Does History of Prematurity Prompt Blood Pressure Evaluations at Primary Care Visits?

Benjamin D. Kornfeld*, Gal Finer, Laura E. Banks, Liliana Bolanos, Adolfo J. Ariza

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
JournalGlobal Pediatric Health
Volume6
DOIs
StatePublished - 2019

Keywords

  • children
  • hypertension
  • outpatient
  • prematurity
  • screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pediatrics

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