Pediatric Blood Pressure Profile Based on NIH / NHLBI 2004 Guideline and Revised AAP Pediatric Hypertension Guideline 2017 in Pasangkayu General Hospital

Introduction: The guideline in diagnose and determining the degree of hypertension in children were using Guideline NIH/NHLBI 2004 or Fourth Report (FR) and American Academy of Pediatrics (AAP). Prevalence of hypertension in Pasangkayu from these two guidelines is unknown, where the difference between FR and AAP guidelines is a simpler table for measurement. Objective: This study aims to determine the prevalence of hypertension in children using the guidelines from the FR and AAP. Method: This study was conducted with a descriptive cross-sectional design, using data from medical record. Conducted at the pediatric’s polyclinic of Pasangkayu General Hospital in West Sulawesi from March-May 2020 until the number of samples was met. Result: For 3 months, there were 147 children from the minimum required 122 samples. Blood pressure in the percentile ≥90 - less than95 in the FR guidelines is known as prehypertension, with a prevalence of 14.3 % and in the AAP guidelines as elevated blood pressure with a prevalence of 16.3 %. The prevalence of hypertension with FR guidelines was 14.9 % and with AAP guidelines was 12.8 %. Conclusion: The applications of the new AAP guidelines is easier to use in diagnosing and determining the degree of hypertension in children. The prevalence of hypertension from the FR and AAP guidelines in this study was not significantly different.