Elevated preoperative blood pressures in adult surgical patients are highly predictive of elevated home blood pressures

Journal of the American Society of Hypertension : JASH
Robert B SchonbergerMatthew M Burg

Abstract

Blood pressure (BP) measurement during the presurgical assessment has been suggested as a way to improve longitudinal detection and treatment of hypertension. The relationship between BP measured during this assessment and home blood pressure (HBP), a better indicator of hypertension, is unknown. The purpose of the present study was to determine the positive predictive value of presurgical BP for predicting elevated HBP. We prospectively enrolled 200 patients at a presurgical evaluation clinic with clinic blood pressures (CBPs) ≥130/85 mm Hg, as measured using a previously validated automated upper-arm device (Welch Allyn Vital Sign Monitor 6000 Series), to undergo daily HBP monitoring (Omron Model BP742N) between the index clinic visit and their day of surgery. Elevated HBP was defined, per American Heart Association guidelines, as mean systolic HBP ≥135 mm Hg or mean diastolic HBP ≥85 mm Hg. Of the 200 participants, 188 (94%) returned their home blood pressure monitors with valid data. The median number of HBP recordings was 10 (interquartile range, 7-14). Presurgical CBP thresholds of 140/90, 150/95, and 160/100 mm Hg yielded positive predictive values (95% confidence interval) for elevated HBP of 84.1% (0.78-0.89), 87.5% (0...Continue Reading

References

Jan 1, 1990·Journal of Clinical Epidemiology·D V Cicchetti, A R Feinstein
Jan 1, 1990·Journal of Clinical Epidemiology·A R Feinstein, D V Cicchetti
Sep 24, 2005·Health Services Research·Robert O MorganCarol M Ashton
Jul 1, 2006·Journal of General Internal Medicine·Debra Quinn KolodnerMark Callahan
Aug 25, 2009·The American Journal of Medicine·Salman MallickMahboob Rahman
Jul 13, 2011·Archives of Internal Medicine·Hayden B BosworthEugene Z Oddone
Oct 28, 2011·American Journal of Hypertension·Dipanjan BanerjeeLatha P Palaniappan
Mar 16, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Robert B SchonbergerMatthew M Burg
Dec 6, 2012·Journal of Neurosurgical Anesthesiology·John C DrummondGery Schulteis
Nov 29, 2013·The Journal of Clinical Hypertension·Christopher A HarleShuo Yang
Jun 7, 2014·Journal of Neurosurgical Anesthesiology·Robert B Schonberger
Jul 16, 2014·Annals of Family Medicine·Michael K RakotzChristopher M Masi
Sep 30, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Robert B SchonbergerMatthew M Burg
Jul 28, 2015·Anesthesia and Analgesia·Robert B SchonbergerMatthew M Burg
Jan 30, 2016·Journal of the American Society of Hypertension : JASH·Daichi ShimboPaul Muntner
Jul 25, 2017·Journal of the American Society of Hypertension : JASH·Ian M KronishPaul Muntner

❮ Previous
Next ❯

Citations

Oct 17, 2020·International Anesthesiology Clinics·Howard LeeBobbie Jean Sweitzer
Mar 9, 2021·Anesthesia and Analgesia·Michael R MathisSachin Kheterpal

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.