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• W2894857962 abstract "Objective: To evaluate the diagnostic performance of successive blood pressure (BP) measurements, using as gold standard 24-hour blood pressure average (24BPa). Design and method: 852 patients have had their BP measured: 7 successive nurse measures using automated equipment, and 24 hour ambulatory blood pressure monitoring (ABPM), both were made following protocols of european guidelines. Also, all of them have had their BP measured in doctor's office, and they were referred to ABPM because off a newly diagnosed high blood pressure or uncontrol treated hypertension. Were compared with 24BPa, doctors readings BP average (OBPa) and 2 averages of nurse measurements: 3–7BPa (3 to 7) and 1–7BPa (1 to 7). We calculated sensitivity, specificity, area under the ROC curve (AUC), and Bland Altman plot to evaluate agreement between OBPa or 3–7BPa against 24BPa. Results: It were analyzed data from 834 patients, after the exclusion of 18 patients whose ABPM didn’t met quality criteria. The best performances of specificity occurred with 3–7BPa and 1–7BPa, (83.0% and 81.5% respectively) and sensitivity of DBPa (89.5%). The lower specificity occurred with OBPa (26.2%) and sensitivity of 3–7BPa (62.3%) (table 1). In Figure 1 are showed the results of AUC, 3–7BPa and 1–7BPa reached the same results (0.81-systolic and 0.83-diastolic) and it was better than OBPa (0.68 systolic and diastolic). Table 2 shows the systolic and diastolic BP mean of tested and standard measurements The lowest average difference between the tests and 24BPa was reached with 3–7BPa (7/5 mmHg), and highest it was with OBPa (24/13mmHg). In figure 2, there are represented Bland Altman plot of the differences in BP between 3–7BPa or OBPa and 24BPa. It can note, smaller dispersion of values in 3–7BPa than in OBPa showing a better agreement with 24 hours average.Conclusions: 3–7BPa and 1–7BPa demonstrated high specificity and better diagnostic performance than OBPa. Health care systems of low and middle income economies, as Brazil, could have benefits in quality decision making in hypertension with adoption of this technique." @default.
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• W2894857962 date "2015-06-01" @default.
• W2894857962 modified "2023-09-25" @default.
• W2894857962 title "PP.03.07" @default.
• W2894857962 doi "https://doi.org/10.1097/01.hjh.0000467790.62906.93" @default.
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