Blood pressure measurement methodology and technology in the SWEET diabetes centers: An international SWEET database survey

Autor: Gerasimidi-Vazeou, Andriani, Birkebaek, Niels, Iotova, Violeta, Cherubini, Valentini, Piccini, Barbara, Biester, Torben, Stipančić, Gordana, Jefferies, Craig, Maffeis, Claudio, Stergiou, George, SWEET study group
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
out-of-office blood pressure
medicine.medical_specialty
Ambulatory blood pressure
genetic structures
Adolescent
Databases
Factual

medicine.drug_class
diagnosis
Endocrinology
Diabetes and Metabolism

030209 endocrinology & metabolism
White coat hypertension
Blood Pressure
ambulatory blood pressure
children
masked hypertension
obesity
parental hypertension
Comorbidity
clinic blood pressure
Global Health
Pharmacological treatment
03 medical and health sciences
0302 clinical medicine
Diabetes mellitus
Surveys and Questionnaires
Internal Medicine
Diabetes Mellitus
Medicine
Humans
24-hour ambulatory blood pressure monitoring
030212 general & internal medicine
Antihypertensive drug
Child
business.industry
Pediatric diabetes
diabetes type1
methodology
Blood Pressure Monitoring
Ambulatory

medicine.disease
self- blood pressure measurement
Blood pressure
Bp monitoring
Pediatrics
Perinatology and Child Health

Emergency medicine
Female
business
Algorithms
white-coat hypertension
Zdroj: Gerasimidi-Vazeou, A, Birkebæk, N H, Iotova, V, Cherubini, V, Piccini, B, Biester, T, Stipancic, G, Jefferies, C, Maffeis, C, Stergiou, G S & SWEET Study Group 2020, ' Blood pressure measurement methodology and technology in the SWEET diabetes centers : An international SWEET database survey ', Pediatric Diabetes, vol. 21, no. 8, pp. 1537-1545 . https://doi.org/10.1111/pedi.13114
DOI: 10.1111/pedi.13114
Popis: Introduction The accuracy of blood pressure (BP) measurement is a prerequisite for the reliable diagnosis and management of hypertension. Objectives This survey evaluated the use of office and out-of-office BP measurements and the antihypertensive pharmacological treatment in expert pediatric diabetes centers. Methods A questionnaire was distributed in 78 reference pediatric diabetes centersof the SWEET international consortium. The methodology, devices, indications and interpretation of office BP measurements (OBPM), 24-hour ambulatory BP monitoring (ABPM) and home BP monitoring (HBPM) and the preference for antihypertensive drug treatment was assessed. A grading score was developed to evaluate centersfor overall BP measurement performance. Results Fifty-two centersresponded. The average score for OBPMmethodology was 72.5%, for technology 77.5% and the overall center score was 74.75%.The majority of the centersusedappropriate methodology and technology, however, there was heterogeneity among them.Manual auscultatory or automated devices specifically validated for children were used by 26/52 centers.ABPM was recommendedby 35/52 centers(27/35 had health insurance coverage) and HBPM by 18/52 centers. The BP measurement methodology and devices used for ABPM and HBPM were frequently inadequate.Angiotensin converting enzyme inhibitors werethe most frequently prescribed drugs for treating hypertension. Conclusions The majority of SWEET pediatric diabetes centersuse adequate methodology and devices for BP measurement. ABPM is recommended by two thirds of the centers, whereas HBPM is less widely used. Further improvement in the quality of office and out-of-office BP measurements and harmonization among centersis necessary according to current guidelines. This article is protected by copyright. All rights reserved.
Databáze: OpenAIRE