ArticleJournal of clinical hypertension (Greenwich, Conn.)2018
Failure to confirm high blood pressures in pediatric care-quantifying the risks of misclassification.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Qualitative Analysis of Point of Care Ambulatory Blood Pressure Monitoring: Patient, Parent, and Primary Care Provider Perspectives.American journal of hypertension · 2025Article
- Screening and Management of Pediatric High Blood Pressure-Challenges to Implementing the Clinical Practice Guideline.Current hypertension reports · 2024Review
- 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2024Review
- Association of High Normal Body Weight in Youths With Risk of Hypertension.JAMA network open · 2023Article
- Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association.Circulation · 2023Review
- Antenatal Programming of Hypertension: Paradigms, Paradoxes, and How We Move Forward.Current hypertension reports · 2022Review
- Elevated blood pressure in youth in pediatric weight management programs in the Pediatric Obesity Weight Evaluation Registry (POWER).Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Intensity of hypertensive exposure in young adulthood and subclinical atherosclerosis in middle age: Evidence from the CARDIA study.Frontiers in cardiovascular medicine · 2022Article
- Utility of blood pressure measurements at an initial screening visit to identify Chinese children and adolescents with hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association.Circulation · 2021Article
- New Diagnostic Criteria for Hypertension in Children and Adolescents: Lights and Shadows.Children (Basel, Switzerland) · 2020Article
- Optimizing the implementation of a population panel management intervention in safety-net clinics for pediatric hypertension (The OpTIMISe-Pediatric Hypertension Study).Implementation science communications · 2020Article
- 2018 Chinese Guidelines for Prevention and Treatment of Hypertension-A report of the Revision Committee of Chinese Guidelines for Prevention and Treatment of Hypertension.Journal of geriatric cardiology : JGC · 2019Article
- Racial Differences in Rates of Change of Childhood Body Mass Index and Blood Pressure Percentiles.The Journal of pediatrics · 2018Article
- Evaluation and Management of Stage 2 Hypertension in Pediatric Patients.Current hypertension reports · 2018Review
- Recognizing elevated blood pressure in pediatrics: the value of repeated measures.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
- Failure to confirm high blood pressures in pediatric care-quantifying the risks of misclassification.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Pediatric practice guidelines call for repeating an elevated office blood pressure (BP) at the same visit, but there are few data available to support this recommendation. We compared the visit results in children aged 3 to 17 years with a BP reading ≥95th percentile (n = 186 732) based on the initial BP and the mean of two BP readings, using electronic medical records from 2012-2015. Failure to repeat an initial BP reading ≥95th percentile would lead to a false "hypertensive" visit result in 54.1% of children who would require follow-up visits. After an initial visit result indicating hypertension, hypertension stage I or stage II was sustained in 2.3% and 11.3% of youth during their next visits, respectively. In conclusion, only approximately half of the pediatric patients would be correctly classified based on their initial BP. The recommendation to repeat high BP during the same visit needs to be emphasized because it saves unnecessary follow-up visits.
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