Effet blouse blanche résiduel : un outil pertinent en soins premiers?
Copyright © 2024 Elsevier Masson SAS. All rights reserved..
BACKGROUND: White coat effect (WCE) and white coat hypertension (WCH) are hardly both compared in primary care.
OBJECTIVE: To assess the usefulness of repeated measures of systolic blood pressure (SBP) to dissociate various forms of white-coat interactions.
METHODS: An open cross-sectional study on consecutive patients treated or not for high blood pressure was made in family physicians' offices. SBP was measured 5 times by an electronic device. Measurements were performed before (SBP1) and after (SBP5) the office visit by a lay assistant and at the beginning (SBP2), middle (SBP3) and end (SBP4) of visit, by the family physician. Home BP (HBPM) was measured from 3 consecutive days by the patient. WCE and office WCE tail (OWCET) were defined, respectively, as a 10 mmHg SBP increase or decrease between SBP2-SBP1 or SBP4-SBP2. WCH was considered when HBPM was normal (SBP < 135 mmHg) at home and high during the SBP2 office visit.
RESULTS: Two hundred five patients (134 women versus 71 men, ratio 1.9, aged 59.8±15.7 years) were recruited. In categorical terms, there were 51 patients (25%) who presented with WCE, OWCET was seen in 121 patients (62%) and 47 patients (23%) had WCH. Only 36 patients (18%) presented both OWCET and WCE and 32 (16%) had both OWCET and WCH. The receiver operating characteristic curves (ROCs) of OWCET in diagnosing WCE or WCH were respectively 0.67 (p<0.0001) and 0.53 (NS).
CONCLUSION: Thus, OWCET was predictive of WCE and not of WCH and it is worthwhile to be measured in the family physician office.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:73 |
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| Enthalten in: |
Annales de cardiologie et d'angeiologie - 73(2024), 2 vom: 28. Apr., Seite 101733 |
| Sprache: |
Französisch |
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| Weiterer Titel: |
Office white-coat effect tail: A useful tool in family practice? |
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| Beteiligte Personen: |
Humbert, X [VerfasserIn] |
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| Links: |
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| Themen: |
Automesures tensionnelles |
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| Anmerkungen: |
Date Completed 01.04.2024 Date Revised 01.04.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ancard.2024.101733 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Humbert, X |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Effet blouse blanche résiduel |b un outil pertinent en soins premiers? |
| 246 | 3 | 3 | |a Office white-coat effect tail: A useful tool in family practice? |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Completed 01.04.2024 | ||
| 500 | |a Date Revised 01.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a BACKGROUND: White coat effect (WCE) and white coat hypertension (WCH) are hardly both compared in primary care | ||
| 520 | |a OBJECTIVE: To assess the usefulness of repeated measures of systolic blood pressure (SBP) to dissociate various forms of white-coat interactions | ||
| 520 | |a METHODS: An open cross-sectional study on consecutive patients treated or not for high blood pressure was made in family physicians' offices. SBP was measured 5 times by an electronic device. Measurements were performed before (SBP1) and after (SBP5) the office visit by a lay assistant and at the beginning (SBP2), middle (SBP3) and end (SBP4) of visit, by the family physician. Home BP (HBPM) was measured from 3 consecutive days by the patient. WCE and office WCE tail (OWCET) were defined, respectively, as a 10 mmHg SBP increase or decrease between SBP2-SBP1 or SBP4-SBP2. WCH was considered when HBPM was normal (SBP < 135 mmHg) at home and high during the SBP2 office visit | ||
| 520 | |a RESULTS: Two hundred five patients (134 women versus 71 men, ratio 1.9, aged 59.8±15.7 years) were recruited. In categorical terms, there were 51 patients (25%) who presented with WCE, OWCET was seen in 121 patients (62%) and 47 patients (23%) had WCH. Only 36 patients (18%) presented both OWCET and WCE and 32 (16%) had both OWCET and WCH. The receiver operating characteristic curves (ROCs) of OWCET in diagnosing WCE or WCH were respectively 0.67 (p<0.0001) and 0.53 (NS) | ||
| 520 | |a CONCLUSION: Thus, OWCET was predictive of WCE and not of WCH and it is worthwhile to be measured in the family physician office | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Automesures tensionnelles | |
| 650 | 4 | |a Blood pressure measurement | |
| 650 | 4 | |a Effet blouse blanche | |
| 650 | 4 | |a Home blood pressure | |
| 650 | 4 | |a Mesure de pression artérielle | |
| 650 | 4 | |a White-coat effect | |
| 700 | 1 | |a Touze, E |e verfasserin |4 aut | |
| 700 | 1 | |a Le Bas, J |e verfasserin |4 aut | |
| 700 | 1 | |a Schonbrodt, L |e verfasserin |4 aut | |
| 700 | 1 | |a Couette, P-A |e verfasserin |4 aut | |
| 700 | 1 | |a De Jaegher S, S |e verfasserin |4 aut | |
| 700 | 1 | |a Pithon, A |e verfasserin |4 aut | |
| 700 | 1 | |a Alexandre, J |e verfasserin |4 aut | |
| 700 | 1 | |a Puddu, P-E |e verfasserin |4 aut | |
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