Abstract
INTRODUCTION: There continues to be uncertainty in the literature about which blood pressure (BP) recordings in which time period associate best with long-term patient outcomes and therefore optimal target ranges.
METHODS: Patients receiving renal replacement therapy (RRT) on 31st December 2012 with a BP reading in either the fourth or third quarter of 2012 were included. Summary statistics were calculated for each renal centre and country.
RESULTS: Data completeness for BP measurements submitted to the UK Renal Registry (UKRR) for all modalities were improved from previous years: it was better for haemodialysis (HD) patients (75% for pre-HD measurements) than for peritoneal dialysis (PD) patients (51%) or transplant recipients (41%). In 2012, the median pre- and post-HD systolic blood pressures (SBPs) were 140 mmHg and 128 mmHg respectively. The median SBP of patients on PD was 137 mmHg. Transplant recipients had a median SBP of 134 mmHg. Median diastolic blood pressures (DBPs) were 71 mmHg (pre-HD), 67 mmHg (post-HD), 78 mmHg (PD) and 79 mmHg (transplant). Only 26% of PD patients achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg. Amongst transplant patients, 27% achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg.
CONCLUSION: In 2012 there continued to be significant variation in the achievement of BP standards between UK renal centres.
Original language | English |
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Pages (from-to) | 209-18 |
Number of pages | 10 |
Journal | Nephron Clinical Practice |
Volume | 125 |
Issue number | 1-4 |
DOIs | |
Publication status | Published - 14 Feb 2014 |
Keywords
- Adult
- Annual Reports as Topic
- Blood Pressure
- Blood Pressure Determination
- Catchment Area (Health)
- Guideline Adherence
- Humans
- Kidney Failure, Chronic
- Kidney Transplantation
- Peritoneal Dialysis
- Practice Guidelines as Topic
- Registries
- United Kingdom
- Journal Article