P069 VALIDATION STATUS OF BLOOD PRESSURE MONITORS FOR PUBLIC SPACES (KIOSK): STRIDE BP SYSTEMATIC REVIEW

Background and Objective: Blood pressure (BP) measurement in public spaces using kiosk devices may be useful in improving hypertension awareness and control. Validation studies of kiosk devices using an established protocol are necessary prior to their use. Methods: A PubMed search was performed using the following algorithm: (kiosk OR “public spaces” OR “public space” OR pharmacy OR “public use” OR “waiting room” OR “self-screening”) AND (“blood pressure”), until May 25, 2024. Results: An initial search retrieved 307 articles of which 8 were included in the systematic review (Table). 11 validation studies were conducted according to established validation protocols evaluating the accuracy of 8 kiosk BP monitors. All devices were single solid wide-range cuff devices, 3 were embedded in health stations, and 5 were portable. Four validation studies used the Association for the Advancement of Medical Instrumentation (AAMI) 1987/1992/2002 protocol, 4 used the British Society of Hypertension (BHS) 1993 protocol, and each of the remaining studies used the European Society of Hypertension International Protocol (ESH-IP) 2010, the American National Standards Institute (ANSI)/AAMI/International Organization for Standardization (ISO) 2013 protocol, and the 2018 AAMI/ESH/ISO Universal Standard (ISO 81060-2:2018), respectively. All studies were conducted in general populations. Two validation studies regarding a single device concluded that the accuracy criteria were not fulfilled and the device cannot be recommended for use. The remaining studies concluded that the devices under test were accurate and can be recommended for use. However, two of these validation studies were rejected by the STRIDE BP review process due to major protocol violations (single observer for reference BP measurement in one study; no report of validation criterion 2 in the second). Conclusions: Kiosk BP measurement in public spaces is an emerging but inadequately investigated BP monitoring method. Although kiosk BP measurement has considerable potential in hypertension screening and monitoring, more research is needed to promote the use of properly validated devices. Table. Published validation studies of kiosk blood pressure monitors.