The Relationship Between Preoperative and Primary Care Blood Pressure Among Veterans Presenting from Home for Surgery
Why the study?
Does day-of-surgery blood pressure measurement predict subsequent primary care blood pressure elevation in veterans presenting for surgery?
Population
2807 veteran patients who arrived from home for surgery and were subsequently evaluated within 6 months…
Comparison
Day-of-surgery blood pressure measurement and… vs Subsequent primary care blood pressure…
Design
Cohort
Follow-up
within 6 months after surgery
Authors
Discussion
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Member takes
Implication
Day-of-surgery SBP warrants caution for hypertension assessment; leaves open threshold-based screening for primary care referrals in veterans.
Structured PICO
Does day-of-surgery blood pressure measurement predict subsequent primary care blood pressure elevation in veterans presenting for surgery?
P
Population
2807 veteran patients who arrived from home for surgery and were subsequently evaluated within 6 months after surgery in the primary care center of the same institution
I
Intervention
Day-of-surgery (DOS) blood pressure measurement and preoperative clinic blood pressure measurement
C
Comparator
Subsequent primary care blood pressure measurement within 6 months after surgery
O
Outcome
Subsequent primary care blood pressure and the sensitivity, specificity, and predictive value of day-of-surgery blood pressure thresholds for identifying elevated primary care blood pressuresurrogate
Day-of-surgery blood pressure exhibits a small positive bias compared to subsequent primary care measurements, but specific thresholds can provide highly specific screening to guide primary care hypertension referrals.
Cite This Study
Schonberger et al. (2011) studied this question.