Automated SPRINT-study type blood pressure readings yielded significantly lower systolic values compared to conventional office measurements (139.01 vs. 149.00 mmHg, p<0.001).
Observational (n=120)
Do automated SPRINT-study type blood pressure measurements reduce recorded blood pressure compared to conventional office measurements in kidney transplant patients?
Automated office blood pressure measurements yield significantly lower readings than conventional physician-attended measurements in kidney transplant recipients, mitigating the white coat effect.
Absolute Event Rate: 139.01% vs 149%
p-value: p=<0.001
BACKGROUND/AIMS: We compare conventional office blood pressure measurements with automated SPRINT-study type readings in kidney transplant recipients in order to determine the impact of the white coat effect in a prospective observational study. METHODS: Adult patients with a functional renal transplant not dependent on dialysis were eligible. Readings were taken in the office in presence of the physician with an oscillometric method. Afterwards, readings were repeated with the patients resting alone in a quiet examination room with an automated blood pressure monitor. After 5 minutes of rest, 3 readings were taken at 1 minute intervals, with an average of these 3 readings calculated by the monitor. RESULTS: 120 patients with an average age of 58.5±12.2 years were included. Mean time since transplantation was 7.95±6.48 years. Mean eGFR (CKD-EPI) was 48.5±18.3 ml/min. SPRINT-study type readings were significantly lower than office readings (139.01±18.45 vs. 149.00±21.02 mmHg systolic, p<0.001; 80.88±11.63 mmHg vs. 84.35±12.41 mmHg diastolic, p <0.001). Correlation analysis for many potentially influencing factors (diabetes mellitus, transplant vintage, proteinuria, age, immunosuppression, donor type) was not significant but obese women were significantly more prone to white coat hypertension. CONCLUSION: Automated office blood pressure measurements should be considered the method of choice in kidney transplant recipients.
Bhatnagar et al. (Mon,) conducted a observational in Kidney transplant recipients (n=120). Automated SPRINT-study type blood pressure readings vs. Conventional office blood pressure measurements was evaluated on Systolic blood pressure (mmHg) (p=<0.001). Automated SPRINT-study type blood pressure readings yielded significantly lower systolic values compared to conventional office measurements (139.01 vs. 149.00 mmHg, p<0.001).
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