Penny J, Halligan AW, De Swiet M, Anthony J.†

Comparison of auscultatory and oscillometric automated blood pressure monitors in the setting of preeclampsia.

American Journal of Obstetrics & Gynecology, 181(5 Pt 1):1203-1210.

1999 Welch Allyn QuietTrak

Nelson KS, Weber RR, Elliott WJ, Zebrauskas D, Murphy MB

Evaluation of the Suntech Accutracker. A novel noninvasive ambulatory blood pressure monitor

American Journal of Hypertension, 1(3 Pt 3):121S-123S.

1988 Accutracker

Nicholson WR, Matthews JN, O'Sullivan JJ, Wren C

Ambulatory blood pressure monitoring Archives of Disease in Childhood, 1993; 69(6):681-684.

1993 TM-2420/TM-2020

O'Brien E, Mee F, Atkins N, O'Malley K.

Accuracy of the Novacor DIASYS 200 determined by the British Hypertension Society protocol.

Journal of Hypertension, 9(6):569-570.

1991 Novacor DIASYS 200

44 O'Brien E, Mee F, Atkins N, O'Malley K.

Evaluation of the SpaceLabs 90202 non-invasive ambulatory recorder according to the AAMI Standard and BHS criteria.

Journal of Human Hypertension; 5(3):223-226.

1991 SpaceLabs 90202

O'Brien E, Mee F, Atkins N, O‘Malley K.

Accuracy of the CH-Druck pressure ERKA ambulatory blood pressure measuring system determined by the British Hypertension Society protocol.

J Hypertens. 1993;11(suppl 22):S1-S7.

1993 CH-Druck/Pressure Scan ERKA

O'Brien E, Mee F, Atkins N, O‘Malley K.

Accuracy of the Profilomat ambulatory blood pressure measuring system determined by the British Hypertension Society protocol.

Journal of Hypertension 1993; 11(suppl 22):S9-S15.

1993 Profilomat


Accuracy of the Del Mar Avionics Pressurometer IV determined by the British Hypertension Society protocol.

Journal of Hypertension; 9(6):567-568.



Accuracy of the Takeda TM-2420/TM-2020 determined by the British Hypertension Society protocol.


1991 TM-2420/TM-2020

O‘Brien E, Atkins N, Sheridan N, Killeen C, Costelloe R, Lydon S, O‘Malley K.

Evaluation of the Accutracker II non-invasive ambulatory blood pressure recorder according to the AAMI standard.

Journal of Ambulatory Monitoring 1991;4:27-33.

1991 Accutracker II

O'Brien E, Mee F, Atkins N.

Evaluation of the Schiller BR-102 ambulatory blood pressure system according to the protocols of the British Hypertension Society and the Association for the Advancement of Medical Instrumentation.

Blood Pressure Monitoring, 1999; 4(1):35-43.

1999 Schiller BR-102

O'Sullivan JJ, Derrick G, Griggs PE, Wren C.

Validation of the Takeda 2421 ambulatory blood pressure monitor in children.

Journal of Medical Engineering and Technology, 22(3):101-105.

1998 TM-2421

Pagny JY, Chatellier G, Devries C, Janod JP, Corvol P, Menard J.

Comparison of ambulatory blood pressure determinations using the Remler and Spacelabs devices

Archives des maladies du coeur et des vaisseaux, 1986; 79(6):901-906.

1986 Remler M2000

Pannarale G, Bebb G, Clark S, Sullivan A, Foster C, Coats AJ.†

Bias and variability in blood pressure measurement with ambulatory recorders.

Hypertension, 1993; 22(4):591-598.

1993 TM-2420

Penny JA, Shennan AH, Rushbrook J, Halligan AW, Taylor DJ, De

Validation of the Welch Allyn QuietTrak ambulatory blood pressure monitor in pregnancy.

Hypertension in Pregnancy, 1996; 15(3):313-321.


45 Swiet M

Phillips DI, Braithwaite J, Newcombe RG, Lazarus JH

A clinical evaluation of the Accutracker--a lightweight ambulatory blood pressure monitor.

Journal of Human Hypertension, 1989; 3(6):463-465.

1989 Accutracker

Porchet M, Nussberger J, Brunner HR, Waeber B

Blood pressure recording in outpatient service: experience with the Sandoz Pressure System [translated]

Schweizerische Rundschau fur Medizin/Praxis; 1993; 82(11):320-322.

1993 Sandoz Pressure System

Radaelli A, Coats AJS, Clark R, Bird R, Sleight P.

