When Hypertension Grows Up: Implications for Transitioning Care of Adolescents and Young Adults With Hypertension From Pediatric to Adult Health Care Providers

IF 2 3区 医学 Q2 UROLOGY & NEPHROLOGY
Sai Sudha Mannemuddhu , Ian Macumber , Joshua A. Samuels , Joseph T. Flynn , Andrew M. South
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引用次数: 1

Abstract

Hypertension (HTN) is an important cause of morbidity and mortality in children as well as adults. HTN and related adverse cardiovascular health develop and progress on a continuum across an individual's life course. Pediatric HTN, or even isolated elevated blood pressure as a child, increases the risk of sustained HTN and cardiovascular disease in later adulthood. Transitioning the care of adolescents and young adults who have HTN is an important but unmet health care need that could potentially have a dramatic effect on mitigating the risk of cardiovascular disease in adulthood. However, very little has been published about the transition process in this population, and considerable gaps in the field remain. We discuss the epidemiology, etiology, and management approach in youth with HTN and how they differ from adults. We contextualize HTN and cardiovascular health on a continuum across the life course. We discuss key considerations for the transition process for adolescents and young adults with HTN including the major barriers that exist. Finally, we review key immediate health care needs that are particularly important around the time of the transfer of care.

当高血压长大:青少年和青年高血压患者的护理从儿科过渡到成人卫生保健提供者的意义
高血压(HTN)是儿童和成人发病和死亡的重要原因。HTN和相关的不良心血管健康在个体生命过程中持续发展和进展。儿童HTN,甚至是儿童时期孤立的血压升高,会增加成年后持续HTN和心血管疾病的风险。对患有HTN的青少年和年轻人的过渡护理是一项重要但尚未得到满足的卫生保健需求,可能对减轻成年期心血管疾病的风险产生巨大影响。然而,关于这一人口的过渡过程的出版物很少,在这一领域仍然存在相当大的差距。我们讨论了青少年HTN的流行病学、病因学和治疗方法,以及他们与成人的不同之处。我们将HTN和心血管健康置于整个生命过程的连续体中。我们讨论了青少年和青少年HTN的过渡过程的关键因素,包括存在的主要障碍。最后,我们回顾了关键的即时医疗保健需求,这些需求在转移护理时尤为重要。
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来源期刊
Advances in chronic kidney disease
Advances in chronic kidney disease 医学-泌尿学与肾脏学
自引率
3.40%
发文量
69
审稿时长
11.1 weeks
期刊介绍: The purpose of Advances Chronic Kidney Disease is to provide in-depth, scholarly review articles about the care and management of persons with early kidney disease and kidney failure, as well as those at risk for kidney disease. Emphasis is on articles related to the early identification of kidney disease; prevention or delay in progression of kidney disease
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