Key result
The 2017 AAP guidelines increase estimated pediatric elevated BP prevalence by ~20% versus 2004 criteria.
Why the study?
Does the application of the 2017 American Academy of Pediatrics guidelines change the prevalence and severity of elevated blood pressure classification compared to the 2004 NHLBI report in children?
Cross-Sectional (n=15,647)
Yes
Does the application of the 2017 American Academy of Pediatrics guidelines change the prevalence and severity of elevated blood pressure classification compared to the 2004 NHLBI report in children?
Absolute Event Rate: 14.2% vs 11.8%
Application of the 2017 AAP guidelines increases the prevalence of elevated BP in US children from 11.8% to 14.2%, identifying a subset with clustered cardiovascular risk factors that may have been previously underestimated.
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May increase detection of at-risk children; leaves open whether reclassification improves outcomes.
Sharma et al. (2018) conducted a cross-sectional in High blood pressure (n=15,647). 2017 American Academy of Pediatrics guidelines vs. 2004 National Heart, Lung, and Blood Institute report was evaluated on Prevalence of elevated blood pressure. Application of the 2017 American Academy of Pediatrics guidelines increased the estimated prevalence of elevated blood pressure in children from 11.8% to 14.2% compared with the 2004 guidelines.
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