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METHODS AND NUMBER OF BLOOD PRESSURE ASSESSMENTS USED TO ASSESS BLOOD PRESSURE VARIABILITY IN INDIVIDUALS WITH DIABETES

Objective: To map the methods and number of blood pressure (BP) assessments used to assess the very short, short, medium, and long term variability of blood pressure (VBP) in adults and elderly patients with type 1 or 2 Diabetes Mellitus (DM) Design and method: A cooping review was conducted, following the Jonna Briggs Institute (JBI) methodology, in January and February 2021, in MEDLINE, Web of Science, CINAHL, LILACS, PubMed, and Embase electronic databases. Studies carried out in the last 10 years, without language restrictions, that cooping VBP in adults and elderly with type 1 or 2 DM were included. After the extraction process, the articles were imported into Zotero reference manager for duplicate removal, followed by screening by two reviewers. The PRISMA extension for cooping reviews (PRISMA-ScR) guidelines was used to organize and present the process of selection of articles. Results: A total of 3,795 articles were identified, of which 25 made up the final sample. Most studies were published in 2016 (60%) and used a cross-sectional (44%) approach. There was a predominance of studies with type 2 DM, and Japan had the highest number of publications (44%). There was a predominance of the oscillometric method of assessing BP (88%), and the predominant type of variability in the studies was long-term VBP (40%). There was variation in the number of measurements depending on the assessment method. In the assessment of short-term VBP, the performance of a measurement every 30 minutes during the day and every 60 minutes at night (16%) stood out; on the other hand, for medium and long-term VBP, three measurements were performed in the morning and at night (20%). Conclusions: Evidence points to the growing use of the oscillometric method. Furthermore, long-term VBP, obtained from visit to visit, was highlighted in the studies in the event of diabetes-related complications, and it was observed that there was a variation in the number of measurements adopted, which can be attributed to the lack of consensus on the recommendations for each type of BP assessment method.