Volume 17 Supplement 3
Update of the pediatric hypotension graphic adjusted for gender and height percentiles: systolic blood pressure for girls, 1 to 17 years old
© Shieh et al; licensee BioMed Central Ltd. 2013
Published: 19 June 2013
According to the National Heart, Lung, and Blood Institute of the National Institute of Health, hypotension refers to an abnormally low blood pressure (BP). In childhood, hypotension can be determined according to two different definitions: BP below the 5th percentile or below two standard deviations (SDs) of the mean for age and gender . A graphic representation of pediatric hypotension was published in 1977 , and no updates have been published since then. The objective of this study was to update the graphic representation of pediatric hypotension.
We used a computerized calculation method to develop high-resolution graphics containing curves with 5,841 points each, to depict the main percentiles associated with low BP for girls from 1 to 17 years old in the 50th percentile of height. Each point represents the calculation of the polynomial equation that includes the statistical processing of the last Report on Blood Pressure in 2004 . We also analyzed the effect of height on BP from the 5th to 95th percentile. Statistical functions generated by computerized program were used.
The correction of systolic BP for height is of little significance, and this updated graphic can be used to diagnose low systolic BP for girls. Clinical studies are necessary to determine the systolic BP percentile that better represents clinically significant hypotension.
- Shieh HH, Gilio AE, Barreira ER, Troster EJ, Ventura AMC, Goes PF, Souza DC, Sinimbu Filho JM, Bousso A: Pediatric hypotension: quantification of the differences between the two current definitions. Intensive Care Med 2012.,38(Suppl 1): S0662. doi: 10.1007/s00134-012-2683-0Google Scholar
- Blumenthal S, et al.: Report of the Task Force on Blood Pressure Control in Children. Pediatrics 1977,59(Suppl):797.Google Scholar
- National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents: the fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents Pediatrics 2004,114(Suppl 4th Report):555-576.Google Scholar
- Haque IU, Zaritsky ALL: Analysis of the evidence for the lower limit of systolic and mean arterial pressure in children. Pediatr Crit Care Med 2008, 8: 138-144.View ArticleGoogle Scholar
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