ArticleHypertension (Dallas, Tex. : 1979)2024
Pediatric High Blood Pressure Recognition Associated With Electronic Decision Support: A Cohort Analysis.
Article in Hypertension (Dallas, Tex. : 1979), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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Who cites it
2 citing papers in PubMed.
- Clinician Perceptions of Barriers and Strategies to Improve Pediatric Hypertension Detection.JAMA network open · 2026Article
- Qualitative Analysis of Point of Care Ambulatory Blood Pressure Monitoring: Patient, Parent, and Primary Care Provider Perspectives.American journal of hypertension · 2025Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
backgroundPediatric high blood pressure (BP) predicts future cardiovascular disease events. High BP is improperly measured, underrecognized, and undermanaged especially in disadvantaged populations. In a large, diverse, academic pediatric practice, we detail the associations of a comprehensive initiative with high BP provider recognition.
methodsA comprehensive BP initiative was promulgated including (1) retraining providers and staff on BP management; (2) deploying equipment at 55+ sites; and (3) electronic decision support tool alerting staff and clinicians and suggesting management. During the 14-month preintervention and 14-month postintervention periods, data on BP and patient characteristics were collected. The outcome was incident BP recognition defined as any of the following: BP-specific
resultsFrom preintervention (children, n=105 674; adolescents, n=54 365) to postintervention (children, n=87 917; adolescents, n=56 470), the proportion measured with high BP declined in children and adolescents (30% versus 14% and 30% versus 15%, respectively, each
conclusionsA comprehensive BP initiative was associated with more appropriate high BP measurement and recognition including in disadvantaged populations. Future work may address the low overall and nonsustained recognition and consideration of electronic decision support for pediatric BP management and mitigating disparities.
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