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2. Growth in children with nephrotic syndrome: a post hoc analysis of the NEPTUNE study

Author

Maniar, Aesha, Gipson, Debbie S., Brady, Tammy, Srivastava, Tarak, Selewski, David T., Greenbaum, Larry A., Dell, Katherine M., Kaskel, Frederick, Massengill, Susan, Tran, Cheryl, Trachtman, Howard, Lafayette, Richard, Almaani, Salem, Hingorani, Sangeeta, Wang, Chia-shi, Reidy, Kimberly, Cara-Fuentes, Gabriel, Gbadegesin, Rasheed, Myers, Kevin, and Sethna, Christine B.

Published
2024
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3. Longitudinal analysis of blood pressure and lipids in childhood nephrotic syndrome

Author

Carboni, Johnathon, Thomas, Elizabeth, Gipson, Debbie S., Brady, Tammy M., Srivastava, Tarak, Selewski, David T., Greenbaum, Larry A., Wang, Chia-shi, Dell, Katherine M., Kaskel, Frederick, Massengill, Susan, Reidy, Kimberly, Tran, Cheryl L., Trachtman, Howard, Lafayette, Richard, Almaani, Salem, Hingorani, Sangeeta, Gbadegesin, Rasheed, Gibson, Keisha L., and Sethna, Christine B.

Published
2024
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27. The urgency to regulate validation of automated blood pressure measuring devices: a policy statement and call to action from the world hypertension league

Author

Sharman, James E., Ordunez, Pedro, Brady, Tammy, Parati, Gianfranco, Stergiou, George, Whelton, Paul K., Padwal, Raj, Olsen, Michael Hecht, Delles, Christian, Schutte, Aletta E., Tomaszewski, Maciej, Lackland, Daniel T., Khan, Nadia, McManus, Richard J., Tsuyuki, Ross T., Zhang, Xin-Hua, Murphy, Lisa D., Moran, Andrew E., Schlaich, Markus P., and Campbell, Norm R. C.

Published
2023
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29. Agreement between attended home and ambulatory blood pressure measurements in adolescents with chronic kidney disease

Author

Glenn, Trevor W., Eaton, Cyd K., Psoter, Kevin J., Eakin, Michelle N., Pruette, Cozumel S., Riekert, Kristin A., and Brady, Tammy M.

Subjects
Care and treatment, Development and progression, Demographic aspects, Comparative analysis, Methods, Blood pressure measurement -- Methods -- Comparative analysis, Chronic kidney failure -- Care and treatment -- Development and progression -- Demographic aspects, Blood pressure -- Measurement
Abstract

Author(s): Trevor W. Glenn [sup.1] , Cyd K. Eaton [sup.2] , Kevin J. Psoter [sup.2] , Michelle N. Eakin [sup.2] , Cozumel S. Pruette [sup.2] , Kristin A. Riekert [sup.2] [...], Background This study aimed to compare attended home blood pressure (BP) measurements (HBPM) with ambulatory BP monitor (ABPM) readings and examine if level of agreement between measurement modalities differs overall and by subgroup. Methods This was a secondary analysis of data from a 2-year, multicenter observational study of children 11-19 years (mean 15, SD = 2.7) with chronic kidney disease. Participants had 3 standardized resting oscillometric home BPs taken by staff followed by 24-h ABPM within 2 weeks of home BP. BP indices (measured BP/95%ile BP) were calculated for mean triplicate attended HBPM and mean ABPM measurements. Paired HBPM and ABPM measurements taken during any of 5 study visits were compared using linear regression with robust standard errors. Generalized estimating equation-based logistic regression determined sensitivity, specificity, negative, and positive predictive values with ABPM as the gold standard. Analyses were conducted for the group overall and by subgroup. Results A total of 103 participants contributed 251 paired measurements. Indexed systolic BP did not differ between HBPM and daytime APBM (mean difference - 0.002; 95% CI: - 0.006, 0.003); the difference in indexed diastolic BP was minimal (mean difference - 0.033; 95% CI: - 0.040, - 0.025). Overall agreement between HBPM and 24-h ABPM in identifying abnormal BP was high (81.8%). HBPM had higher sensitivity (87.5%) than specificity (77.4%) and greater negative (89.8%) than positive (73.3%) predictive value, and findings were consistent in subgroups. Conclusions Attended HBPM may be reasonable for monitoring BP when ABPM is unavailable. The greater accessibility and feasibility of attended HBPM may potentially help improve BP control among at-risk youth. Graphical abstract A higher resolution version of the Graphical abstract is available as Supplementary information.

