May 27, 2005Blood Pressure Monitoring
Reproducibility of home and ambulatory blood pressure in children and adolescents
Why the study?
Do home and ambulatory blood pressure measurements provide better reproducibility than clinic blood pressure in children and adolescents referred for elevated blood pressure?
Population
16 children and adolescents referred for elevated clinic blood pressure.
Comparison
Home blood pressure measurement and 24-hour… vs Clinic blood pressure (CBP) measurement.
Design
Cohort
Follow-up
8 weeks
Authors
Discussion
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Member takes
Implication
Supports preferring ABP over CBP for reproducible assessment in referred youth; leaves open effects on outcomes or therapy.
Structured PICO
Do home and ambulatory blood pressure measurements provide better reproducibility than clinic blood pressure in children and adolescents referred for elevated blood pressure?
P
Population
16 children and adolescents (aged 8-17 years, mean age 13.3, 9 boys) referred for elevated clinic blood pressure.
I
Intervention
Home blood pressure (HBP) measurement (5 days) and 24-hour ambulatory blood pressure (ABP) monitoring.
C
Comparator
Clinic blood pressure (CBP) measurement.
O
Outcome
Reproducibility of blood pressure measurements assessed by test-retest correlation coefficients (r) and standard deviation of differences (SDD) at 8 weeks.surrogate
In children and adolescents, 24-hour ambulatory blood pressure monitoring provides the most reproducible blood pressure values, followed by home blood pressure, both of which are superior to clinic measurements.
Cite This Study
Stergiou et al. (2005) studied this question.