Multiple office blood pressure measurement: a novel approach to overcome the weak cornerstone of blood pressure measurement in children. Data from the SPA project.

SPA Project investigators, Gianluigi Ardissino, Silvia Ghiglia, Patrizia Salice, Michela Perrone, Sandra Piantanida, Francesco L. De Luca, Silvia Di Michele, Lucia Filippucci, Elena R.A. Dardi, Tiziana Bollani, Antonella Mezzopane, Bertrand Tchane, Sebastiano A.G. Lava

Research output: Contribution to journalArticle

Abstract

Background: This contribution aims to report and analyze a novel approach for office blood pressure measurement in children. Methods: Healthy children 5 to 8 years of age were eligible. After 5 minutes rest, 10 unattended blood pressure readings were taken at 3-minute intervals using a validated automated oscillometric device. After discarding outlier values (< 5th or > 95th percentile of the recorded values), the coefficient of variation and the mean of the 10 readings were calculated. The single readings #1 to #10 were compared with this elaborated average of the 10 measurements. Results: Two hundred eighty-one healthy, non-obese children (137 females, 49%), median age 5.7 (IQR 5.3–6.1) years, were analyzed. The median coefficients of variation were 7% (IQR 5–9) for systolic and 4% (IQR 3–6) for diastolic blood pressure. The first 3 measurements were significantly different from the average, while the readings #4 to #10 were not. Based on the average, only nine subjects had a systolic or diastolic blood pressure > 90th centile (n = 3 > 95th percentile). Conclusions: Although most guidelines advise three blood pressure readings, these findings suggest that in children, office blood pressure measurement might be improved by including ten measurements. In situations of time constraints, the fourth blood pressure reading might be used as a reliable approximation.

Original languageEnglish
Pages (from-to)687-693
Number of pages7
JournalPediatric Nephrology
Volume35
Issue number4
DOIs
Publication statusPublished - Apr 1 2020

Keywords

  • Blood pressure
  • Children
  • Hypertension
  • Measurement
  • Office

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

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    SPA Project investigators, Ardissino, G., Ghiglia, S., Salice, P., Perrone, M., Piantanida, S., De Luca, F. L., Di Michele, S., Filippucci, L., Dardi, E. R. A., Bollani, T., Mezzopane, A., Tchane, B., & Lava, S. A. G. (2020). Multiple office blood pressure measurement: a novel approach to overcome the weak cornerstone of blood pressure measurement in children. Data from the SPA project. Pediatric Nephrology, 35(4), 687-693. https://doi.org/10.1007/s00467-019-04368-7