BACKGROUND This contribution aims to report and analyze a novel approach for office blood pressure measurement in children. METHODS Healthy children 5 to 8 years of age were eligible. After 5 minutes rest, 10 unattended blood pressure readings were taken at 3-minute intervals using a validated automated oscillometric device. After discarding outlier values (< 5th or > 95th percentile of the recorded values), the coefficient of variation and the mean of the 10 readings were calculated. The single readings #1 to #10 were compared with this elaborated average of the 10 measurements. RESULTS Two hundred eighty-one healthy, non-obese children (137 females, 49%), median age 5.7 (IQR 5.3-6.1) years, were analyzed. The median coefficients of variation were 7% (IQR 5-9) for systolic and 4% (IQR 3-6) for diastolic blood pressure. The first 3 measurements were significantly different from the average, while the readings #4 to #10 were not. Based on the average, only nine subjects had a systolic or diastolic blood pressure > 90th centile (n = 3 > 95th percentile). CONCLUSIONS Although most guidelines advise three blood pressure readings, these findings suggest that in children, office blood pressure measurement might be improved by including ten measurements. In situations of time constraints, the fourth blood pressure reading might be used as a reliable approximation.

中文翻译：

---

多项办公室血压测量：一种克服儿童血压测量薄弱基石的新颖方法。SPA项目中的数据。

背景技术该贡献旨在报告和分析用于儿童办公室血压测量的新颖方法。方法5至8岁的健康儿童符合条件。休息5分钟后，使用经过验证的自动示波仪以3分钟的间隔获取10个无人值守的血压读数。丢弃异常值（小于记录值的第5个百分点或第95个百分点）后，计算变异系数和10个读数的平均值。将单个读数＃1至＃10与10次测量的详细平均值进行比较。结果分析了281名健康，非肥胖儿童（137名女性，占49％），中位年龄5.7岁（IQR 5.3-6.1）。收缩压的中位数变异系数为7％（IQR 5-9），舒张压的中位数变异系数为4％（IQR 3-6）。前三个测量值与平均值有显着差异，而读数＃4至＃10则没有。根据平均值，只有9名受试者的收缩压或舒张压> 90％（n = 3> 95％）。结论尽管大多数指南建议三个血压读数，但这些发现表明，对于儿童，办公室血压测量可通过包括十个测量值而得到改善。在时间限制的情况下，第四血压读数可以用作可靠的近似值。这些发现表明，对于儿童，办公室血压测量可通过包括十项测量而得到改善。在时间限制的情况下，第四血压读数可以用作可靠的近似值。这些发现表明，对于儿童，办公室血压测量可通过包括十项测量而得到改善。在时间限制的情况下，第四血压读数可以用作可靠的近似值。