Validity of ambulatory blood pressure monitoring in daily primary healthcare practice in France

Autor: Yves Cottin, Katia Mazalovic, Claire Zabawa, Jean-Noël Beis, François Morlon, Pierre-Etienne Duglet
Přispěvatelé: UFR des Sciences de Santé (Université de Bourgogne), Université de Bourgogne (UB), Service de Cardiologie [CHU de Dijon], Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Adult
Male
Ambulatory blood pressure monitoring (ABPM)
medicine.medical_specialty
Multivariate analysis
Ambulatory blood pressure
030204 cardiovascular system & hematology
Assessment and Diagnosis
Logistic regression
03 medical and health sciences
0302 clinical medicine
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
Internal Medicine
medicine
ABPM
Humans
030212 general & internal medicine
Longitudinal Studies
Registries
Aged
Advanced and Specialized Nursing
Primary Health Care
business.industry
Models
Cardiovascular
General Medicine
Odds ratio
Blood Pressure Monitoring
Ambulatory
Middle Aged
Confidence interval
3. Good health
Clinical trial
Ambulatory
Physical therapy
Observational study
Female
France
Rural Health Services
Cardiology and Cardiovascular Medicine
business
Primary healthcare practice
Follow-Up Studies
Zdroj: Blood Pressure Monitoring
Blood Pressure Monitoring, Lippincott, Williams & Wilkins, In press, ⟨10.1097/MBP.0000000000000342⟩
ISSN: 1359-5237
Popis: IF 1.194; International audience; ObjectiveThe objective of the study was to assess 24-h ambulatory blood pressure monitoring (ABPM) validity in daily primary healthcare practice in France.Patients and methodsAn observational, longitudinal, prospective, multicenter study was performed in the Burgundy region, France. Participants were patients who had been prescribed ABPM by their general practitioner (GP), whatever its indication. ABPM was performed by employees of the healthcare providers group, which is publicly funded. The validity of ABPM was established according to the European Society of Cardiology (ESC) criteria. GPs interpretation of the ABPM results was collected and compared with the ESC recommendations. Determinants of ABPM validity were identified using logistic regression models.ResultsAmong the 531 patients included, 357 (67.23%) had a valid ABPM measurement. Multivariate analyses showed that ABPM validity was associated with nonmanual worker status [odds ratio (OR)=1.14; 95% confidence interval (CI)=1.04–1.23], participant’s age of at least 65 years (OR=0.88; 95% CI=0.81–0.95) and participant’s BMI above 30 kg/m2 (OR=0.90; 95% CI=0.81–0.99). GPs’ interpretation of ABPM results was consistent with the ESC recommendation in 508 (95.67%) cases.ConclusionABPM is feasible in daily primary healthcare practice in the studied condition, that is to say relying on trained employees. GPs should be careful when prescribing ABPM to patients aged 65 years and older, to those with BMI over 30 or to manual workers.
Databáze: OpenAIRE
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