Tucker, KL;
Bankhead, C;
Hodgkinson, J;
Roberts, N;
Stevens, R;
Heneghan, C;
Rey, E;
Lo, C;
Chandiramani, M;
Taylor, RS;
et al.
Tucker, KL; Bankhead, C; Hodgkinson, J; Roberts, N; Stevens, R; Heneghan, C; Rey, E; Lo, C; Chandiramani, M; Taylor, RS; North, RA; Khalil, A; Marko, K; Waugh, J; Brown, M; Crawford, C; Taylor, KS; Mackillop, L; McManus, RJ
(2018)
How Do Home and Clinic Blood Pressure Readings Compare in Pregnancy?: A Systematic Review and Individual Patient Data Meta-Analysis.
HYPERTENSION, 72 (3).
pp. 686-694.
ISSN 0194-911X
https://doi.org/10.1161/HYPERTENSIONAHA.118.10917
SGUL Authors: Khalil, Asma
Abstract
Hypertensive disorders during pregnancy result in substantial maternal morbidity and are a leading cause of maternal deaths worldwide. Self-monitoring of blood pressure (BP) might improve the detection and management of hypertensive disorders of pregnancy, but few data are available, including regarding appropriate thresholds. This systematic review and individual patient data analysis aimed to assess the current evidence on differences between clinic and self-monitored BP through pregnancy. MEDLINE and 10 other electronic databases were searched for articles published up to and including July 2016 using a strategy designed to capture all the literature on self-monitoring of BP during pregnancy. Investigators of included studies were contacted requesting individual patient data: self-monitored and clinic BP and demographic data. Twenty-one studies that utilized self-monitoring of BP during pregnancy were identified. Individual patient data from self-monitored and clinic readings were available from 7 plus 1 unpublished articles (8 studies; n=758) and 2 further studies published summary data. Analysis revealed a mean self-monitoring clinic difference of ≤1.2 mm Hg systolic BP throughout pregnancy although there was significant heterogeneity (difference in means, I2 >80% throughout pregnancy). Although the overall population difference was small, levels of white coat hypertension were high, particularly toward the end of pregnancy. The available literature includes no evidence of a systematic difference between self and clinic readings, suggesting that appropriate treatment and diagnostic thresholds for self-monitoring during pregnancy would be equivalent to standard clinic thresholds.
Item Type: |
Article
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Additional Information: |
© 2018 The Authors. Hypertension is published on behalf of the American Heart Association, Inc., by Wolters Kluwer Health, Inc. This is an open access article under the terms of the Creative Commons Attribution Non-Commercial-NoDerivs License, which permits use, distribution, and reproduction in any medium, provided that the original work is properly cited, the use is noncommercial, and no modifications or adaptations are made. |
Keywords: |
blood pressure, hypertension, pre-eclampsia, pregnancy, white coat hypertension, Cardiovascular System & Hematology, 1103 Clinical Sciences, 1102 Cardiovascular Medicine And Haematology |
SGUL Research Institute / Research Centre: |
Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) |
Journal or Publication Title: |
HYPERTENSION |
ISSN: |
0194-911X |
Dates: |
Date | Event |
---|
September 2018 | Published | 6 August 2018 | Published Online | 26 February 2018 | Accepted |
|
Publisher License: |
Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0 |
Projects: |
|
Web of Science ID: |
WOS:000441024000031 |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/110156 |
Publisher's version: |
https://doi.org/10.1161/HYPERTENSIONAHA.118.10917 |
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