What question did this study set out to answer?

Evaluate unique sources of blood pressure measurement error in hemodialysis patients and define diagnostic thresholds using in-unit versus ambulatory monitoring.

September 1, 2002Seminars in Dialysis

Editorials: Assessment of Blood Pressure in Hemodialysis Patients

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Why the study?

How should blood pressure be accurately assessed in hemodialysis patients?

Population

Hemodialysis patients

Design

Editorial

Authors

RARajiv AgarwalHeart Failure & Transplant

Discussion

Member takes

Implication

While interdialytic ambulatory BP monitoring is the most precise method for hemodialysis patients, specific pre- and post-dialysis BP thresholds can be used to diagnose hypertension with reasonable sensitivity and specificity when ambulatory monitoring is unavailable.

Key Points

Evaluate unique sources of blood pressure measurement error in hemodialysis patients and define diagnostic thresholds using in-unit versus ambulatory monitoring.
Assessed diagnostic agreement between routine hemodialysis unit measurements and interdialytic ambulatory blood pressure monitoring.
Evaluated confounding influences including interdialytic weight gain, sleep apnea, vascular angioaccess restrictions, and the white coat effect.
Two-week average predialysis blood pressure >150/85 mmHg or postdialysis >130/75 mmHg showed ≥80% sensitivity for diagnosing hypertension.
Predialysis blood pressure >160/90 mmHg or postdialysis >140/80 mmHg achieved ≥80% specificity for hypertension diagnosis.
Poor overall agreement between dialysis unit readings and ambulatory monitoring precluded dialysis unit values from precisely predicting blood pressure.

Structured PICO

How should blood pressure be accurately assessed in hemodialysis patients?

Population

Hemodialysis patients

Intervention

Blood pressure measurement strategies (ambulatory BP monitoring, dialysis unit BP, home BP monitoring)

Outcome

Diagnosis of hypertension

Cite This Study

Rajiv Agarwal (2002) studied this question.

synapsesocial.com/papers/6a7aa0d11a7b6c10bc0db107 https://doi.org/10.1046/j.1525-139x.2002.00074.x

Topics

Hypertension management

View Full Paper

Ask AI

Bookmark

Editorials: Assessment of Blood Pressure in Hemodialysis Patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Editorials: Assessment of Blood Pressure in Hemodialysis Patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider