KarenM.Poor1 andTamaraBostrackDucklow2
1
ED/ICU/Telemetry,HealthEastWoodwindsHealthCampus,Woodbury,MN55125,USA
2
EmergencyDepartment,HealthEastSt.John’sHospital,Maplewood,MN55109,USA
CorrespondenceshouldbeaddressedtoKarenM.Poor, kmpoor@healtheast.org
Received26March2012;Accepted2May2012
AcademicEditors:K.ClarkandA.Green
Copyright©2012K.M.PoorandT.B.Ducklow.ThisisanopenaccessarticledistributedundertheCreativeCommons
AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis
properlycited.
Introduction.Obtainingbloodpressuresinpediatricemergencydepartmentpatientsisthestandardofcare;however,thereislittle
evidencetosupportitsutility.ThisprospectivestudyassessesthebenefitofBPacquisitioninpatients ≤5years. Methods.Data
werecollectedbytheEDtriagenurseson649patientsintwocommunityhospitalEDs.Relationshipsbetweenabnormalblood
pressuresandthepatients’age,acuity,andcalmversusnot-calmemotionalstatewereanalyzed. Results.Thereweresignificant
differencesintherateofelevatedBPsinthecalmandnot-calmgroupsofpatients.Overall,one-andtwo-year-oldpatientswere
morelikelytohaveelevatedBPsthanthoseinotheragegroups.Veryfewpatientsinthesamplehadhypotension(1%).Therewas
norelationshipbetweenEmergencySeverityIndex(ESI)acuitylevelandanabnormalBP.Nineteenpercentofcalmpatientshad
elevatedBPs,with3.6%ofpatientsinthestagetwoclassofhypertension. Conclusions.ThereislimitedbenefitinobtainingBPsin
childrenageoffiveorlessregardlessofwhetherthechildiscalmornotinESIacuitylevels3and4.
KarenM.Poor1 andTamaraBostrackDucklow2
1
ED/ICU/Telemetry,HealthEastWoodwindsHealthCampus,Woodbury,MN55125,USA
2
EmergencyDepartment,HealthEastSt.John’sHospital,Maplewood,MN55109,USA
CorrespondenceshouldbeaddressedtoKarenM.Poor, kmpoor@healtheast.org
Received26March2012;Accepted2May2012
AcademicEditors:K.ClarkandA.Green
Copyright©2012K.M.PoorandT.B.Ducklow.ThisisanopenaccessarticledistributedundertheCreativeCommons
AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis
properlycited.
Introduction.Obtainingbloodpressuresinpediatricemergencydepartmentpatientsisthestandardofcare;however,thereislittle
evidencetosupportitsutility.ThisprospectivestudyassessesthebenefitofBPacquisitioninpatients ≤5years. Methods.Data
werecollectedbytheEDtriagenurseson649patientsintwocommunityhospitalEDs.Relationshipsbetweenabnormalblood
pressuresandthepatients’age,acuity,andcalmversusnot-calmemotionalstatewereanalyzed. Results.Thereweresignificant
differencesintherateofelevatedBPsinthecalmandnot-calmgroupsofpatients.Overall,one-andtwo-year-oldpatientswere
morelikelytohaveelevatedBPsthanthoseinotheragegroups.Veryfewpatientsinthesamplehadhypotension(1%).Therewas
norelationshipbetweenEmergencySeverityIndex(ESI)acuitylevelandanabnormalBP.Nineteenpercentofcalmpatientshad
elevatedBPs,with3.6%ofpatientsinthestagetwoclassofhypertension. Conclusions.ThereislimitedbenefitinobtainingBPsin
childrenageoffiveorlessregardlessofwhetherthechildiscalmornotinESIacuitylevels3and4.
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andtamarabostrackducklow2
1
karenm.poor1 เอ็ด / ICU / Telemetry healtheastwoodwindshealthcampus วู๊ดบูรี mn55125 , สหรัฐอเมริกา
2
งานผู้ป่วยอุบัติเหตุและฉุกเฉิน healtheastst . john'shospital เมเปิลวูด mn55109 , , , correspondenceshouldbeaddressedtokarenm.poor kmpoor สหรัฐอเมริกา
, @ healtheast . org received26march2012 accepted2may2012
; academiceditors : k.clarkanda . 2012k.m.poorandt.b.ducklow ลิขสิทธิ์©เขียว
thisisanopenaccessarticledistributedunderthecreativecommons
attributionlicense whichpermitsunrestricteduse andreproductioninanymedium , กระจาย , properlycited providedtheoriginalworkis
.
แนะนำ obtainingbloodpressuresinpediatricemergencydepartmentpatientsisthestandardofcare อย่างไรก็ตาม thereislittle
evidencetosupportitsutility .thisprospectivestudyassessesthebene จึง tofbpacquisitioninpatients ≤ 5 . วิธี ข้อมูล
werecollectedbytheedtriagenurseson649patientsintwocommunityhospitaleds . relationshipsbetweenabnormalblood pressuresandthepatients'age acuity andcalmversusnot , calmemotionalstatewereanalyzed . ผลลัพธ์ thereweresigni จึงไม่สามารถ
erencesintherateofelevatedbpsinthecalmandnot-calmgroupsofpatients.overall ดิ ff ,หนึ่งสองปี oldpatientswere
morelikelytohaveelevatedbpsthanthoseinotheragegroups . veryfewpatientsinthesamplehadhypotension ( 1% ) และ
norelationshipbetweenemergencyseverityindex ( ESI ) acuitylevelandanabnormalbp . nineteenpercentofcalmpatientshad
elevatedbps with3.6 % , ofpatientsinthestagetwoclassofhypertension . สรุป thereislimitedbene จึง tinobtainingbpsin
childrenageof จึง veorlessregardlessofwhetherthechildiscalmornotinesiacuitylevels3and4 .
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