aap_pediatric_htn_guidelines: AAP Pediatric Hypertension Guidelines (2017)

In cliot: Clinical Indices and Outcomes Tools

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)

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.

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.

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
)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.