Resultado da campanha de avaliaçäo da calibraçäo e condiçäo de esfignomanômetros / The results of the campaing for evaluating sphygmomanometers accuracy and their physical conditions

ABSTRACT

OBJECTIVE: To evaluate the sphygmomanometers calibration accuracy and the physical conditions of the cuff-bladder, bulb, pump, and valve. METHODS: Sixty hundred and forty five aneroid phygmomanometers were evaluated, 521 used in private practice and 124 used in hospitals. Aneroid manometers were tested against a properly calibrated mercury manometer and were considered calibrated when the error was £3mm Hg. The physical conditions of the cuffs-bladder, bulb, pump, and valve were also evaluated. RESULTS: Of the aneroid sphygmomanometers tested, 51 per cent of those used in private practice and 56 per cent of those used in hospitals were found to be not accurately calibrated. Of these, the magnitude of inaccuracy ranged from 4 to 8mm Hg in 70 per cent and 51 per cent of the devices, respectively. The problems found in the cuffs - bladders, bulbs, pumps, and valves of the private practice and hospital devices were bladder damage (34 per cent vs. 21 per cent, respectively), holes/leaks in the bulbs (22 per cent vs. 4 per cent, respectively), and rubber aging (15 per cent vs. 12 per cent, respectively). Of the devices tested, 72 per cent revealed at least one problem interfering with blood pressure measurement accuracy. CONCLUSION: Most of the manometers evaluated, whether used in private practice or in hospitals, were found to be inaccurate and unreliable, and their use may jeopardize the diagnosis and treatment of arterial hypertension.