Few Kids With Single High BP Reading Diagnosed With HTN
(HealthDay News) – Most children with a reading of elevated blood pressure (BP) did not have follow-up within one month, but relatively few developed hypertension within a year, according to research published in the August issue of Pediatrics.
Matthew F. Daley, MD, of Kaiser Permanente Colorado in Denver, and colleagues retrospectively reviewed data from 72,625 children aged 3–17 years to assess patterns of care following an elevated blood pressure reading during a routine visit.
The researchers found that 6,108 children and adolescents (8.4%) had an incident elevated BP. Of these, 1,275 patients (20.9%) had their BP checked within one month. Multivariate analysis showed that one-month follow-up was not significantly more likely in those with obesity or stage 2 systolic BP elevation. Only 84 pediatric patients (1.4%) with an incident elevated BP had a second and third consecutive elevated BP during the next 12 months.
"Repeating abnormal BP measurements at the end of the visit could improve detection, with electronic health record-based alerts to prompt for these repeat measurements," the authors write.