Reproducibility and realibility of a 4-day HBPM protocol with and without first day measurements
HBPM guidelines state that morning and evening measurements should be recorded and, to improve stability, the first day of measurements should be discarded. Our objective was to assess the reproducibility and reliability of a 4-day HBPM protocol with and without first day measurements. We analyzed a...
| Autores principales: | , , , , , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2018
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/21450 |
| Aporte de: |
| id |
I10-R327-article-21450 |
|---|---|
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
home blood pressure reproducibility reliability monitoreo domiciliario de presión arterial reproducibilidad confiabilidad |
| spellingShingle |
home blood pressure reproducibility reliability monitoreo domiciliario de presión arterial reproducibilidad confiabilidad Barochiner, Jessica Cuffaro, Paula E. Aparicio, Lucas S. Elizondo, Cristina M. Giunta, Diego H. Rada, Marcelo A. Morales, Margarita S. Alfie, José Galarza, Carlos R. Waisman, Gabriel D. Reproducibility and realibility of a 4-day HBPM protocol with and without first day measurements |
| topic_facet |
home blood pressure reproducibility reliability monitoreo domiciliario de presión arterial reproducibilidad confiabilidad |
| author |
Barochiner, Jessica Cuffaro, Paula E. Aparicio, Lucas S. Elizondo, Cristina M. Giunta, Diego H. Rada, Marcelo A. Morales, Margarita S. Alfie, José Galarza, Carlos R. Waisman, Gabriel D. |
| author_facet |
Barochiner, Jessica Cuffaro, Paula E. Aparicio, Lucas S. Elizondo, Cristina M. Giunta, Diego H. Rada, Marcelo A. Morales, Margarita S. Alfie, José Galarza, Carlos R. Waisman, Gabriel D. |
| author_sort |
Barochiner, Jessica |
| title |
Reproducibility and realibility of a 4-day HBPM protocol with and without first day measurements |
| title_short |
Reproducibility and realibility of a 4-day HBPM protocol with and without first day measurements |
| title_full |
Reproducibility and realibility of a 4-day HBPM protocol with and without first day measurements |
| title_fullStr |
Reproducibility and realibility of a 4-day HBPM protocol with and without first day measurements |
| title_full_unstemmed |
Reproducibility and realibility of a 4-day HBPM protocol with and without first day measurements |
| title_sort |
reproducibility and realibility of a 4-day hbpm protocol with and without first day measurements |
| description |
HBPM guidelines state that morning and evening measurements should be recorded and, to improve stability, the first day of measurements should be discarded. Our objective was to assess the reproducibility and reliability of a 4-day HBPM protocol with and without first day measurements. We analyzed a retrospective cohort of ambulatory patients who required a HBPM for diagnostic purposes or evaluation of treatment efficacy. A 4-day protocol was implemented, with daily duplicate measurements in the morning, afternoon and evening, using an OMRON 705 CP validated equipment. HBPM reproducibility was quantified by test-re-test correlations and standard deviation of differences (SDD) between BP measurements obtained during the entire 4 days, with and without exclusion of the first day. The reliability criterion was the stabilization of the mean and standard deviation (SD). We included 353 subjects with a total of 8224 BP recordings (median of 24 recordings per patient). We found a strong test-re-test correlation between days 1 to 4, which improved when we excluded the first day (p<0.001). We also found a reduction of the mean BP when we increased the number of days and a reduction of SDD when we excluded day 1. Therefore, we conclude that the exclusion of the first day of measurements improves the reproducibility and reliability of a 4-day protocol, and such two factors are not affected by the inclusion of afternoon measurements. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2018 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/21450 |
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I10-R327-article-214502024-08-27T18:23:19Z Reproducibility and realibility of a 4-day HBPM protocol with and without first day measurements Reproducibilidad y confiabilidad de un protocolo de 4 días de monitoreo domiciliario de presión arterial con y sin exclusión del primer día Barochiner, Jessica Cuffaro, Paula E. Aparicio, Lucas S. Elizondo, Cristina M. Giunta, Diego H. Rada, Marcelo A. Morales, Margarita S. Alfie, José Galarza, Carlos R. Waisman, Gabriel D. home blood pressure reproducibility reliability monitoreo domiciliario de presión arterial reproducibilidad confiabilidad HBPM guidelines state that morning and evening measurements should be recorded and, to improve stability, the first day of measurements should be discarded. Our objective was to assess the reproducibility and reliability of a 4-day HBPM protocol with and without first day measurements. We analyzed a retrospective cohort of ambulatory patients who required a HBPM for diagnostic purposes or evaluation of treatment efficacy. A 4-day protocol was implemented, with daily duplicate measurements in the morning, afternoon and evening, using an OMRON 705 CP validated equipment. HBPM reproducibility was quantified by test-re-test correlations and standard deviation of differences (SDD) between BP measurements obtained during the entire 4 days, with and without exclusion of the first day. The reliability criterion was the stabilization of the mean and standard deviation (SD). We included 353 subjects with a total of 8224 BP recordings (median of 24 recordings per patient). We found a strong test-re-test correlation between days 1 to 4, which improved when we excluded the first day (p<0.001). We also found a reduction of the mean BP when we increased the number of days and a reduction of SDD when we excluded day 1. Therefore, we conclude that the exclusion of the first day of measurements improves the reproducibility and reliability of a 4-day protocol, and such two factors are not affected by the inclusion of afternoon measurements. Las guías de Monitoreo Domiciliario de Presión Arterial (MDPA) recomiendan la exclusión del primer día, utilizando mediciones matutinas y vespertinas. El objetivo de este trabajo fue determinar la reproducibilidad y confiabilidad de un protocolo de MDPA con y sin exclusión del primer día. Analizamos una cohorte retrospectiva de pacientes ambulatorios que realizaron un MDPA con fines diagnósticos o de evaluación del tratamiento. Para el MDPA se usó un equipo validado Omron 705 CP y se aplicó un protocolo de 4 días con 6 mediciones diarias (mediciones por duplicado: mañana, tarde y vespertinas). La reproducibilidad del MDPA fue cuantificada a través de la correlación test-re-test y el desvío estándar de las diferencias (DED) entre los promedios de presión arterial (PA) obtenidos en los 4 días con y sin exclusión del primer día. El criterio de confiabilidad del MDPA fue la estabilización de la media y la variabilidad (DE). Se incluyeron 353 pacientes, realizándose una mediana de 24 (RI 2) mediciones por paciente. Se encontró una fuerte correlación test-re-test entre los promedios de los días 1 a 4 mejorando con la exclusión del día 1 (p< 0,001); además se observó un descenso del promedio de PA al aumentar el número de mediciones y una disminución del DED al excluir las mediciones del primer día. Concluimos que la exclusión del primer día mejora la reproducibilidad y confiabilidad del método en un protocolo de 4 días, sin verse éstas afectadas por la inclusión del período de la tarde. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018-09-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/21450 10.31053/1853.0605.v68.n4.21450 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 68 No. 4 (2011); 141-148 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 68 Núm. 4 (2011); 141-148 Revista da Faculdade de Ciências Médicas de Córdoba; v. 68 n. 4 (2011); 141-148 1853-0605 0014-6722 10.31053/1853.0605.v68.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/21450/21100 Derechos de autor 2018 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |