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Table 3 Agreement between 24-h mean ABP and day versus night ABP for diagnosing ambulatory normotension/hypertension

From: Ambulatory hypertension diagnosed by 24-h mean ambulatory versus day and night ambulatory blood pressure thresholds in children: a cross-sectional study

Variable

Accuracy (%)a) (95th CI)

Kappa (95% CI)

Day ABP threshold

 Entire group (n = 450)

91 (0.82–1.06)

0.77 (0.70–0.83)

 Age ≥ 13 yr (n = 267)

91 (0.80–1.03)

0.73 (0.63–0.83)

 Male sex (n = 267)

92 (0.81–1.05)

0.82 (0.74–0.89)

 Overweight/obese (n = 248)

91 (0.79–1.03)

0.77 (0.69–0.86)

 Primary hypertension (n = 352)

90 (0.80–1.01)

0.77 (0.69–0.84)

 Secondary hypertension (n = 98)

93 (0.75–1.15)

0.71 (0.50–0.93)

 No BP medication (n = 322)

90 (0.79–1.01)

0.76 (0.68–0.84)

 On BP medication (n = 128)

94 (0.78–1.12)

0.76 (0.60–0.93)

Night ABP threshold

 Entire group (n = 450)

78 (0.70–0.87)

0.52 (0.44–0.60)

 Age ≥ 13 yr (n = 267)

73 (0.63–0.84)

0.39(0.29–0.50)

 Male sex (n = 267)

78 (0.68–0.90)

0.57(0.47–0.68)

 Overweight/obese (n = 248)

79 (0.69–0.91)

0.55(0.45–0.66)

 Primary hypertension (n = 352)

76 (0.67–0.85)

0.49 (0.40–0.58)

 Secondary hypertension (n = 98)

88 (0.71–1.09)

0.60 (0.39–0.81)

 No BP medication (n = 322)

75 (0.66–0.85)

0.48 (0.39–0.58)

 On BP medication (n = 128)

87 (0.72–1.05)

0.59 (0.41–0.76)

  1. 24-h mean ABP threshold: 24-h ABP ≥ 24-h 95th ABP percentile according to the ABPM references [6]; Day ABP threshold: mean day ABP ≥ day 95th ABP percentile [6]; Night ABP threshold: mean night ABP ≥ night 95th ABP percentile [6]
  2. ABP ambulatory blood pressure, CI confidence interval, BP blood pressure, ABPM ambulatory blood pressure monitoring
  3. a)The proportion of ABP classified similarly by both the ABP thresholds into ambulatory normotension/hypertension