The effects of posture and activity on the accuracy of ambulatory blood pressure recording: a validation of the Oxford Medilog system.

J Ambulatory Monitoring, 1990; 3:155-161.

1990 Medilog ABP

Russell AE, Tonkin AL, Wing LM, Hassam RM, McRitchie RJ, Aylward PE et al.

Accuracy of the Takeda TM-2420 ambulatory blood pressure monitor.

Clinical and Experimental Hypertension, 1989; 16(4):253-256.

1989 TM-2420

Santucci S, Cates EM, James GD, Schussel YR, Steiner D, Pickering TG.

A comparison of two ambulatory blood pressure monitors, the Del Mar Avionics Pressurometer IV and the Spacelabs 90202.

American Journal of Hypertension, 1989; 2(10):797-799.

1989 Del Mar Avionics Pressurometer IV; SpaceLabs 90202*

Schaller MD, Jacot des Combes B, Waeber B, Porchet M, Brunner HR.

Usefulness of the Remler device in avoiding overtreatment of the so-called hypertensive population [translated]

Schweizerische Medizinische Wochenschrift. 113(52):2004-2005.

1983 Remler M2000

Sun M, Tien J, Jones R, Ward R

A new approach to reproducibility assessment: clinical evaluation of SpaceLabs Medical oscillometric blood pressure monitor

Biomedical Instrumentation and Technology; 30(5):439-448.

1996 SpaceLabs 90449

Taylor R, Chidley K, Goodwin J, Broeders M, Kirby B.

Accutracker II (version 30/23) ambulatory blood pressure monitor: clinical validation using the British Hypertension Society and Association for the Advancement of Medical Instrumentation standards


1993 Accutracker II

Tochikubo O, Kaneko Y, Yokoi H, Yukinari Y.

A new portable device for recording 24-h indirect blood pressure in hypertensive outpatients

Journal of Hypertension, 3(3):S355-S357.

1985 BP-24 (TM-2410)

Tochikubo O, Minamisawa K, Miyajima E, Ishii M, Yanaga A,

A new compact 24-hour indirect blood-pressure recorder and its clinical application.

Japanese Heart Journal, 29(3):257-269.

1988 TM-2420

46 Yukinari Y.

Van Ittersum FJ, Wijering RMJ, Lambert J, Donker AJM, Stehouwer CDA.

Determinants of the limits of agreement between the sphygmomanometer and the SpaceLabs 90207 device for blood pressure measurement in healthy volunteers and insulin-dependent diabetic patients


1998 SpaceLabs 90207**

White WB, Schulman P, McCabe EJ, Nardone MB.

Clinical validation of the accutracker, a novel ambulatory blood pressure monitor using R-wave gating for Korotkoff sounds

Journal of Clinical Hypertension; 3(4):500-509.

1987 Accutracker

White WB, Lund-Johansen P, McCabe EJ.

Clinical evaluation of the Colin ABPM 630 at rest and during exercise: An ambulatory blood pressure monitor with gas-powered cuff inflation.


1989 Colin ABPM 630

White WB, Lund-Johansen P, McCabe EJ, Omvik P

Clinical evaluation of the Accutracker II ambulatory blood pressure monitor: assessment of performance in two countries and comparison with sphygmomanometry and intra-arterial blood pressure at rest and during exercise.


1989 Accutracker II

White WB, Pickering TG, Morganroth J, James GD, McCabe EJ, Moucha O et al.

A multicenter evaluation of the A&D TM-2420 ambulatory blood pressure recorder.


1991 TM-2420

White WB, Susser W, James GD, Marra L, McCabe EJ, Pickering TG et al.

Multicenter assessment of the QuietTrak ambulatory blood pressure recorder according to the 1992 AAMI guidelines.



Zabludowski JR, Rosenfeld JB.

Validation study of two automated ambulatory blood pressure monitors--the Spacelabs and Oxford apparatuses.

Israel Journal of Medical Sciences; 27(2):95-98.

1991 Oxford; SpaceLabs 5200*

Notes # We could find no record of this monitor on either the dabl Educational Trust or BHS websites, or any reference to this monitor outside this study – however it may be currently available at least in Colombia, from where both the study and monitor originate * Two different monitors assessed in study (both currently not in use) † Paper included in in-depth review because it also assessed a monitor currently in use ** Paper excluded as analysis did not present SD or % with 5mmHg (i.e. did assess a monitor currently in use)

appendix 1: accuracy criteria...

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