Navigation Links
Pediatrician creates easier way to identify kids' high BP
Date:5/25/2009

Pediatricians now have a new and simple way to diagnose a serious problem facing our nation's children thanks to David Kaelber, M.D., Ph.D., M.P.H., MetroHealth System pediatrician, internist, and chief medical informatics officer and Case Western Reserve University School of Medicine researcher and faculty member. Nearly 75% of cases of hypertension and 90% of cases of prehypertension in children and adolescents go undiagnosed. These troubling statistics were documented in previously published research by Dr. Kaelber. From this research, Dr. Kaelber and fellow researchers felt that one of the main reasons for the under-diagnosis may be due to the complex chart currently used to help physicians and medical personnel identify high blood pressure in children. So Dr. Kaelber's team simplified the chart focusing solely on a child's age and gender eliminating the need for a height percentile and reducing the number of values in the blood pressure table from 476 to just 64. The revised chart and accompanying description are published in the June issue of the journal Pediatrics.

The American Academy of Pediatrics and the American Heart Association recommend that blood pressure checks be done at all pediatric visits for health care (including dental and optometric appointments) for children ages 3 to 18. The current standard chart used by healthcare providers to evaluate pediatric blood pressure is from the National Heart, Lung, and Blood Institute and includes hundreds of normal and abnormal blood pressure values. In order to differentiate between normal and abnormal readings, providers need to, not only remember the variety of blood pressure ranges, but also know the child's height percentile which can be difficult to verify, especially in non-primary care settings.

In re-designing the chart, Dr. Kaelber's team reduced the systolic and diastolic blood pressure cutoff values to one value for girls and one value for boys for each year of life from ages 3 to 18 plus. Researchers used the lower limit of height (5th percentile) in the abnormal blood pressure range for a given gender and age. While they note this may incorrectly flag some taller children as being in the abnormal blood pressure range, the researchers predict this number will be small compared to the number of children with prehypertension and hypertension who are identified. Any reading at or above the listed numbers in the chart will indicate a child who needs further evaluation by a physician.

"We know that children with high blood pressure often become adults with heart disease and other serious medical conditions," says Dr. Kaelber. "Anything that helps health care providers in identifying this life-threatening condition early is essential. The long-term solution will no doubt involve electronic medical records and other electronic tools, but until that is available in all healthcare settings, this simplified table should be a helpful screening tool."


'/>"/>

Contact: Jessica Studeny
jessica.studeny@case.edu
216-368-4692
Case Western Reserve University
Source:Eurekalert

Related medicine news :

1. SkinMedica to Co-Promote ACZONE(R) (dapsone) Gel 5% to Pediatricians in the U.S.
2. Cetaphil(R) Cleansers and Moisturizers Now the #1 Pediatrician Recommended Brand
3. American College of Pediatricians: Another Blow to Childrens Rights
4. Renowned Pediatrician Joins Fight for Epilepsy Awareness for Purple Day
5. RSV to Blame for 1 in 13 Pediatrician Visits
6. Survey could help pediatricians better treat patients
7. Dr. Alan Greene: The Organic Man -- Renowned Pediatrician Marks Third Anniversary of Organic-Only Diet
8. Pediatricians Could Help Screen for Alcohol Abuse in Home
9. Parents comfortable with alcohol screening in pediatricians offices
10. NO on Prop 8 Campaign Releases Statement by 300 California Pediatricians
11. Lupin Enters into a Marketing Alliance with Forest Laboratories, Inc. for AeroChamber Plus(R) Brand in the US - Extends its Franchise with Pediatricians
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/17/2017)... ... 17, 2017 , ... Peoples Health is pleased to announce ... Dec. 1, 2016. Peoples Health, a Metairie-based Medicare Advantage company, serves more than ... to our provider network, and the addition will benefit our members in the ...
(Date:1/17/2017)... ... January 17, 2017 , ... A prescription medication bottle, pocket knife, luggage and ... to Cradle Product Design Challenge , the Cradle to Cradle Products Innovation Institute ... design challenges scheduled to run through early 2018. The challenges are presented by the ...
(Date:1/17/2017)... (PRWEB) , ... January 17, 2017 , ... Neil H. ... financial planning assistance to communities throughout the region, is launching a charity drive to ... disease is by far the deadliest killer in America, and is responsible for 1 ...
(Date:1/17/2017)... ... January 17, 2017 , ... SC&H Group, a leading ... a Principal in its IT Advisory Services practice . Rossi is the third ... market demand for strategic IT guidance grows, and the practice continues to expand.     , ...
(Date:1/17/2017)... ... January 17, 2017 , ... ... and eliminate cyber threats in real-time, today announced a strategic partnership with ... Selangor, Malaysia. Joining other Seceon partners, TechLab Security has become a strategic partner ...
Breaking Medicine News(10 mins):
(Date:1/17/2017)... -- Edwards Lifesciences Corporation (NYSE: EW ), the ... and critical care monitoring, plans to announce its operating ... the market closes on Wednesday, February 1, 2017, and ... that day to discuss those results. To ... (201) 689-8037.  For 72 hours following the call, an ...
(Date:1/17/2017)... PUNE, India , Jan. 17, 2017  Market Research Future ... Global Endoscopy Devices Market is expected to reach USD 33.6 million ... 2016. Market Highlights ... The Global Endoscopy Devices Market has been examined as ... rate. Globally there is huge demand for endoscopy device in various ...
(Date:1/17/2017)... Research and Markets has announced the addition of the ... offering. ... global fluoropolymer market in the healthcare industry to grow at a ... Fluoropolymer Market in the Healthcare Industry 2016-2020, has been prepared based ... report covers the market landscape and its growth prospects over the ...
Breaking Medicine Technology: