{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:16:15Z","timestamp":1782512175138,"version":"3.54.5"},"reference-count":15,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,3,1]]},"abstract":"<jats:p>OBJECTIVE. Hypertension is common in the pediatric population. There is increasing evidence for early hypertensive target organ damage that may lead to substantial long-term morbidity. Because a critical aspect of any screening program for hypertension is the ability to measure blood pressure accurately, we compared typical blood pressure measurements at a vital sign station with those that were obtained following recommendations set forth in \u201cThe Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents.\u201d<\/jats:p>\n               <jats:p>METHODS. We compared the blood pressure measurements that were obtained with standard practice vital sign station screening with those that were obtained by trained personnel in accordance with Fourth Task Force recommendations. A total of 390 children were evaluated at 580 visits to the Pediatric Hypertension Clinic at Texas Children\u2019s Hospital.<\/jats:p>\n               <jats:p>RESULTS. Seventy-four percent of the readings were higher at the vital sign station, and only 12% differed by &amp;lt;5 mm Hg for both systolic blood pressure and diastolic blood pressure. The mean difference between vital sign station and examination room was 13.2 \u00b1 8.9 mm Hg for systolic blood pressure and 9.6 \u00b1 7.6 mm Hg for diastolic blood pressure. Multiple regression analyses revealed that age, gender, race, obesity, first versus subsequent visit, essential versus secondary, or white coat hypertension and antihypertensive medications made no statistically significant difference in the lack of correlation of the readings.<\/jats:p>\n               <jats:p>CONCLUSION. These results suggest that if pediatricians use vital sign station screening for blood pressure, children with elevated initial measurements must be reevaluated in the examination room.<\/jats:p>","DOI":"10.1542\/peds.2006-1686","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T05:39:09Z","timestamp":1172813949000},"page":"e538-e543","source":"Crossref","is-referenced-by-count":67,"title":["Inaccuracy in Pediatric Outpatient Blood Pressure Measurement"],"prefix":"10.1542","volume":"119","author":[{"given":"Amber","family":"Podoll","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Grenier","sequence":"additional","affiliation":[{"name":"Cardiology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Croix","sequence":"additional","affiliation":[{"name":"Renal Section, Department of Nursing, Texas Children\u2019s Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel I.","family":"Feig","sequence":"additional","affiliation":[{"name":"Renal Sections"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2007,3,1]]},"reference":[{"key":"2021120901543020000_R1","doi-asserted-by":"crossref","unstructured":"The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics.\u20082004;114(suppl):555\u2013576","DOI":"10.1542\/peds.114.2.S2.555"},{"key":"2021120901543020000_R2","doi-asserted-by":"crossref","unstructured":"Sorof JM, Turner J, Martin DS, et al. Cardiovascular risk factors and sequelae in hypertensive children identified by referral versus school-based screening. Hypertension.\u20082004;43:214\u2013218","DOI":"10.1161\/01.HYP.0000114696.96318.4e"},{"key":"2021120901543020000_R3","unstructured":"Cuspidi C, Macca G, Salerno M, et al. Evaluation of target organ damage in arterial hypertension: which role for qualitative funduscopic examination?Ital Heart J.\u20082001;2:702\u2013706"},{"key":"2021120901543020000_R4","doi-asserted-by":"crossref","unstructured":"Pontremoli R, Nicolella C, Viazzi F, et al. Microalbuminuria is an early marker of target organ damage in essential hypertension. Am J Hypertens.\u20081998;11(pt 1):430\u2013438","DOI":"10.1016\/S0895-7061(97)00498-6"},{"key":"2021120901543020000_R5","doi-asserted-by":"crossref","unstructured":"Daniels SR. Hypertension-induced cardiac damage in children and adolescents. Blood Press Monit.\u20081999;4:165\u2013170","DOI":"10.1097\/00126097-199906000-00011"},{"key":"2021120901543020000_R6","unstructured":"Daniels SR, Meyer RA, Strife CF, Lipman M, Loggie JM. Distribution of target-organ abnormalities by race and sex in children with essential hypertension. J Hum Hypertens.\u20081990;4:103\u2013104"},{"key":"2021120901543020000_R7","doi-asserted-by":"crossref","unstructured":"Croix B, Feig DI. Childhood hypertension is not a silent disease. Pediatr Nephrol.\u20082006;21:527\u2013532","DOI":"10.1007\/s00467-006-0013-x"},{"key":"2021120901543020000_R8","doi-asserted-by":"crossref","unstructured":"Berenson GS, Srinivasan SR, Hunter SM, et al. 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Evaluation of white coat hypertension in children: importance of the definitions of normal ambulatory blood pressure and the severity of casual hypertension. Am J Hypertens.\u20082001;14(pt 1):855\u2013860","DOI":"10.1016\/S0895-7061(01)02180-X"},{"key":"2021120901543020000_R12","doi-asserted-by":"crossref","unstructured":"Boyd G, Koenigsberg J, Falkner B, Gidding SS, Hassink S. Effect of obesity and high blood pressure on plasma lipid levels in children and adolescents. Pediatrics.\u20082005;116:442\u2013446","DOI":"10.1542\/peds.2004-1877"},{"key":"2021120901543020000_R13","unstructured":"Manzoli L, Ripari P, Rotolo S, et al. Prevalence of obesity, overweight and hypertension in children and adolescents from Abruzzo, Italy. Ann Ig.\u20082005;17:419\u2013431"},{"key":"2021120901543020000_R14","doi-asserted-by":"crossref","unstructured":"Falkner B, Gidding SS, Ramirez-Garnica G, Wiltrout S, West D, Rappaport E. 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