Evidence map›Paper›PMID 30371272›Full record

ArticleJournal of the American Heart Association2018

Number of Measurements Needed to Obtain a Reliable Estimate of Home Blood Pressure: Results From the Improving the Detection of Hypertension Study.

Natalie A Bello, Joseph E Schwartz, Ian M Kronish, Suzanne Oparil, D Edmund Anstey, Ying Wei, Ying Kuen K Cheung, Paul Muntner, Daichi Shimbo

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 37 citations in OpenAlex.

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  14. Standardized home blood pressure monitoring: Rationale behind the 722 protocol.Journal of clinical hypertension (Greenwich, Conn.) · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Natalie A Bello1 Department of Medicine Columbia University Irving Medical Center New York NY.
Joseph E Schwartz1 Department of Medicine Columbia University Irving Medical Center New York NY.
Ian M Kronish1 Department of Medicine Columbia University Irving Medical Center New York NY.
Suzanne Oparil3 Department of Medicine University of Alabama at Birmingham AL.
D Edmund Anstey1 Department of Medicine Columbia University Irving Medical Center New York NY.
Ying Wei4 Department of Biostatistics Mailman School of Public Health New York NY.
Ying Kuen K Cheung4 Department of Biostatistics Mailman School of Public Health New York NY.
Paul Muntner5 Department of Epidemiology University of Alabama at Birmingham AL.
Daichi Shimbo1 Department of Medicine Columbia University Irving Medical Center New York NY.
Columbia University Irving Medical Center · USUniversity of Alabama at Birmingham · US

Funding

WORKSITE BLOOD PRESSURE STUDYP01HL047540 · NHLBI · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI SLOAN, RICHARD P · 1993 to 2014
$27.7M
Blood Pressure Measurement and Hypertension in PregnancyK23HL136853 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BELLO, NATALIE A · 2018 to 2022
$948k
Midcareer Investigator Award in Patient-Oriented Research in Human HypertensionK24HL125704 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHIMBO, DAICHI · 2015 to 2019
$573k
AHRQ HHS R01 HS024262NHLBI NIH HHS K23 HL136853NHLBI NIH HHS K24 HL125704
6 · The paper itself

Abstract

Background Obtaining out-of-clinic blood pressure ( BP ) measurements to confirm a diagnosis of hypertension is recommended before initiating treatment. There are few empiric data available on the number of measurements required to reliably estimate BP on home BP monitoring ( HBPM ). Methods and Results We analyzed data from 316 community-dwelling adults not taking antihypertensive medication from the IDH (Improving the Detection of Hypertension) study who performed HBPM for 14 days. The reliability of home BP measurements was assessed using the intraclass correlation coefficient and as the percentage of participants with an absolute difference in home BP <10 mm Hg between weeks. The reliability of home hypertension status was assessed by the κ statistic. In the IDH study, 13.6% of participants had clinic hypertension and 18.0% had home hypertension. Mean home systolic and diastolic BP exhibited excellent reliability and sufficient agreement using the average of 2 morning and 2 evening BP readings for a minimum of 2 days of HBPM and a single morning and single evening or 2 morning BP readings for a minimum of 3 days. For diagnosing home hypertension, there was good agreement with a minimum of 3 days of HBPM using the average of 2 morning and 2 evening measurements or a single morning and single evening BP reading. A greater number of days was required for the other HBPM strategies. Conclusions Using the average of morning and evening readings, 3 days of HBPM are needed to reliably estimate mean home BP and diagnose out-of-clinic hypertension.

Indexed as

AdultAnalysis of VarianceBlood Pressure Monitoring, AmbulatoryFemaleHumansHypertensionMaleReproducibility of Resultsdiagnosishigh blood pressurehypertensionreproducibility

Identifiers

PMID30371272
PMCPMC6474964
OpenAlexW2894842537

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.