Key result
Successive annual blood pressure screening in preschool children showed poor agreement for systolic (concordance correlation coefficient 0.19; 95% CI -0.49 to 0.72) and diastolic measurements.
Why the study?
Does successive annual blood pressure screening reliably identify hypertension in preschool children?
Population
328 children evaluated at 3-, 4-, and 5-year-old health maintenance visits
Design
Cohort
Follow-up
3 years (from age 3 to 5)
Authors
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Annual preschool BP screening shows poor reproducibility; hypothesis-generating for optimal detection thresholds before changing practice.
Observational (n=328)
Does successive annual blood pressure screening reliably identify hypertension in preschool children?
Effect estimate: concordance correlation coefficient 0.19 (95% CI -0.49 to 0.72)
Stage 1 elevated blood pressures in preschool years do not correlate with hypertension and may be better managed by watchful waiting rather than immediate intervention.
To et al. (2015) conducted an observational in Elevated blood pressure (n=328). Successive annual blood pressure screening was evaluated on Agreement of successive annual systolic blood pressure measurements (extended concordance correlation coefficient) (concordance correlation coefficient 0.19, 95% CI -0.49 to 0.72). Successive annual blood pressure screening in preschool children showed poor agreement for systolic (concordance correlation coefficient 0.19; 95% CI -0.49 to 0.72) and diastolic measurements.
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