Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents

Author:

Flynn Joseph T.1,Kaelber David C.2,Baker-Smith Carissa M.3,Blowey Douglas4,Carroll Aaron E.5,Daniels Stephen R.6,de Ferranti Sarah D.7,Dionne Janis M.8,Falkner Bonita9,Flinn Susan K.10,Gidding Samuel S.11,Goodwin Celeste12,Leu Michael G.13,Powers Makia E.14,Rea Corinna15,Samuels Joshua16,Simasek Madeline17,Thaker Vidhu V.18,Urbina Elaine M.19,

Affiliation:

1. Dr. Robert O. Hickman Endowed Chair in Pediatric Nephrology, Division of Nephrology, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington;

2. Departments of Pediatrics, Internal Medicine, Population and Quantitative Health Sciences, Center for Clinical Informatics Research and Education, Case Western Reserve University and MetroHealth System, Cleveland, Ohio;

3. Division of Pediatric Cardiology, School of Medicine, University of Maryland, Baltimore, Maryland;

4. Children’s Mercy Hospital, University of Missouri-Kansas City and Children’s Mercy Integrated Care Solutions, Kansas City, Missouri;

5. Department of Pediatrics, School of Medicine, Indiana University, Bloomington, Indiana;

6. Department of Pediatrics, School of Medicine, University of Colorado-Denver and Pediatrician in Chief, Children’s Hospital Colorado, Aurora, Colorado;

7. Director, Preventive Cardiology Clinic, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts;

8. Division of Nephrology, Department of Pediatrics, University of British Columbia and British Columbia Children’s Hospital, Vancouver, British Columbia, Canada;

9. Departments of Medicine and Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania;

10. Consultant, American Academy of Pediatrics, Washington, District of Columbia;

11. Cardiology Division Head, Nemours Cardiac Center, Alfred I. duPont Hospital for Children, Wilmington, Delaware;

12. National Pediatric Blood Pressure Awareness Foundation, Prairieville, Louisiana;

13. Departments of Pediatrics and Biomedical Informatics and Medical Education, University of Washington, University of Washington Medicine and Information Technology Services, and Seattle Children's Hospital, Seattle, Washington;

14. Department of Pediatrics, School of Medicine, Morehouse College, Atlanta, Georgia;

15. Associate Director, General Academic Pediatric Fellowship, Staff Physician, Boston's Children's Hospital Primary Care at Longwood, Instructor, Harvard Medical School, Boston, Massachusetts;

16. Departments of Pediatrics and Internal Medicine, McGovern Medical School, University of Texas, Houston, Texas;

17. Pediatric Education, University of Pittsburgh Medical Center Shadyside Family Medicine Residency, Clinical Associate Professor of Pediatrics, Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, and School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;

18. Division of Molecular Genetics, Department of Pediatrics, Columbia University Medical Center, New York, New York; and

19. Preventive Cardiology, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio

Abstract

These pediatric hypertension guidelines are an update to the 2004 “Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents.” Significant changes in these guidelines include (1) the replacement of the term “prehypertension” with the term “elevated blood pressure,” (2) new normative pediatric blood pressure (BP) tables based on normal-weight children, (3) a simplified screening table for identifying BPs needing further evaluation, (4) a simplified BP classification in adolescents ≥13 years of age that aligns with the forthcoming American Heart Association and American College of Cardiology adult BP guidelines, (5) a more limited recommendation to perform screening BP measurements only at preventive care visits, (6) streamlined recommendations on the initial evaluation and management of abnormal BPs, (7) an expanded role for ambulatory BP monitoring in the diagnosis and management of pediatric hypertension, and (8) revised recommendations on when to perform echocardiography in the evaluation of newly diagnosed hypertensive pediatric patients (generally only before medication initiation), along with a revised definition of left ventricular hypertrophy. These guidelines include 30 Key Action Statements and 27 additional recommendations derived from a comprehensive review of almost 15 000 published articles between January 2004 and July 2016. Each Key Action Statement includes level of evidence, benefit-harm relationship, and strength of recommendation. This clinical practice guideline, endorsed by the American Heart Association, is intended to foster a patient- and family-centered approach to care, reduce unnecessary and costly medical interventions, improve patient diagnoses and outcomes, support implementation, and provide direction for future research.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference570 articles.

1. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents.;National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents;Pediatrics,2004

2. Classifying recommendations for clinical practice guidelines.;American Academy of Pediatrics Steering Committee on Quality Improvement and Management;Pediatrics,2004

3. Hypertension in infancy: diagnosis, management and outcome [published correction appears in Pediatr Nephrol. 2012;27(1):159-60];Dionne;Pediatr Nephrol,2012

4. Childhood blood pressure trends and risk factors for high blood pressure: the NHANES experience 1988-2008.;Rosner;Hypertension,2013

Cited by 2137 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3