Skip to main content

Table 4 Agreement between the AHA threshold and the 24-h mean ABP threshold versus day-night ABP thresholds 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

AHA and 24-h mean ABP threshold

AHA and Day-night ABP thresholds

Accuracy (%)a) (95th CI)

Kappa (95% CI)

Accuracy (%)a) (95th CI)

Kappa (95% CI)

Entire group (n = 450)

98 (0.89–1.07)

0.94 (0.91–0.98)

80 (0.72–0.89)

0.59 (0.52–0.66)

Age ≥ 13 yr (n = 267)

98 (0.86–1.10)

0.94(0.89–0.99)

76 (0.65–0.87)

0.49(0.39–0.58)

Male sex (n = 267)

97 (0.85–1.09)

0.93(0.88–0.98)

83 (0.72–0.95)

0.64(0.55–0.73)

Overweight/obese (n = 248)

97 (0.85–1.10)

0.93 (0.89–0.98)

79 (0.69–0.91)

0.58(0.49–0.67)

Primary hypertension (n = 352)

97 (0.87–1.08)

0.93 (0.90–0.97)

78 (0.69–0.88)

0.56 (0.48–0.64)

Secondary hypertension (n = 98)

98 (0.81–1.21)

1.00 (1.00–1.00)

89 (0.72–1.10)

0.66 (0.48–0.85)

No BP medication (n = 322)

97 (0.86–1.08)

0.93 (0.89–0.97)

77 (0.69–0.87)

0.54 (0.46–0.63)

On BP medication (n = 128)

100 (0.83–1.18)

1.00 (1.00–1.00)

89 (0.74–1.07)

0.69 (0.54–0.84)

  1. 24-h mean ABP threshold: 24-h mean ABP ≥ 24-h 95th ABP percentile according to the ABPM references [6]. Day-night ABP thresholds: day ABP ≥ 95th day ABP percentile [6] or mean night ABP ≥ 95th night ABP percentile [6]. AHA threshold: 24-h systolic or diastolic ABP ≥ 95th ABP percentile and 24-h systolic or diastolic ABP load ≥ 25% [3]. 24-h-ABP load: proportion of systolic or diastolic ABP readings higher than 24-h mean systolic or diastolic 95th ABP percentile
  2. AHA American Heart Association, 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