Key result
Ambulatory blood pressure monitoring revealed that 30% of paediatric renal transplant recipients with controlled office blood pressure actually had non-controlled blood pressure.
Why the study?
Does 24-h ambulatory blood pressure monitoring (ABPM) compared to office blood pressure improve the detection of uncontrolled hypertension in treated hypertensive paediatric renal transplant recipients?
Observational (n=26)
Does 24-h ambulatory blood pressure monitoring (ABPM) compared to office blood pressure improve the detection of uncontrolled hypertension in treated hypertensive paediatric renal transplant recipients?
Mean Difference: 10.7 (95% CI -12.6–34.1)
Office blood pressure readings miss a substantial number of hypertensive paediatric renal transplant recipients, suggesting ABPM should be used as an adjunct to avoid undertreatment.
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Office BP may miss uncontrolled hypertension; leaves open whether routine ABPM improves outcomes in this population.
Ferraris et al. (2006) conducted an observational in Hypertension in paediatric renal transplant recipients (n=26). 24-h ambulatory blood pressure monitoring (ABPM) vs. Office blood pressure was evaluated on Agreement between office BP and daytime ABPM values (MD 10.7 mmHg (systolic), 95% CI -12.6 to 34.1). Ambulatory blood pressure monitoring revealed that 30% of paediatric renal transplant recipients with controlled office blood pressure actually had non-controlled blood pressure.
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