[Analysis of blood pressure measurement by pediatricians, in patients from 3 to 20 years of age in the electronic health record].
BACKGROUND
Blood pressure measurement (BPM) is a recommended practice at least once a year for all of healthy children starting from 3 years old and before that age in population at risk. Pediatricians fulfilling of this recommendation is irregular. Objective. Identify the prevalence of records of BPM in a pediatric electronic health record (EHR) in patients from 3 to 20 years of age and the prevalence of records of hypertension (HBP) and prehypertension (preHBP) according to sex, age and percentile of height.


METHODS
A cross-sectional and analytical study was conducted. 8140 patients from 3 to 20 years of age seen by their primary care physician at least in one opportunity between January and June 2005 were evaluated. Hypertension, prehypertension and normal BP was defined based on the recommendation published in Pediatrics 2004 Aug; 114: 555-76.


RESULTS
2.723 of the 8.140 patients had BP registered in the EHR (33.4%), 76% of the records were of normal BP, 17% of preHBP and 7% of HBP. The percentage of preHBP was significantly higher in males (21.7% vs. 13.4%) OR: 1.6 (IC 95% 1.3-1.9), but not in HBP (7.4% vs. 6.8%). 50% of the pediatricians registered 9% or less of their patients BP.


CONCLUSIONS
The prevalence of BPM was a third; there is a need of generating actions that stimulate this practice.
Busaniche
Julio
J
Servicio de Clínica Pediátrica, Departamento de Pediatría, Hospital Italiano, Buenos Aires. julio.busaniche@hospitalitaliano.org.ar
Eymann
Alfredo
A
Otero
Paula
P
Llera
Julián
J
D000293:Adolescent; D000328:Adult; D001795:Blood Pressure Determination / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis*; D008297:Male; D016347:Medical Records Systems, Computerized; D010372:Pediatrics / Q000592:standards*