November 24, 2004Blood Pressure Monitoring
Office and out-of-office blood pressure measurement in children and adolescents
Key result
Ambulatory blood pressure monitoring is useful for detecting white-coat hypertension in children, whereas home measurements currently lack sufficient data for clinical decision making.
Why the study?
Does ambulatory or home blood pressure monitoring improve the detection of white-coat hypertension and prediction of target organ damage compared to office measurements in children and adolescents?
Population
Children and adolescents
Comparison
Ambulatory blood pressure monitoring and home… vs Office blood pressure measurements
Design
Review
Authors
Discussion
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Implication
ABPM may aid white-coat hypertension detection in children; leaves open home monitoring utility pending prospective data.
Structured PICO
Does ambulatory or home blood pressure monitoring improve the detection of white-coat hypertension and prediction of target organ damage compared to office measurements in children and adolescents?
P
Population
Children and adolescents
E
Exposure
Ambulatory blood pressure monitoring and home blood pressure measurements
C
Comparator
Office blood pressure measurements (auscultation using a standard mercury sphygmomanometer)
O
Outcome
Detection of white-coat hypertension and prediction of target organ damagesurrogate
Ambulatory blood pressure monitoring is a useful supplementary tool for diagnosing hypertension in children and adolescents, whereas home measurements are not currently recommended for decision making.
Limitations
- Limited data from small trials regarding home blood pressure measurements in children
Cite This Study
Stergiou et al. (2004) conducted a review in Hypertension. Out-of-office blood pressure measurement (ambulatory and home) vs. Office blood pressure measurement was evaluated. Ambulatory blood pressure monitoring is useful for detecting white-coat hypertension in children, whereas home measurements currently lack sufficient data for clinical decision making.