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Recognition and Management of Elevated Blood Pressure in Pediatric Patients: Challenges and Disparities in Community

Rikki L Ward1, Jessica M Robbins2, Rebecca N Haden3

  • 1Health Care for the Homeless, 421 Fallsway, Baltimore, MD, 21202, USA.

Journal of Community Health
|September 21, 2015
PubMed

Insights

Childhood elevated blood pressure (EBP) is rising. Clinical recognition of EBP in children is low, with only 20% of cases noted in medical records, highlighting a need for improved monitoring strategies.

Area of Science:

  • Pediatrics
  • Cardiology
  • Public Health

Background:

  • Childhood elevated blood pressure (EBP) is an increasing concern in the United States.
  • Accurate classification of EBP requires consideration of patient age, sex, and height, complicating clinical recognition.
  • Early identification and management of pediatric EBP are crucial for long-term cardiovascular health.

Purpose of the Study:

  • To assess the frequency of clinical recognition of elevated blood pressure in pediatric patients.
  • To evaluate the follow-up care provided for children with elevated blood pressure.
  • To identify factors associated with the clinical recognition of EBP in a pediatric cohort.

Main Methods:

  • A retrospective study of 754 pediatric patients from 8 urban health centers between 2010 and 2013.
  • Analysis of blood pressure (BP) measurements to identify elevated readings.
  • Review of medical records to determine the rate of EBP recognition and documentation.

Main Results:

  • 35% of the 754 patients had at least one elevated blood pressure reading during the study period.
  • Only 20% of patients with EBP had at least one reading noted in their medical record.
  • Overweight/obese children (OR 3.27) and male children (OR 2.83) were more likely to have their EBP recognized.

Conclusions:

  • Clinical recognition of elevated blood pressure in children is suboptimal.
  • Routine monitoring and improved documentation strategies are needed to enhance the identification and management of pediatric EBP.
  • Addressing EBP in childhood is essential for preventing future cardiovascular disease.

Keywords:
Blood pressureHypertensionPediatricsPrimary health careUrban health

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