Chapter 10 Blood pressure profile of prevalent patients receiving renal replacement therapy in England, Wales and Northern Ireland in 2010: national and centre-specific analyses.

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 receiving RRT on 31st December 2010 with a BP reading in either the fourth or third quarter of 2010 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 were little changed from previous years: it was better for HD patients (64% for pre-HD measurements) than for PD patients (44%) or transplant recipients (36%). In 2010, the median pre-and post-HD SBP were 140 mmHg and 128 mmHg respectively. The median SBP of patients on PD was 138 mmHg. Transplant recipients had a median SBP of 134 mmHg. Median DBP were 71 mmHg (pre-HD), 67 mmHg (post-HD), 80 mmHg (PD ) and 79 mmHg (transplant). Only 25.6% of PD patients achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg. Amongst transplant patients, 27.7% achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg.

CONCLUSION

In 2010 there continued to be significant variation in the achievement of BP standards between UK renal centres.