Abstract
Prematurity is a risk factor for elevated blood pressure (BP). We performed a mixed-methods study of care patterns and awareness of early BP screening recommendations for infants born prematurely (IBP) by interviewing/surveying providers on practice- and provider-level BP screening. IBP’s records were reviewed for BP screening documentation, demographics, and gestational age (GA). Visits <33 months were reviewed for anthropometrics, BP, and comorbidities. Chi-square analysis evaluated BP screening by GA and comorbidities. Twenty-six of 49 practices completed interviews; 81% had infant BP equipment available; 4% had BP measurement protocol for IBP. Twenty-eight of 86 providers were aware of screening guidelines; none reported routine assessment. Twenty-eight of 118 IBP had ≥1 BP documented; 43% had BP ≥90th percentile. Screening did not differ by GA group. Kidney-related diagnosis was associated with more frequent BP screening (P =.0454). BP is not routinely measured though often elevated before age 3 in IBP.
| Original language | English (US) |
|---|---|
| Journal | Global Pediatric Health |
| Volume | 6 |
| DOIs | |
| State | Published - 2019 |
Funding
The authors gratefully acknowledge the following Pediatric Practice Research Group practices for their participation in this study: Child & Adolescent Health Associates, Chicago, IL; Children’s Health Care Associates, Chicago, IL; Drs Bedingfield, Rosewell, Silver, and Nourbash, Hoffman Estates, IL; Drs Traisman, Benuck, Merens, and Kimball (Chicago Area Pediatrics), Evanston, IL; Erie Family Health Center, Chicago, IL; Esperanza Health Centers, Chicago, IL; Infant Welfare Society of Chicago, Chicago, IL; Kidz Health P.C., Chicago, IL; Lake Forest Pediatric Associates, Ltd, Vernon Hills, IL; Lakeview Pediatrics, Chicago, IL; Lawndale Christian Health Center, Chicago, IL; Lurie Children’s Hospital-Outpatient Center in Lincoln Park, Chicago, IL; Lurie Children’s Hospital, Pediatrics–Uptown, Chicago, IL; Melrose Park Pediatrics, Melrose Park, IL; Near North Health Service Corporation, Chicago, IL; North Arlington Pediatrics, Arlington Heights, IL; North Suburban Pediatrics, Buffalo Grove, IL; Northwestern Children’s Practice, Chicago, IL; Northwestern Memorial Physicians Group Pediatrics, Chicago, IL; Oak Park Pediatrics, Oak Park, IL; Pediatric Associates of Barrington–PEDIATRUST, Fox River Grove, IL; Pediatric Associates of the North Shore, Wilmette, IL; Pediatric Health Associates, West Chicago, IL; Pediatric Partners, SC–PEDIATRUST, Highland Park, IL; Pedios Limited, Oak Park, IL; St. Joseph Hospital/Resurrection Health Care (Presence Health), Chicago, IL; Tahir Niazi, MD, SC, Chicago, IL; Town & Country Pediatrics, Chicago, IL; Vida Pediatrics, Chicago, IL; Wheaton Pediatrics, Wheaton, IL. https://www.luriechildrens.org/en-us/Pages/index.aspx. The authors thank George Lales and Herman Wagner for their support in data downloads, and Jannie Bolotnikov for her support as research intern. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research reported in this publication was supported, in part, by the National Institutes of Health’s National Center for Advancing Translational Sciences, Grant Number UL1TR001422. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research reported in this publication was supported, in part, by the National Institutes of Health’s National Center for Advancing Translational Sciences, Grant Number UL1TR001422. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Keywords
- children
- hypertension
- outpatient
- prematurity
- screening
ASJC Scopus subject areas
- Pediatrics
- Pediatrics, Perinatology, and Child Health