Optimal timing for post-dialysis blood pressure measurement: relationship with home blood pressure monitoring
In hemodialysis patients, blood pressure (BP) measured at the postdialysis period (POSBP) can be used to diagnose hypertension. However, the optimal time point for POSBP remains uncertain. This cross-sectional study evaluated 210 long-term dialysis patients (66.7% men; age = 56.9 ± 15.7 years), who...
Gespeichert in:
| Veröffentlicht in: | Hypertension research 2025-01 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | |
| container_start_page | |
| container_title | Hypertension research |
| container_volume | |
| creator | Bezerra, Rodrigo Gorayeb-Polacchini, Fernanda S Teles, Flavio Pinto, Luís Cláudio S Tome, Ana Carolina N Bidoia, Marcela P Rezende, Carolina S Barreto, Joaquim Amazonas, Roberto B Sposito, Andrei C Lima, Gabriel Q Anjos, Gabriel S Feitosa, Audes D M Nadruz, Wilson |
| description | In hemodialysis patients, blood pressure (BP) measured at the postdialysis period (POSBP) can be used to diagnose hypertension. However, the optimal time point for POSBP remains uncertain. This cross-sectional study evaluated 210 long-term dialysis patients (66.7% men; age = 56.9 ± 15.7 years), who underwent POSBP measurements at three time points [immediately after dialysis period ended (POSBP1); after blood return (POSBP2) and after fistula hemostasis or catheter sealing (POSBP3)] and home BP monitoring (HBPM) over one week. POSBP1, POSBP2, POSBP3 and HBPM values were 139.1 ± 22.4/73.2 ± 12.5, 142.8 ± 22.8/74.3 ± 12.3, 142.8 ± 21.8/74.0 ± 12.2 and 131.2 ± 21.2/77.9 ± 12.1 mmHg, respectively. Systolic POSBP3 and POSBP2 were significantly greater (p 130/80 mmHg) POSBP3 showed the highest numerical accuracy (AUC [95% CI] = 0.696 [0.638-0.754]) and concordance (kappa coefficient = 0.41) with elevated HBPM (≥130/80 mmHg) compared with POSBP1 and POSBP2. These findings suggest that POSBP3 may be a preferable measurement for assessment of POSBP in hemodialysis patients. |
| doi_str_mv | 10.1038/s41440-025-02103-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3156526706</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3156526706</sourcerecordid><originalsourceid>FETCH-LOGICAL-c184t-75149cce407f8866d0ea7f143d51416529c52dd0f66af643bf33c3e0d1a3b5c33</originalsourceid><addsrcrecordid>eNplkMtOwzAQRS0EoqXwAyyQl2wMduw4CTtU8ZIqdQNry_GDGiVxsB2h_j0uLWxYzIw0c-_V6ABwSfANwbS-jYwwhhEuylx5g9gRmBPKasQKwo7BHDeEo4ZTPgNnMX5gXNRlQ07BjDY1YQ2v5qBfj8n1soO5u-EdWh_g6GNC2sluG12Ebee9hmMwMU7BwN7I3ezNkO5gMJ1Mzg9x40b45dIGbnxv_ln84JIPOf4cnFjZRXNxmAvw9vjwunxGq_XTy_J-hRSpWUJVmb9TyjBc2brmXGMjK0sY1flAeFk0qiy0xpZzaTmjraVUUYM1kbQtFaULcL3PHYP_nExMondRma6Tg_FTFJSUOYVXmGdpsZeq4GMMxooxZCBhKwgWO8xij1lkzOIHs2DZdHXIn9re6D_LL1f6Ddp0erg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3156526706</pqid></control><display><type>article</type><title>Optimal timing for post-dialysis blood pressure measurement: relationship with home blood pressure monitoring</title><source>Alma/SFX Local Collection</source><creator>Bezerra, Rodrigo ; Gorayeb-Polacchini, Fernanda S ; Teles, Flavio ; Pinto, Luís Cláudio S ; Tome, Ana Carolina N ; Bidoia, Marcela P ; Rezende, Carolina S ; Barreto, Joaquim ; Amazonas, Roberto B ; Sposito, Andrei C ; Lima, Gabriel