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Pediatric hypertension screening and recognition in primary care clinics in Canada

Linda Ding1,2, Alexander Singer1,3, Leanne Kosowan1,3

  • 1Department of Pediatrics and Child Health, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.

Paediatrics & Child Health
|May 23, 2022
PubMed

Insights

Pediatric hypertension screening and recognition rates in Canadian primary care are low. This highlights a need for improved interventions to manage high blood pressure in children.

Area of Science:

  • Pediatrics
  • Cardiology
  • Public Health

Background:

  • Pediatric consensus guidelines recommend hypertension screening in children.
  • Current practices for screening and recognition of pediatric hypertension in primary care are not well-documented.

Purpose of the Study:

  • To evaluate the rates of blood pressure assessment and hypertension recognition among children in Canadian primary care settings.
  • To identify patient and provider characteristics associated with increased screening and recognition of pediatric hypertension.

Main Methods:

  • Retrospective cohort study utilizing electronic medical record data from the Canadian Primary Care Sentinel Surveillance Network (2011-2017).
  • Included children aged 3 to <18 years with at least one clinical encounter.
  • Analyzed screening, follow-up, and hypertension recognition rates using descriptive statistics and multivariate logistic regression.

Main Results:

  • Blood pressure was documented in 33.3% of all encounters, increasing from 26.7% in 2011 to 36.2% in 2017.
  • Follow-up for elevated blood pressure or hypertension was suboptimal; only 57.1% of children with hypertension had follow-up within 6 months.
  • The overall prevalence of hypertension was 1.9%, with only 5.6% of those cases recognized. Factors like being overweight, having diabetes, chronic kidney disease, and social deprivation were associated with increased screening. Male sex, overweight, and hyperlipidemia were associated with increased recognition.

Conclusions:

  • Current rates of hypertension screening and recognition in Canadian primary care are low.
  • Pediatric hypertension requires greater attention, necessitating the implementation and dissemination of targeted interventions.
Abstract

Keywords:
HypertensionPediatricPrimary careScreening

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