Pediatric BP Pathway

AAP 2017 guideline-informed outpatient office-BP workflow

TEST PREVIEW — not for clinical use.
Please use synthetic values only. This page is a temporary review build and does not replace local policy or clinical judgment.
How this guided pathway works

Use it as a clinician-facing checklist

  1. Enter the patient’s date of birth, the date of this measurement, reference-table sex, and height for children age 1–<13 years.
  2. Enter the initial reading. If it is elevated or higher, enter two additional same-visit readings; the tool uses the average of readings 2 and 3.
  3. For an elevated oscillometric result, enter two auscultatory readings before using a qualifying office-BP pathway.
  4. Answer the symptom and follow-up-state prompts. The card then shows the AAP next-step options to consider.

Important boundaries

  • One high reading does not diagnose hypertension. Same-day readings are one visit.
  • For age 13 and older, fixed adolescent thresholds apply; height and reference-table sex do not change the category.
  • This version does not interpret raw ABPM, home/school/cuffless readings, neonatal/infant, pregnancy, or inpatient/acute-care data, and it does not select medications or doses.
Clinician review required. This is a transparent, outpatient AAP office-BP decision-support pathway. It shows the measurement gates, category logic, and guideline-linked next-step options; it does not make a diagnosis or replace local policy.
1. Patient and visit
2. Measurement context
Reading 1 — initial screen
Readings 2 and 3 — enter both if repeating at this visit

If the initial screen is elevated or higher, two additional readings are required. The calculator uses the average of readings 2 and 3; if their average remains abnormal, it must be auscultatory to advance the office-BP pathway.

3. Safety and pathway state
Systolic BP
--
Diastolic BP
--
SBP
DBP
50th90th95th99th

BP thresholds for this patient:

90th percentile:
95th percentile:
95th + 12 mmHg:

AAP 2017 guideline-informed outpatient office-BP pathway. Implemented with the published 2018 age-boundary erratum (age 1–<13 years). It supports independent clinician review and local policy, not autonomous diagnosis or treatment. It excludes neonatal/infant, pregnancy, inpatient/acute-care, home/school/cuffless, and raw ABPM interpretation; no medication choice or dose is generated.
Computation and source transparency ▸
What the tool does:
  • Uses date-at-measurement age and height/reference-table sex for age 1–<13 years.
  • Uses unrounded calculated thresholds for classification; displayed percentiles are nearest-whole-percentile approximations.
  • Shows measurement, auscultatory-confirmation, safety, and qualifying-visit gates before longitudinal management guidance.
What it does not do: validate a diagnosis from one visit, interpret raw ABPM, infer qualifying prior visits, or select a medication/dose.
AAP Clinical Practice Guideline (2017) • 2018 erratum • Rosner B et al. Am J Epidemiol 2008;167(6):653-66