Q ; Anjos, Gabriel S ; Feitosa, Audes D M ; Nadruz, Wilson</creator><creatorcontrib>Bezerra, Rodrigo ; Gorayeb-Polacchini, Fernanda S ; Teles, Flavio ; Pinto, Luís Cláudio S ; Tome, Ana Carolina N ; Bidoia, Marcela P ; Rezende, Carolina S ; Barreto, Joaquim ; Amazonas, Roberto B ; Sposito, Andrei C ; Lima, Gabriel Q ; Anjos, Gabriel S ; Feitosa, Audes D M ; Nadruz, Wilson</creatorcontrib><description>In hemodialysis patients, blood pressure (BP) measured at the postdialysis period (POSBP) can be used to diagnose hypertension. However, the optimal time point for POSBP remains uncertain. This cross-sectional study evaluated 210 long-term dialysis patients (66.7% men; age = 56.9 ± 15.7 years), who underwent POSBP measurements at three time points [immediately after dialysis period ended (POSBP1); after blood return (POSBP2) and after fistula hemostasis or catheter sealing (POSBP3)] and home BP monitoring (HBPM) over one week. POSBP1, POSBP2, POSBP3 and HBPM values were 139.1 ± 22.4/73.2 ± 12.5, 142.8 ± 22.8/74.3 ± 12.3, 142.8 ± 21.8/74.0 ± 12.2 and 131.2 ± 21.2/77.9 ± 12.1 mmHg, respectively. Systolic POSBP3 and POSBP2 were significantly greater (p < 0.05) than systolic POSBP1. POSBP3 had the greatest correlation with HBPM, while elevated (>130/80 mmHg) POSBP3 showed the highest numerical accuracy (AUC [95% CI] = 0.696 [0.638-0.754]) and concordance (kappa coefficient = 0.41) with elevated HBPM (≥130/80 mmHg) compared with POSBP1 and POSBP2. These findings suggest that POSBP3 may be a preferable measurement for assessment of POSBP in hemodialysis patients.</description><identifier>ISSN: 0916-9636</identifier><identifier>ISSN: 1348-4214</identifier><identifier>EISSN: 1348-4214</identifier><identifier>DOI: 10.1038/s41440-025-02103-4</identifier><identifier>PMID: 39814967</identifier><language>eng</language><publisher>England</publisher><ispartof>Hypertension research, 2025-01</ispartof><rights>2025. The Author(s), under exclusive licence to The Japanese Society of Hypertension.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c184t-75149cce407f8866d0ea7f143d51416529c52dd0f66af643bf33c3e0d1a3b5c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39814967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bezerra, Rodrigo</creatorcontrib><creatorcontrib>Gorayeb-Polacchini, Fernanda S</creatorcontrib><creatorcontrib>Teles, Flavio</creatorcontrib><creatorcontrib>Pinto, Luís Cláudio S</creatorcontrib><creatorcontrib>Tome, Ana Carolina N</creatorcontrib><creatorcontrib>Bidoia, Marcela P</creatorcontrib><creatorcontrib>Rezende, Carolina S</creatorcontrib><creatorcontrib>Barreto, Joaquim</creatorcontrib><creatorcontrib>Amazonas, Roberto B</creatorcontrib><creatorcontrib>Sposito, Andrei C</creatorcontrib><creatorcontrib>Lima, Gabriel Q</creatorcontrib><creatorcontrib>Anjos, Gabriel S</creatorcontrib><creatorcontrib>Feitosa, Audes D M</creatorcontrib><creatorcontrib>Nadruz, Wilson</creatorcontrib><title>Optimal timing for post-dialysis blood pressure measurement: relationship with home blood pressure monitoring</title><title>Hypertension research</title><addtitle>Hypertens Res</addtitle><description>In hemodialysis patients, blood pressure (BP) measured at the postdialysis period (POSBP) can be used to