Precisión diagnóstica de la determinación de la presión arterial en consulta en el control del hipertensoPropuesta de nuevos valores de corte

  1. A. De León-Robert 1
  2. J.J. Antón-Botella 2
  3. I.M. Hidalgo García 3
  4. H.M. Campusano-Castellanos 4
  5. C. López-Alegría 5
  6. J.J. Gascón-Cánovas 2
  1. 1 Centro de salud Fortuna, Fortuna, Murcia, España
  2. 2 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

  3. 3 Centro de salud Vistalegre- La flota, Murcia, España
  4. 4 Centro de salud Abarán, Murcia, España
  5. 5 Centro de salud Murcia centro, Murcia, España
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2020

Issue: 2

Pages: 81-89

Type: Article

DOI: 10.1016/J.SEMERG.2019.09.007 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Sustainable development goals

Abstract

Aim This study seeks to determine the optimal cut-off values for the determination of the blood pressure in the clinic as a follow-up test in Primary Care practice. Design A total of 153 hypertensive patients under 80 years of age who met inclusion and exclusion criteria for the study, were subjected to ambulatory monitoring of their blood pressure for 24 hours (ABPM). After which two clinic-based measurements were obtained. With the results obtained from the clinic, and taking the ABMP as a reference, the ROC curve was calculated choose the optimal cut-off point. The agreement between both measurements was determined by the intraclass correlation coefficient and the Bland-Altman equation. A validation study was then carried out with the objective of diagnosing whether or not the hypertensive patient was in control. Results The optimal cut-off values were 137 mmHg for systolic BP (sensitivity: 89.3%; specificity: 72.2%) and 84 mmHg for diastolic blood pressure (sensitivity: 79.4%; specificity: 72.3%). The agreement in the diagnosis of control between clinic-based measurement and ABPM was 58.9% (Kappa: 0.418). Conclusion The optimal cut-off value of the diastolic BP for follow-up is lower than the values currently established.

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