Document Detail


Simple table to identify children and adolescents needing further evaluation of blood pressure.
MedLine Citation:
PMID:  19414519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The goal was to create a tool to screen more easily for children and adolescents who might have hypertension or prehypertension. METHODS: We took the existing tables from The Fourth Report on the Diagnosis, Evaluation and Treatment of High Blood Pressure in Children and Adolescents, which contain hundreds of normal and abnormal blood pressure values based on gender, age, and height percentile, and analyzed this data to develop a much simplified table based only on gender and age. RESULTS: In our simplified table we reduced the number of values from 476 to 64 and have only one threshold value of abnormal systolic and diastolic blood pressure, by gender, for each year of life (ages 3 to > or =18). This table makes it easy to identify abnormal blood pressure values in almost any potential care or screening setting. This approach is ideal when blood pressure is measured outside a physician's office or even at intake in a pediatrician's office, when the height percentile (which is required for the use of current tables) may not be easily obtainable. CONCLUSIONS: This screening tool can quickly and easily identify children and adolescents whose blood pressure readings merit further evaluation by a physician and rule out abnormal blood pressure in children and adolescents.
Authors:
David C Kaelber; Frieda Pickett
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Publication Detail:
Type:  Journal Article     Date:  2009-05-04
Journal Detail:
Title:  Pediatrics     Volume:  123     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-01     Completed Date:  2009-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e972-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, MetroHealth System, Cleveland, Ohio, USA. david.kaelber@case.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Blood Pressure Determination / statistics & numerical data
Child
Child, Preschool
Emergency Service, Hospital
Female
Humans
Hypertension / diagnosis*,  epidemiology
Male
Mass Screening / methods*,  statistics & numerical data
Pediatrics
Physicians' Offices
Reference Values
Sex Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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