diagnose hypertension. However, the optimal time point for POSBP remains uncertain. This cross-sectional study evaluated 210 long-term dialysis patients (66.7% men; age = 56.9 ± 15.7 years), who underwent POSBP measurements at three time points [immediately after dialysis period ended (POSBP1); after blood return (POSBP2) and after fistula hemostasis or catheter sealing (POSBP3)] and home BP monitoring (HBPM) over one week. POSBP1, POSBP2, POSBP3 and HBPM values were 139.1 ± 22.4/73.2 ± 12.5, 142.8 ± 22.8/74.3 ± 12.3, 142.8 ± 21.8/74.0 ± 12.2 and 131.2 ± 21.2/77.9 ± 12.1 mmHg, respectively. Systolic POSBP3 and POSBP2 were significantly greater (p < 0.05) than systolic POSBP1. POSBP3 had the greatest correlation with HBPM, while elevated (>130/80 mmHg) POSBP3 showed the highest numerical accuracy (AUC [95% CI] = 0.696 [0.638-0.754]) and concordance (kappa coefficient = 0.41) with elevated HBPM (≥130/80 mmHg) compared with POSBP1 and POSBP2. These findings suggest that POSBP3 may be a preferable measurement for assessment of POSBP in hemodialysis patients.</description><issn>0916-9636</issn><issn>1348-4214</issn><issn>1348-4214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNplkMtOwzAQRS0EoqXwAyyQl2wMduw4CTtU8ZIqdQNry_GDGiVxsB2h_j0uLWxYzIw0c-_V6ABwSfANwbS-jYwwhhEuylx5g9gRmBPKasQKwo7BHDeEo4ZTPgNnMX5gXNRlQ07BjDY1YQ2v5qBfj8n1soO5u-EdWh_g6GNC2sluG12Ebee9hmMwMU7BwN7I3ezNkO5gMJ1Mzg9x40b45dIGbnxv_ln84JIPOf4cnFjZRXNxmAvw9vjwunxGq_XTy_J-hRSpWUJVmb9TyjBc2brmXGMjK0sY1flAeFk0qiy0xpZzaTmjraVUUYM1kbQtFaULcL3PHYP_nExMondRma6Tg_FTFJSUOYVXmGdpsZeq4GMMxooxZCBhKwgWO8xij1lkzOIHs2DZdHXIn9re6D_LL1f6Ddp0erg</recordid><startdate>20250116</startdate><enddate>20250116</enddate><creator>Bezerra, Rodrigo</creator><creator>Gorayeb-Polacchini, Fernanda S</creator><creator>Teles, Flavio</creator><creator>Pinto, Luís Cláudio S</creator><creator>Tome, Ana Carolina N</creator><creator>Bidoia, Marcela P</creator><creator>Rezende, Carolina S</creator><creator>Barreto, Joaquim</creator><creator>Amazonas, Roberto B</creator><creator>Sposito, Andrei C</creator><creator>Lima, Gabriel Q</creator><creator>Anjos, Gabriel S</creator><creator>Feitosa, Audes D M</creator><creator>Nadruz, Wilson</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20250116</creationdate><title>Optimal timing for post-dialysis blood pressure measurement: relationship with home blood pressure monitoring</title><author>Bezerra, Rodrigo ; Gorayeb-Polacchini, Fernanda S ; Teles, Flavio ; Pinto, Luís Cláudio S ; Tome, Ana Carolina N ; Bidoia, Marcela P ; Rezende, Carolina S ; Barreto, Joaquim ; Amazonas, Roberto B ; Sposito, Andrei C ; Lima, Gabriel Q ; Anjos, Gabriel S ; Feitosa, Audes D M ; Nadruz, Wilson</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c184t-75149cce407f8866d0ea7f143d51416529c52dd0f66af643bf33c3e0d1a3b5c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bezerra, Rodrigo</creatorcontrib><creatorcontrib>Gorayeb-Polacchini, Fernanda S</creatorcontrib><creatorcontrib>Teles, Flavio</creatorcontrib><creatorcontrib>Pinto, Luís Cláudio S</creatorcontrib><creatorcontrib>Tome, Ana Carolina N</creatorcontrib><creatorcontrib>Bidoia, Marcela P</creatorcontrib><creatorcontrib>Rezende, Carolina S</creatorcontrib><creatorcontrib>Barreto, Joaquim</creatorcontrib><creatorcontrib>Amazonas, Roberto