Chapter 11: Blood pressure profile of prevalent patients receiving renal replacement therapy in England, Wales and Northern Ireland in 2009: National and centre-specific analyses

Abstract

Background: The UK Renal Registry (UKRR) assesses blood pressure (BP) control annually for patients receiving Renal Replacement Therapy (RRT) at renal centres in England, Wales and Northern Ireland. Methods: Patients alive and receiving RRT on 31st December 2009 with a BP reading in either the fourth or third quarter of 2009 were included. Summary statistics were calculated for each renal centre and country. Results: Data completeness for BP measurements submitted to the UKRR for all modalities improved from the previous year and was better for HD patients (67% for pre-HD measurements) than for PD patients (44%) or transplant recipients (37%). In 2009, the median pre-and post-HD SBP were 142 mmHg and 129 mmHg respectively. The median SBP of patients on PD was 137 mmHg. Transplant recipients had a median SBP of 134 mmHg. Median DBP were 74 mmHg (pre-HD), 68 mmHg (post-HD), 79 mmHg (PD) and 79 mmHg (transplant). Only 26.7% of PD patients achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg. Amongst transplant patients, 27.2% achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg. Conclusion: In 2009 there continued to be significant variation in the achievement of BP standards between UK renal centres. Copyright © 2011 S. Karger AG, Basel.