June 27, 2018BMJOpen Access

Prospective external validation of the Predicting Out-of-OFfice Blood Pressure (PROOF-BP) strategy for triaging ambulatory monitoring in the diagnosis and management of hypertension: observational cohort study

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Why the study?

Does the PROOF-BP algorithm accurately classify hypertensive status compared to daytime ABPM in patients referred for ABPM?

Structured PICO

Does the PROOF-BP algorithm accurately classify hypertensive status compared to daytime ABPM in patients referred for ABPM?

Population

887 consecutive patients aged 18 years or more referred for ambulatory blood pressure monitoring (ABPM) in routine clinical practice, mean age 52.8 years.

Intervention

Predicting Out-of-OFfice Blood Pressure (PROOF-BP) algorithm to triage patients for ambulatory blood pressure monitoring (ABPM)

Comparator

Reference standard of daytime ABPM (uniform referral for ABPM)

Outcome

Proportion of participants whose hypertensive status was correctly classified using the triaging strategy compared with the reference standard of daytime ABPMsurrogate

The PROOF-BP triaging algorithm accurately classifies hypertensive status in most patients, potentially reducing ABPM utilization by half compared to usual care.

Discussion

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Implication

Supports PROOF-BP triaging in referred patients; leaves open prospective validation before routine adoption.

Cite This Study

Sheppard et al. (2018) studied this question.

synapsesocial.com/papers/6a09e9cf36c3abab504623a2 https://doi.org/10.1136/bmj.k2478

Topics

Hypertension management

View Full Paper

Ask AI

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Prospective external validation of the Predicting Out-of-OFfice Blood Pressure (PROOF-BP) strategy for triaging ambulatory monitoring in the diagnosis and management of hypertension: observational cohort study

Structured PICO

Discussion

Implication

Cite This Study

Topics

Prospective external validation of the Predicting Out-of-OFfice Blood Pressure (PROOF-BP) strategy for triaging ambulatory monitoring in the diagnosis and management of hypertension: observational cohort study

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

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