Is one measurement enough to evaluate blood pressure among adolescents? A blood pressure screening experience in more than 9000 children with a subset comparison of auscultatory to mercury measurements

Recognizing elevated blood pressure in pediatrics: the value of repeated measures

“…Of over 755 000 children whose BP was measured, 186 732 (24.7%) had elevated BP. Although alarming, this proportion of children with initially elevated BP readings in primary care is not far from previously published values …”

“…As with underrecognition of hypertension, overdiagnosis based on initial BP measurements has also been described. Negroni and colleagues evaluated BP in nearly 10 000 children in a school‐based BP screening program. Similar to the current study, they demonstrated that the initial oscillometric BP reading greatly overestimated the true prevalence of elevated BP and hypertension.…”

Slik måler du blodtrykk på barn

“…Europeiske og amerikanske retningslinjer er å måle BT minst tre ganger med noen minutters mellomrom ved hver kontroll for å minske faren for feilmåling (1, 2). Dette bekreftes i en studie fra 2016, hvor den største forskjellen fra måling en og to var 3,8 mmHg lavere for SBT og 3,3 mmHg lavere for DBT (15). Et unormalt høyt BT målt automatisk skal kontrolleres med auskultatorisk metode (1, 2).…”

Blood Pressure Measurement in Pediatrics

“…Comparison of auscultatory to oscillometric values is complex, especially when only a single value is measured. 9 While this study did not evaluate the degree to which the Working Group recommendations were followed regarding BP measurement technique, at least half of the patients had BP measured inappropriately in the left arm. Whether these methodologic issues in BP measurement affected the study findings is unclear, but certainly a more standardized BP measurement technique is required to obtain reproducible BP values that are comparable to the national threshold standards.…”

“…The use of auscultatory BP is also recommended but this study used oscillometric devices to measure BP. Comparison of auscultatory to oscillometric values is complex, especially when only a single value is measured . While this study did not evaluate the degree to which the Working Group recommendations were followed regarding BP measurement technique, at least half of the patients had BP measured inappropriately in the left arm.…”