New Hypertension
Screening Card for Pediatric and Adolescent Age Groups
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Pediatricians, pediatric nurses, school health
personnel, and health care services for children and
adolescents will find a valuable new resource in the
Pocket Guide to Blood Pressure Measurement in
Children (Pocket Guide). This colorful, laminated card
covers ages 3 to 17 and gives the cut points for stages of
hypertension for each gender-age-height subgroup. It updates
the tables from the Fourth Report on the Diagnosis,
Evaluation, and Treatment of High Blood Pressure in Children
and Adolescents (Fourth Report) with new features.
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The Pocket Guide Makes Life Much Easier For the
Busy Clinician
It has:
-
Heights given in centimeters instead of
percentiles.
- The card expresses the height percentiles
from the Fourth Report as the centimeter heights at midyear
of each age-gender group. The conversion is based on the
Pediatric Growth Charts from the American Academy of
Pediatrics which derive from the updated (2000) Growth
Charts of the Centers for Disease Control.
-
Clear definition of hypertension stages in children
-
Normal: |
Less than 90th percentile |
Prehypertension: |
> or = 90th percentile to < 95
th percentile |
Stage I hypertension: |
> or = 95th %tile to < or = 99th
%tile + 5 mmHg*** |
Stage 2 hypertension: |
> 99th %tile + 5
mmHg |
-
Specific blood pressure readings that correspond to the
99th %tile + 5 mmHg
- The tables in the Fourth Report are
comprehensive and accurate, but they can be hard to use in
the real world. They give blood pressure (BP) readouts for
the 50th, 90th, 95th, and 99th percentiles for each
gender-age-height group. However, the Fourth Report does not
give readouts that correspond to the 99th percentile + 5
mmHg, which defines the upper limit of stage 1 hypertension
and above which begins stage 2 hypertension. The clinician
must mentally add 5 to the BPs in the table. In contrast,
the Pocket Guide does this for you.
-
Classifications of hypertension printed directly in the
tables
-
Simplified tables
- Because diastolic hypertension rarely
occurs without systolic hypertension in children, and
because the Pocket Guide is a screening tool, it lists
systolic pressures only. It also omits the 50th percentile
blood pressure readings. This makes the tables less
cluttered and focuses attention on critical readings that
signal hypertension.
-
Handy "pocket" size, easy-to-read font, and color
coding
Order the Pocket Guide (item # 07-5268) at http://emall.nhlbihin.net/product2.asp?sku=07-5268
for ONLY $1.50
each. 25-99 copies are $18.75 ($0.75 each) 100+
copies are $60.00
($0.60 each)
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The New Pocket Guide Allows You to Go Directly From
Measuring a Child's Height and Blood Pressure to Classifying
the Blood Pressure Status for that Child
Check Out the Sample Below:
*** This definition is correct. It
replaces the error in the previous HIN e-mail of 12/21/2007
about the Pocket Guide. A corrected version also appears at http://hp2010.nhlbihin.net/joinhin/news/PedHBP.htm.
HIN0108PEDHBPCOR
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