针对性筛查在儿童高血压诊断中的作用。

IF 2.3 4区医学 Q2 PERIPHERAL VASCULAR DISEASE

Blood Pressure Pub Date : 2017-04-01 Epub Date: 2016-08-09 DOI:10.1080/08037051.2016.1213130

Clemens Bloetzer, Pascal Bovet, Fred Paccaud, Michel Burnier, Arnaud Chiolero

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引用次数: 12

摘要

儿童期高血压的针对性筛查可能比普遍筛查更有效。我们对5207名10-14岁儿童高血压诊断的敏感性、特异性、阴性和阳性预测值进行了估计。如果儿童在三次单独的就诊中血压持续升高，他们就患有高血压。高血压患病率为2.2%。14%的儿童超重或肥胖，20%的儿童在父母中至少有一方有高血压病史，30%的儿童两者都有。对超重/肥胖或父母患有高血压的儿童进行有针对性的高血压筛查，限制了接受筛查的儿童比例(30%)，并确定了高达65%的高血压病例。

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Performance of targeted screening for the identification of hypertension in children.

Targeted screening of hypertension in childhood might be more efficient than universal screening. We estimated the sensitivity, specificity, negative and positive predictive values of combined parental history of hypertension and overweight/obesity for the diagnosis of hypertension in 5207 children aged 10-14 years. Children had hypertension if they had sustained elevated blood pressure over three separate visits. The prevalence of hypertension was 2.2%. 14% of children were overweight or obese, 20% had a positive history of hypertension in at least one parent and 30% had either or both conditions. Targeted screening of hypertension to children with either overweight/obesity or with hypertensive parents limits the proportion of children (30%) to screen and identifies up to 65% of all hypertensive cases.

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来源期刊

Blood Pressure 医学-外周血管病

CiteScore

3.00

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： For outstanding coverage of the latest advances in hypertension research, turn to Blood Pressure, a primary source for authoritative and timely information on all aspects of hypertension research and management. Features include: • Physiology and pathophysiology of blood pressure regulation • Primary and secondary hypertension • Cerebrovascular and cardiovascular complications of hypertension • Detection, treatment and follow-up of hypertension • Non pharmacological and pharmacological management • Large outcome trials in hypertension.