scholarly journals 2017 American Academy of Pediatrics Clinical Practice Guideline: Impact on Prevalence of Arterial Hypertension in Children and Adolescents With Type 1 Diabetes

Diabetes Care ◽  
2020 ◽  
Vol 43 (6) ◽  
pp. 1311-1318
Author(s):  
Axel Dost ◽  
Susanne Bechtold ◽  
Katharina Fink ◽  
Walter Bonfig ◽  
Dagobert Wiemann ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Clinical Practice ◽  
Arterial Hypertension ◽  
American Academy ◽  
Children And Adolescents ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
American Academy Of Pediatrics ◽  
Hypertension In Children

Implementation of a Clinical Practice Guideline for Identification of Microalbuminuria in the Pediatric Patient with Type 1 Diabetes

2013 ◽  
Vol 48 (2) ◽  
pp. 343-352 ◽  
Author(s):  
Kathleen A. Montgomery ◽  
Sarah J. Ratcliffe ◽  
H. Jorge Baluarte ◽  
Kathryn M. Murphy ◽  
Steven Willi ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Clinical Practice ◽  
Pediatric Patient ◽  
Clinical Practice Guideline ◽  
Practice Guideline

Impact of the 2017 American Academy of Pediatrics’ Clinical Practice Guideline on the Identification and Risk Stratification of Youth at Increased Cardiovascular Disease Risk

Hypertension ◽  
2021 ◽  
Author(s):  
Tammy M. Brady ◽  
Kathleen Altemose ◽  
Elaine M. Urbina
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Clinical Practice ◽  
Risk Stratification ◽  
American Academy ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
American Academy Of Pediatrics

The updated clinical practice guideline (CPG) published by the American Academy of Pediatrics in 2017 introduced significant changes to the diagnostic and evaluative approach towards children with elevated blood pressure. The goals of this review were to summarize the current evidence regarding the impact of the new CPG on the identification and risk stratification of children at increased cardiovascular disease risk. Universally, the new CPG definitions of abnormal blood pressure led to more children classified as having a hypertensive blood pressure when compared with alternative definitions. Youth who moved to a higher blood pressure stage with the CPG typically had worse cardiometabolic profiles and more comorbidites. The association of CPG-defined hypertension and concurrent intermediate cardiovascular disease outcomes such as left ventricular hypertrophy and increased pulse wave velocity remains unclear; however, longitudinal data suggests an improved identification of those at greatest risk for adult cardiovascular disease with the CPG definitions. The majority of studies reviewed used blood pressure from one encounter, not replicate blood pressures from multiple visits, to define an abnormal or hypertensive blood pressure. Therefore, future studies investigating the prevalence of confirmed hypertension and the association between confirmed hypertension and outcomes are needed to optimally characterize the performance of the new CPG on identifying children at cardiovascular disease risk.

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