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Predicting Out-of-Office Blood Pressure in a Diverse US Population.
Bellows, Brandon K; Xu, Jingyu; Sheppard, James P; Schwartz, Joseph E; Shimbo, Daichi; Muntner, Paul; McManus, Richard J; Moran, Andrew E; Bryant, Kelsey B; Cohen, Laura P; Bress, Adam P; King, Jordan B; Shikany, James M; Green, Beverly B; Yano, Yuichiro; Clark, Donald; Zhang, Yiyi.
Afiliación
  • Bellows BK; Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
  • Xu J; Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
  • Sheppard JP; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
  • Schwartz JE; Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
  • Shimbo D; Department of Psychiatry and Behavioral Health, Stony Brook University, Stony Brook, New York, USA.
  • Muntner P; Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
  • McManus RJ; Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Moran AE; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
  • Bryant KB; Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
  • Cohen LP; Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
  • Bress AP; Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
  • King JB; Department of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.
  • Shikany JM; Department of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.
  • Green BB; Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Yano Y; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente, Seattle, Washington, USA.
  • Clark D; Department of Family Medicine and Community Health, Duke University, Durham, North Carolina, USA.
  • Zhang Y; Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Am J Hypertens ; 35(6): 533-542, 2022 06 16.
Article en En | MEDLINE | ID: mdl-35040867
BACKGROUND: The PRedicting Out-of-OFfice Blood Pressure (PROOF-BP) algorithm accurately predicted out-of-office blood pressure (BP) among adults with suspected high BP in the United Kingdom and Canada. We tested the accuracy of PROOF-BP in a diverse US population and evaluated a newly developed US-specific algorithm (PROOF-BP-US). METHODS: Adults with ≥2 office BP readings and ≥10 awake BP readings on 24-hour ambulatory BP monitoring from 4 pooled US studies were included. We compared mean awake BP with predicted out-of-office BP using PROOF-BP and PROOF-BP-US. Our primary outcomes were hypertensive out-of-office systolic BP (SBP) ≥130 mm Hg and diastolic BP (DBP) ≥80 mm Hg. RESULTS: We included 3,058 adults, mean (SD) age was 52.0 (11.9) years, 38% were male, and 54% were Black. The area under the receiver-operator characteristic (AUROC) curve (95% confidence interval) for hypertensive out-of-office SBP was 0.81 (0.79-0.82) and DBP was 0.76 (0.74-0.78) for PROOF-BP. For PROOF-BP-US, the AUROC curve for hypertensive out-of-office SBP was 0.82 (0.81-0.83) and for DBP was 0.81 (0.79-0.83). The optimal predicted out-of-office BP ranges for out-of-office BP measurement referral were 120-134/75-84 mm Hg for PROOF-BP and 125-134/75-84 mm Hg for PROOF-BP-US. The 2017 American College of Cardiology/American Heart Association BP guideline (referral range 130-159/80-99 mm Hg) would refer 93.1% of adults not taking antihypertensive medications with office BP ≥130/80 mm Hg in the National Health and Nutrition Examination Survey for out-of-office BP measurement, compared with 53.1% using PROOF-BP and 46.8% using PROOF-BP-US. CONCLUSIONS: PROOF-BP and PROOF-BP-US accurately predicted out-of-office hypertension in a diverse sample of US adults.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipertensión Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Hypertens Asunto de la revista: ANGIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipertensión Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Hypertens Asunto de la revista: ANGIOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos