Table 2

Indices of the Diagnostic Accuracy of Classification of Patients as Having vs Not Having Uncontrolled Blood Pressure Based on the Number of SBP Elevations

Definition of Uncontrolled Blood Pressure and IndexUnadjustedAdjusteda
Cut PointValueCut PointValue
24-hour ABP SBP ≥130 mm Hg
 AUCb≥3 elevations0.712≥3 elevations0.722
 NRIc≥3 elevations0.005≥3 elevations0.004
 Category-free NRIc≥3 elevations0.010≥2 elevations0.192
 rIDId≥3 elevations1.021≥3 elevations1.018
 Deviancee≥3 elevations321.9≥3 elevations321.1
24-hour ABP daytime SBP
 ≥135 mm Hg
 AUCb≥2 elevations0.717≥2 elevations0.724
 NRIc≥2 elevations0.072≥2 elevations0.072
 Category-free NRIc≥2 elevations0.144≥2 elevations0.137
 rIDId≥2 elevations1.306≥2 elevations1.237
 Deviancee≥2 elevations331.9≥2 elevations330.3
  • ABP = ambulatory blood pressure; AUC = area under the receiver operating characteristic curve; NRI = net reclassification index; rIDI = relative integrated discrimination improvement; SBP = systolic blood pressure.

  • a For age, sex, and body mass index.

  • b Criterion: largest value for receiver operating characteristic curve produced from all 10 cut points (≥1 elevations, ≥2 elevations, ≥3 elevations, …, ≥9 elevations, 10 elevations).

  • c Criterion: last classification before that producing first negative value.

  • d Criterion: last classification before that producing first value below unity.

  • e Model deviance, criterion: last classification before that producing first higher value.

  • Note: Elevated systolic blood pressure was defined as 24-hour ABP SBP ≥130 mm Hg or 24-hour ABP daytime SBP ≥135 mm Hg. Number of elevations was defined as number of elevations ≥135 mm Hg among the last 10 recordings of morning and evening home SBP.