Is blood pressure measured correctly in dialysis centres? Physicians' and patients' views

Pappaccogli, Marco;Labriola, Laura;Van der Niepen, Patricia;Pruijm, Menno;Wuerzner, Grégoire;et.al.
(2019) Nephrology, dialysis, transplantation — Vol. 34, n° 9, p. 1612-1625 (2019)

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  • Pappaccogli, Marcoorcid-logoUCLouvain
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  • Labriola, Lauraorcid-logoUCLouvain
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  • Van der Niepen, Patricia
    Author
  • Pruijm, Menno
    Author
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  • Wuerzner, Grégoireorcid-logo
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Abstract
(en) Blood pressure (BP) is routinely measured as a vital sign before, during and/or after dialysis (peridialysis BP). Even if peridialytic measurements are widely used, the agreement with the interdialytic BP is poor and is often biased by many technical errors [1]. Since accurate BP measurements are critical for making decisions and evaluating a patient’s cardiovascular risk, Working Groups from the ERA-EDTA and the European Society of Hypertension (ESH) issued recommendations on standardized BP measurement in dialysis patients [2]. Previous studies have underlined substantial differences between recommendations for BP measurement in general and effective BP measurements performed by medical staff [3], but whether these recommendations are followed in dialysis centres has not been investigated so far. The objectives of this multi-centric, cross-sectional survey were (i) to assess the adherence to current recommendations [4] on BP measurements in dialysis centres both according to physicians’ and patients’ perspectives and (ii) to evaluate the use of out-of-office BP measurements in dialysis patients. [...]
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Citations

Pappaccogli, M., Labriola, L., Van der Niepen, P., Pruijm, M., Vogt, L., Halimi, J.-M., Ferro, C. J., Halabi, G., Phan, O., Bullani, R., Saudan, P., Avdelidou, A., Panou, E., Papoulidou, F., London, G., Rossignol, P., Sarafidis, P., Persu, A., & Wuerzner, G. (2019). Is blood pressure measured correctly in dialysis centres? Physicians’ and patients’ views. Nephrology, dialysis, transplantation, 34(9), 1612-1625. https://doi.org/10.1093/ndt/gfz125 (Original work published 2019)