cliot (version 1.0.0)

aap_pediatric_htn_guidelines: AAP Pediatric Hypertension Guidelines (2017)

Description

Classifies blood pressure in children and adolescents according to the 2017 American Academy of Pediatrics (AAP) Clinical Practice Guideline.

The function handles two age groups: 1. Adolescents (>= 13 years): Uses static absolute cutoffs matching adult guidelines (Normal, Elevated, Stage 1, Stage 2). 2. Children (1 to <13 years): Uses percentile-based logic. Note: Users must provide the child-specific 90th and 95th percentile BP thresholds (based on age, sex, and height) as arguments.

Usage

aap_pediatric_htn_guidelines(age, systolic, diastolic,
                             sbp_90th = NULL, sbp_95th = NULL,
                             dbp_90th = NULL, dbp_95th = NULL)

Value

A list containing:

Classification

The BP category (Normal, Elevated, Stage 1, or Stage 2).

Management_Recommendation

Suggested follow-up actions based on the 2017 AAP CPG.

Applied_Criteria

Indicates whether adult (static) or pediatric (percentile) logic was used.

Arguments

age

Numeric. Age of the patient in years.

systolic

Numeric. Measured systolic blood pressure (mmHg).

diastolic

Numeric. Measured diastolic blood pressure (mmHg).

sbp_90th

Numeric (Required for age < 13). The 90th percentile Systolic BP for the child's sex, age, and height.

sbp_95th

Numeric (Required for age < 13). The 95th percentile Systolic BP for the child's sex, age, and height.

dbp_90th

Numeric (Required for age < 13). The 90th percentile Diastolic BP for the child's sex, age, and height.

dbp_95th

Numeric (Required for age < 13). The 95th percentile Diastolic BP for the child's sex, age, and height.

References

Flynn JT, Kaelber DC, Baker-Smith CM, et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017;140(3):e20171904. doi:10.1542/peds.2017-1904

Examples

# Example 1: Adolescent (14 years old) - Static Cutoffs
# BP 132/82 -> Stage 1 Hypertension
aap_pediatric_htn_guidelines(age = 14, systolic = 132, diastolic = 82)

# Example 2: Child (8 years old) - Percentile Based
# Measured: 112/60 -> Stage 1 (SBP > 95th)
aap_pediatric_htn_guidelines(
  age = 8, systolic = 112, diastolic = 60,
  sbp_90th = 105, sbp_95th = 109,
  dbp_90th = 65, dbp_95th = 69
)