Comparison of ambulatory blood pressure reference standards in children evaluated for hypertension.

Comparison of ambulatory blood pressure reference standards in children evaluated for hypertension.
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DOI:
10.1097/mbp.0b013e32832ce11e
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发表时间:
2009-06
影响因子:
1.3
通讯作者:
Alpert BS
Alpert BS
中科院分区:
医学4区
文献类型:
--
作者:
Jones DP;Richey PA;Alpert BS

文献摘要

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本研究的目的是系统地比较我们机构研究的 111 名儿童通过动态血压监测 (ABPM) 获得的血压水平标准化方法。使用原始ABPM和修改后的参考标准计算血压指数、血压负荷和标准差分数。生成了 Bland-Altman 图和一致性水平的 kappa 统计数据。总体而言,两种方法之间的一致性非常好;然而,与另一种方法相比,大约 5% 的儿童得到了不同的分类。根据用于解释 ABPM 数据的德国工作组参考标准的版本,个体患有高血压或正常血压的分类可能会有所不同。
The purpose of this study was to systematically compare methods for standardization of blood pressure levels obtained by ambulatory blood pressure monitoring (ABPM) in a group of 111 children studied at our institution. Blood pressure indices, blood pressure loads and standard deviation scores were calculated using he original ABPM and the modified reference standards. Bland—Altman plots and kappa statistics for the level of agreement were generated. Overall, the agreement between the two methods was excellent; however, approximately 5% of children were classified differently by one as compared with the other method. Depending on which version of the German Working Group’s reference standards is used for interpretation of ABPM data, the classification of the individual as having hypertension or normal blood pressure may vary.