Blood pressure measurements on children in the emergency department

Gilhotra, Yuri; Willis, Frank

doi:10.1111/j.1742-6723.2006.00824.x

Cited by 19 publications

(18 citation statements)

References 22 publications

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“…There was a failure to measure and record blood pressure,8 a vital sign in children, particularly in cases of shock and head injury. Guidance from the National Institute for Health and Clinical Excellence advises that all children seen with a head injury should have measured as a minimum several vital signs including blood pressure 9.…”

Section: Discussionmentioning

confidence: 99%

A simple intervention improves the recording of vital signs in children presenting to the emergency department

Bird

Shea

Michie

et al. 2009

Emergency Medicine Journal

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Section: Discussionmentioning

confidence: 99%

A simple intervention improves the recording of vital signs in children presenting to the emergency department

Bird

Shea

Michie

et al. 2009

Emergency Medicine Journal

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“…There are few data on BP follow-up during childhood of these babies, despite evidence that there may be associated hypertension in late childhood [2]. Studies have shown that measurement of blood pressure in infancy is infrequently and inadequately performed [3,4]. Normative blood pressure data in healthy infants using modern oscillometric techniques is also limited.…”

Section: Introductionmentioning

confidence: 93%

Blood pressure in the first year of life in healthy infants born at term

et al. 2007

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Neonatal hypertension occurs in up to 2% of neonatal intensive care survivors and in up to 3% of all neonates. Normal blood pressure (BP) measurements are required to diagnose and manage appropriately both hypotension and hypertension in the neonate and infant. The aim of this study was to provide normative BP measurements during the first year of life of healthy infants born at term, using an oscillometric method. Neonates were enrolled from August 2003 to August 2005. Exclusion criteria included: infants of mothers with hypertension or diabetes of any type, use of illicit substances, congenital or chromosomal anomaly, admission to the neonatal intensive care unit or possible sepsis. There were 406 infants enrolled, with 150 children followed at 6 months of age and 118 children at 12 months of age. There were no differences in BP measurements at 6 months or 12 months of age by gender, weight or height. A BP measurement above the 90th percentile on day 2 or at 6 months was not predictive of a BP above the 90th percentile at 12 months of age. Higher systolic and diastolic measurements at 6 months and 12 months were found, in comparison to those in previous studies using ultrasonic devices. The findings of this study provide normative BP values for infants during their first year of life, using the oscillometric method, the most frequently used method in paediatric, neonatal intensive care and emergency departments.

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“…This guidance reflects a tendency not to measure BP in children in Emergency Departments (EDs) the world over. One Australian study reported only 22% of children attending an ED had BP measured (3). In relation to inpatients, systolic BP is a component of the Bedside Paediatric Early Warning Score (4) but as BP is often neglected in the routine observations performed on hospitalised children, opportunities for early detection of the deteriorating child may be missed.…”

Section: Introductionmentioning

confidence: 99%