AAP updates its Preventive Pediatric Health Care Periodicity Schedule

  • Pediatrics
  • 25 Feb 2019

  • curated by Emily Willingham, PhD
  • Clinical Essentials
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Takeaway

  • The American Academy of Pediatrics (AAP) has updated a handful of entries in its “Periodicity Schedule.”
  • These 2019 recommendations are a consensus between the AAP and the Bright Futures Periodicity Schedule Workgroup.
  • They are intended for healthy children with competent parents and typical development.

Why this matters

  • The most recent version can always be found here .
  • The Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 4th edition, guidelines and pocket edition are available here . 

Key results

  • A footnote on BP has been updated to say that BP screening should follow the AAP’s "Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents."
  • It adds that BP measurement should be performed in children under age 3 years with specific risk conditions.
  • Anemia has been updated with a footnote referring clinicians to the “Iron Chapter” of the AAP Pediatric Nutrition: Policy of the American Academy of Pediatrics; clinicians should assess risk and screen as per these recommendations.
  • The lead-related update is to a footnote that now reads, “For children at risk of lead exposure, see ‘ Prevention of Childhood Lead Toxicity ’ and ‘ Low Level Lead Exposure Harms Children : A Renewed Call for Primary Prevention’.”

Study design

  • Funding: No external funding.

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