The Journal of Pediatrics
Volume 153, Issue 4 , Pages 478-483 , October 2008

The Value of Routine Blood Pressure Measurement in Children Presenting to the Emergency Department with Nonurgent Problems

  • Jessica N. Stewart, MD, FRCP(C)

      Affiliations

    • Corresponding Author InformationReprint requests: Dr. J. N. Stewart, Division of Pediatric Emergency Medicine, Montreal Children's Hospital, 2300 Tupper St, H3H 1P3, Room T-133, Montreal, Quebec, Canada
    • ,
  • David McGillivray, MD, FRCP(C)

      Affiliations

    • Division of Emergency Medicine, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada
    • ,
  • John Sussman

      Affiliations

    • Division of Emergency Medicine, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada
    • ,
  • Bethany Foster, MD, MSCE

      Affiliations

    • Department of Pediatric Nephrology, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada

Received 22 November 2007 ,Revised 25 February 2008 ,Accepted 31 March 2008.

References 

  1. Tanabe P, Steinmann R, Kippenham M, Stehman C, Beach C. Undiagnosed hypertension in the ED setting: an unrecognized opportunity by emergency nurses. J Emerg Nurs. 2004;30:225–229
  2. National High Blood Pressure Education Program (NHBPEP) Working Group. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics. 2004;114(Suppl):555–576
  3. Adrogue H, Sinaiko A. Prevalence of hypertension in junior high school–aged children: effect of the new recommendations in the 1996 task force report. Am J Hypertens. 2001;14:412–414
  4. Sorof JM, Dejian L, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and prevalence of hypertension in school-aged children. Pediatrics. 2004;113:475–482
  5. Ralston M, Hazinski MF, Zaritsky AL, Schexnayder SM, Kleinman ME. Pediatric Advance Life Support Provider Manual. In: Dallas, TX: American Heart Association; 2006;p. 17–18
  6. Beveridge R, Clarke B, Janes L, Savage N, Thompson J, Dodd G, et al. Canadian Emergency Department Triage and Acuity Scale: implementation guidelines. Can J Emerg Med. 1999;1(Suppl 3):S2–S28
  7. Warren D, Jarvis A, Leblanc L National Triage Task Force members. Canadian Paediatric Triage and Acuity Scale: implementation guidelines for emergency departments. Can J Emerg Med. 2001;3(Suppl 4):S1–S27
  8. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, et al. CDC growth charts: United States. Adv Data. 2000;314:1–17
  9. Chiolero A, Bovet P, Paradis G, Paccaud F. Has blood pressure increased in children in response to the obesity epidemic?. Pediatrics. 2007;119:544–553
  10. Genovesi S, Giussani M, Pieruzzi F, Vigorita F, Arcovio C, Cavuto S, et al. Results of blood pressure screening in a population of school-aged children in the province of Milan: role of overweight. J Hypertens. 2005;23:493–497
  11. Silverman MA, Walker AR, Nicolaou DD, Bono MJ. The frequency of blood pressure measurements in children in four EDs. Am J Emerg Med. 2000;18:784–788
  12. Weaver M, Park M, Lee D-H. Difference in blood pressure levels obtained by auscultatory and oscillometric methods. Am J Dis Child. 1990;144:911–914
  13. Park M, Menard S, Yuan C. Comparison of auscultatory and oscillometric blood pressures. Arch Pediatr Adolesc Med. 2001;155:50–53
  14. Podoll A, Grenier M, Croix B, Feig D. Inaccuracy in pediatric outpatient blood pressure measurement. Pediatrics. 2007;119:E538–E543

 The authors have no conflicts of interest to declare.

PII: S0022-3476(08)00271-0

doi: 10.1016/j.jpeds.2008.03.046

The Journal of Pediatrics
Volume 153, Issue 4 , Pages 478-483 , October 2008

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