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Standardizing Blood Pressure Measurements in Pediatric Hemodialysis: a Collaborative Journey

  • Pediatric Hypertension (C Hanevold, Section Editor)
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Abstract

Purpose of Review

This manuscript details the development and execution of a quality improvement (QI) initiative aimed at standardizing blood pressure (BP) measurement practices in pediatric hemodialysis (HD) units across a national dialysis collaborative.

Recent Findings

Although there are recommendations for the detection and treatment of hypertension in the pediatric population, currently there is no data or recommendations specific to the methodology of measuring blood pressure in a pediatric hemodialysis setting.

Summary

In 2016, the Standardizing Care to Improve Outcomes in Pediatric End Stage Kidney Disease (SCOPE) Collaborative assembled a dedicated working group to thoroughly examine BP measurement practices across participating pediatric HD centers and, drawing from current research, to establish a standardized best practice for BP measurement in pediatric HD patients both in-center and at home.

Employing QI methodology, the working group devised a standardized “BP Bundle” and implemented it throughout the SCOPE Collaborative. This work led to successful practice improvement by establishing a consistent approach to BP measurement in pediatric HD patients cared for in SCOPE centers. With a standard best practice now in place and over 85% compliance with the BP Bundle across the SCOPE Collaborative, researchers and healthcare professionals can more accurately study and ultimately enhance the cardiovascular health of pediatric HD patients.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. UCSF Benioff Children’s Hospital, San Francisco, CA, USA

    Audrey B. Anaya & Marsha M. Lee

  2. Children’s Mercy Kansas City, Kansas City, MO, USA

    Bradley A. Warady

  3. Texas Children’s Hospital, Houston, TX, USA

    Sarah M. Swartz & Jessica J. Geer

  4. The Johns Hopkins Hospital, Baltimore, MD, USA

    Alicia M. Neu

Authors
  1. Audrey B. Anaya
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  2. Marsha M. Lee
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  3. Alicia M. Neu
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  4. Sarah M. Swartz
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  5. Jessica J. Geer
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  6. Bradley A. Warady
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Corresponding author

Correspondence to Bradley A. Warady.

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Anaya, A.B., Lee, M.M., Neu, A.M. et al. Standardizing Blood Pressure Measurements in Pediatric Hemodialysis: a Collaborative Journey. Curr Hypertens Rep 25, 329–334 (2023). https://doi.org/10.1007/s11906-023-01255-3

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  • DOI: https://doi.org/10.1007/s11906-023-01255-3

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