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 |
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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 |
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