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The Journal of School Nursing, Vol. 17, No. 1, 44-49 (2001)
DOI: 10.1177/105984050101700107

Evaluating the Value of Screening for Hypertension: An Evidence-Based Approach

Judith A. Vessey, PhD, CRNP, FAAN

Boston College, Boston, Massachusetts

Keren Ben-Or, RN, BSN

Johns Hopkins University

Dionne J. Mebane, RN, MSN, CPNP

Johns Hopkins University

Norma E. Krapac, RN

McComb School

Nina Cobb, LPN

McComb School

Mary Poltrack, RN

McComb School

Linda R. Shack, RN

McComb School

Chris W. Terrell, RN

McComb School

Sonya B. Wilson, RN, BSN

McComb School

No recommendations regarding in-school blood pressure (BP) screening currently exist. The purpose of this project was to use an evidence-based approach to determine whether BP screening should be initiated as part of one school district's standard screening protocols. Pediatric BP measurement, risk factors for hypertension, issues for determining youth at risk for hypertension, and eligibility criteria for determining conditions appropriate for screening are discussed. BPs of 1st, 6th, and 11th graders were evaluated according to standardized criteria. The evidence indicated that BP screening in school appears warranted, although a formalized study is needed before a definitive decision can be made regarding the incorporation of BP screening into school health services.

Key Words: blood pressure • hypertension • screening • youth


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