B</creatorcontrib><creatorcontrib>Sposito, Andrei C</creatorcontrib><creatorcontrib>Lima, Gabriel Q</creatorcontrib><creatorcontrib>Anjos, Gabriel S</creatorcontrib><creatorcontrib>Feitosa, Audes D M</creatorcontrib><creatorcontrib>Nadruz, Wilson</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bezerra, Rodrigo</au><au>Gorayeb-Polacchini, Fernanda S</au><au>Teles, Flavio</au><au>Pinto, Luís Cláudio S</au><au>Tome, Ana Carolina N</au><au>Bidoia, Marcela P</au><au>Rezende, Carolina S</au><au>Barreto, Joaquim</au><au>Amazonas, Roberto B</au><au>Sposito, Andrei C</au><au>Lima, Gabriel Q</au><au>Anjos, Gabriel S</au><au>Feitosa, Audes D M</au><au>Nadruz, Wilson</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optimal timing for post-dialysis blood pressure measurement: relationship with home blood pressure monitoring</atitle><jtitle>Hypertension research</jtitle><addtitle>Hypertens Res</addtitle><date>2025-01-16</date><risdate>2025</risdate><issn>0916-9636</issn><issn>1348-4214</issn><eissn>1348-4214</eissn><abstract>In hemodialysis patients, blood pressure (BP) measured at the postdialysis period (POSBP) can be used to diagnose hypertension. However, the optimal time point for POSBP remains uncertain. This cross-sectional study evaluated 210 long-term dialysis patients (66.7% men; age = 56.9 ± 15.7 years), who underwent POSBP measurements at three time points [immediately after dialysis period ended (POSBP1); after blood return (POSBP2) and after fistula hemostasis or catheter sealing (POSBP3)] and home BP monitoring (HBPM) over one week. POSBP1, POSBP2, POSBP3 and HBPM values were 139.1 ± 22.4/73.2 ± 12.5, 142.8 ± 22.8/74.3 ± 12.3, 142.8 ± 21.8/74.0 ± 12.2 and 131.2 ± 21.2/77.9 ± 12.1 mmHg, respectively. Systolic POSBP3 and POSBP2 were significantly greater (p < 0.05) than systolic POSBP1. POSBP3 had the greatest correlation with HBPM, while elevated (>130/80 mmHg) POSBP3 showed the highest numerical accuracy (AUC [95% CI] = 0.696 [0.638-0.754]) and concordance (kappa coefficient = 0.41) with elevated HBPM (≥130/80 mmHg) compared with POSBP1 and POSBP2. These findings suggest that POSBP3 may be a preferable measurement for assessment of POSBP in hemodialysis patients.</abstract><cop>England</cop><pmid>39814967</pmid><doi>10.1038/s41440-025-02103-4</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0916-9636 |
| ispartof | Hypertension research, 2025-01 |
| issn | 0916-9636 1348-4214 1348-4214 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3156526706 |
| source | Alma/SFX Local Collection |
| title | Optimal timing for post-dialysis blood pressure measurement: relationship with home blood pressure monitoring |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T14%3A29%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Optimal%20timing%20for%20post-dialysis%20blood%20pressure%20measurement:%20relationship%20with%20home%20blood%20pressure%20monitoring&rft.jtitle=Hypertension%20research&rft.au=Bezerra,%20Rodrigo&rft.date=2025-01-16&rft.issn=0916-9636&rft.eissn=1348-4214&rft_id=info:doi/10.1038/s41440-025-02103-4&rft_dat=%3Cproquest_cross%3E3156526706%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3156526706&rft_id=info:pmid/39814967&rfr_iscdi=true |