CURRENT PRACTICES OF BP MEASUREMENT IN

CHILDREN AND ADOLESCENTS ACROSS

EUROPEAN COUNTRIES: A SURVEY BY THE
HYPERCHILDNET COST ACTION WG ON DEVICES

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Authors: Stampouli, Styliani 1 ; Floriano, Fabiana 2 ; López-Valcárcel, Beatriz 3 ; Wuhl, Elke 4 ; Lurbe, Empar 5 ;
Source: Journal of Hypertension, Volume 40, Supplement 1, June 2022, pp. e20-e20(1)
Publisher: Wolters Kluwer
DOI: https://doi.org/10.1097/01.hjh.0000835460.17878.d3

    
Abstract References Citations Supplementary Data Suggestions

Objective:

Objective: The main objective was to carry out a survey on current practices of BP measurement used among
health care providers involved in the care of children and adolescents.

Design and method:

Design and methods: A 22 questions survey was released online from September 2, 2021 to September 27,
2021. The survey's link was sent to primary care physicians and pediatricians from the 22 European COST
country members and it was also posted on the HyperChildNET website.Results:

Results: The survey was assessed by 476 individuals and fully completed by 293. It was answered by general
practioneers and pediatricians as well as pediatric nephrologists, pediatric cardiologists and pediatric
endocrinologists, half of them working in primary care and the other half in hospital settings. Office BP
measurement was used for clinical decision-making by 49% of the survey respondents while 29.7% used
 ABPM (Ambulatory BP Monitoring) and 16% home BP measurements. Only 11% routinely screen for high BP
in normotensive children (Figure). Auscultatory and oscillometric devices were used in 57% and 41% of the
settings, respectively. The main reason for selecting a BP device was availability in the institution in 60%, ease
to use in 25.5% and validation in the relevant age group in 11.5%. Cuff size was selected according to
individual child or adolescent mid arm circumference by 55% of the responders. A usual pitfall was combining
cuffs from different devices and manufactures reported by 47.7% of the responders. Moreover, 42%
performed only one BP measurement at each office BP visit. There was heterogeneity on the reference values
used to evaluate the BP status with 27.4% using country specific BP reference tables and the rest different
guidelines’ staging schemes. Eighty-three % used published reference values and 15.4% internet-based
application for BP staging in children and adolescents.Conclusions:

Conclusions: Variation in practices among health care providers show the emerging need of defining criteria
to benchmark the different BP measurement devices, as well as to promote awareness for the evaluation of
hypertensive children across Europe.

Document Type: Research Article

Affiliations: 1: 1st Department of Pediatrics, Aristotle University Thessaloniki, Thessaloniki, GREECE 2: Federal
University of Bahia, Bahia, BRAZIL, University of Las Palmas de Gran Canaria, Las Palmas, SPAIN 3: University of
Las Palmas de Gran Canaria, Las Palmas, SPAIN 4: Department of Pediatric and Adolescent Medicine, Heidelberg
University Hospital, Heideberg, GERMANY 5: Department of Pediatrics, University of Valencia, Valencia, SPAIN,
CIBER Fisiopatologia Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, SPAIN
Publication date: 1 de Junho de 2022

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