Published
2022
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32. Effects of Noise and Public Setting on Blood Pressure Readings: A Randomized Crossover Trial.

Author

Ishigami, Junichi, Liu, Hairong, Zhao, Di, Sabit, Ahmed, Pathiravasan, Chathurangi H., Charleston, Jeanne, Miller III, Edgar R., Matsushita, Kunihiro, Appel, Lawrence J., and Brady, Tammy M.

Subjects
PUBLIC spaces, MEDICAL care use, CROSSOVER trials, MEDICAL offices, NOISE measurement
Abstract

Guidelines emphasize quiet settings for blood pressure (BP) measurement. Whether background noise affects BP reading is unclear. This crossover trial examines the effect of measuring BP in different settings with different levels of background noise on BP measurement values. Background: Guidelines emphasize quiet settings for blood pressure (BP) measurement. Objective: To determine the effect of noise and public environment on BP readings. Design: Randomized crossover trial of adults in Baltimore, Maryland. (ClinicalTrials.gov: NCT05394376) Setting: Study measures were obtained in a clinical research office and a public food market near Johns Hopkins University School of Medicine in Baltimore, Maryland. Participants: 108 community-dwelling adults from the Baltimore, Maryland, area recruited through measurement-screening campaigns, mailings to previous study participants, and referrals from hypertension clinics. Intervention: Participants were randomly assigned to the order in which they had triplicate BP measurements in each of 3 settings: 1) private quiet office (private quiet [reference]); 2) noisy public space (public loud); and 3) noisy public space plus earplugs (public quiet). Measurements: Differences in mean BP readings obtained in public loud and public quiet versus private quiet, overall and stratified by baseline systolic BP (SBP), age, and recent health care utilization. Results: Of the 108 randomly assigned participants, mean age was 56 years (SD, 17), 84% were self-reported Black, 41% were female, and 45% had an SBP of 130 mm Hg or more. The average noise level in public loud was 74 dB and in private quiet was 37 dB. Mean SBPs were: 128.9 mm Hg (SD, 22.3) in private quiet, 128.3 mm Hg (SD, 21.7) in public loud, and 129.0 mm Hg (SD, 22.2) in public quiet. Corresponding diastolic BPs (DBPs) were 74.2 mm Hg (SD, 11.4), 75.9 mm Hg (SD, 11.6), and 75.7 mm Hg (SD, 12.0), respectively. Public-loud and public-quiet BPs had minimal, non–clinically important differences from private quiet BPs: public loud: ΔSBP, −0.66 mm Hg (95% CI, −2.25 to 0.93 mm Hg) and ΔDBP, 1.65 mm Hg (CI, 0.77 to 2.54 mm Hg); public quiet: ΔSBP, 0.09 mm Hg (−1.53 to 1.72 mm Hg) and ΔDBP, 1.45 mm Hg (0.64 to 2.27 mm Hg). The patterns were generally consistent across subgroups. Limitations: Single-center trial. Imbalance in the numbers and characteristics across the randomly assigned groups. Conclusion: The BP readings obtained in public spaces were minimally different from BPs obtained in a private office, suggesting that public spaces are reasonable settings to screen for hypertension. Primary Funding Source: Resolve to Save Lives. [ABSTRACT FROM AUTHOR]

Published
2025
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