Screening for high blood pressure in adults a systematic evidence review for the U.S. Preventive Services Task Force

OBJECTIVE: We conducted this systematic review to support the U.S. Preventive Services Task Force (USPSTF) in updating its recommendation on screening for high blood pressure (BP) in nonpregnant adults. CONCLUSIONS: ABPM (24-hour, daytime, or nighttime) is a better predictor of long-term CV outcomes...

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Bibliographic Details
Main Author: Piper, Margaret
Corporate Authors: Oregon Evidence-based Practice Center (Center for Health Research (Kaiser-Permanente Medical Care Program. Northwest Region)), United States Agency for Healthcare Research and Quality, U.S. Preventive Services Task Force
Format: eBook
Language:English
Published: Rockville (MD) Agency for Healthcare Research and Quality (US) December 2014, 2014
Series:Evidence syntheses
Subjects:
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Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Description
Summary:OBJECTIVE: We conducted this systematic review to support the U.S. Preventive Services Task Force (USPSTF) in updating its recommendation on screening for high blood pressure (BP) in nonpregnant adults. CONCLUSIONS: ABPM (24-hour, daytime, or nighttime) is a better predictor of long-term CV outcomes than OBPM (usually manual sphygmomanometry) and should be considered the reference standard for evaluating noninvasive BP measurements. A small body of evidence suggests, but does not confirm, that HBPM can serve as a similar predictor of outcomes. Initial screening by office-based methods (manual sphygmomanometry or automated oscillometric devices) variably predicts hypertension as defined by ABPM, resulting in a significant population with isolated clinic hypertension. Limited evidence suggests that patients with isolated clinic hypertension have outcomes that are more similar to normotensive than hypertensive persons. Failure to confirm initial elevated OBPM results may result in misdiagnosis and overtreatment. Limited evidence suggests that repeated measurements and improved procedural control (e.g., by automation) may improve the diagnostic accuracy of OBPM when used to screen for high BP or confirm a diagnosis of hypertension. Studies of rescreening intervals at up to 6 years found a higher incidence of hypertension overall and at shorter intervals for persons with BP in the high-normal range, older adults, persons with an above normal BMI, and African Americans. These studies showed much lower incidence at longer rescreening intervals up to 6 years in persons without these risk factors
Item Description:Title from PDF title page
Physical Description:1 PDF file (ix, 296 pages)