Patient-Specific Oscillometric Blood Pressure Measurement

Jiankun Liu, Hao Min Cheng, Chen Huan Chen, Shih Hsien Sung, Mohsen Moslehpour, Jin Oh Hahn, Ramakrishna Mukkamala*

*此作品的通信作者

研究成果: Article同行評審

44 引文 斯高帕斯(Scopus)

摘要

Objective: Most automatic cuff blood pressure (BP) measurement devices are based on oscillometry. These devices estimate BP from the envelopes of the cuff pressure oscillations using fixed ratios. The values of the fixed ratios represent population averages, so the devices may only be accurate in subjects with normal BP levels. The objective was to develop and demonstrate the validity of a patient-specific oscillometric BP measurement method. Methods: The idea of the developed method was to represent the cuff pressure oscillation envelopes with a physiologic model, and then estimate the patient-specific parameters of the model, which includes BP levels, by optimally fitting it to the envelopes. The method was investigated against gold standard reference BP measurements from 57 patients with widely varying pulse pressures. A portion of the data was used to optimize the patient-specific method and a fixed-ratio method, while the remaining data were used to test these methods and a current office device. Results: The patient-specific method yielded BP root-mean-square-errors ranging from 6.0 to 9.3 mmHg. On an average, these errors were nearly 40% lower than the errors of each existing method. Conclusion: The patient-specific method may improve automatic cuff BP measurement accuracy. Significance: A patient-specific oscillometric BP measurement method was proposed and shown to be more accurate than the conventional method and a current device.

原文English
文章編號7299264
頁(從 - 到)1220-1228
頁數9
期刊IEEE Transactions on Biomedical Engineering
63
發行號6
DOIs
出版狀態Published - 6月 2016

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