Objective: Clinical evaluation and user experience of the Cloud DX connected HealthKit Pulsewave wrist cuff blood pressure monitor (CDXP) for home blood pressure monitoring during pregnancy.
Methods: In the first phase, an adjusted version of the European Society of Hypertension International Protocol Revision 2010 was used to compare the CDXP and Omron M6 Comfort to the gold standard, the aneroid manometer, In the second phase, we evaluated the performance of home blood pressure measurement (HMBPM) by the CDXP to standard hospital blood pressure measurement with the Welch Allyn 53000P. Additionally, patients filled out a questionnaire regarding user experience.
Results: In 34 pregnant patients the blood pressure measured by the CDXP did not differ from the aneroid manometer, while the Omron M6 Comfort measured the systolic blood pressure slightly higher (1.5 ± 5.8 mmHg (p = 0.04)) and diastolic blood pressure slightly lower (-2.8 ± 5.8 mmHg (p < 0.01)) as compared to the aneroid manometer. In 32 patients the systolic blood pressure of home blood pressure measurement with the CDXP was significantly lower than the single standard hospital measurements. The mean system usability scaled score was high (85%). Of all patients, 97% reported they liked the idea of home monitoring and would like to use it in the future.
Conclusion: The CDXP measured blood pressure correctly, even slightly better than the Omron M6 Comfort and gives a better representation of the blood pressure during the day at home than a single hospital measurement. Pregnant patients are positive about HMBPM and find the CDXP easy to use.
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| http://dx.doi.org/10.1016/j.preghy.2022.01.004 | DOI Listing |
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