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Prevalence of arterial hypertension in pediatric hospitalized patients

Diana C Chacón-Jaimes1,2,3, Carol L Morales-Contreras4, Jazmín Abad5,6,7

  • 1Departamento de Pediatría, Clínica Foscal, Bucaramanga.

Archivos De Cardiologia De Mexico
|February 9, 2023
PubMed

Insights

Pediatric hypertension prevalence in hospitalized children was 30.6%. Younger age, vancomycin, and critical care admission were linked to increased hypertension risk in this Colombian study.

Area of Science:

  • Pediatric Cardiology
  • Hospital Medicine
  • Public Health

Background:

  • Arterial hypertension is increasingly recognized in pediatric populations.
  • Understanding prevalence in hospitalized children is crucial for timely intervention.
  • Tertiary care centers manage complex pediatric cases, including hypertension.

Purpose of the Study:

  • To determine the prevalence of arterial hypertension in hospitalized pediatric patients.
  • To identify risk factors associated with hypertension in this cohort.
  • To inform clinical practice and public health strategies for pediatric hypertension.

Main Methods:

  • A descriptive, cross-sectional study design was employed.
  • Retrospective data from clinical records of hospitalized patients under 18 were analyzed.
  • The study was conducted at a tertiary hospital in Medellin, Colombia, over six years.

Main Results:

  • A total of 382 pediatric patients were included in the study.
  • The overall prevalence of hypertension was 30.6%.
  • Systolic hypertension was found in 23.6% and diastolic in 20.7% of patients. Age under 5, vancomycin treatment, and critical care admission were identified as risk factors.

Conclusions:

  • Hospitalized children exhibit a higher frequency of hypertension compared to outpatients.
  • Early identification of high-risk groups and modifiable factors is essential for prompt treatment.
  • While secondary complications were infrequent, left ventricular hypertrophy necessitates long-term monitoring.
Abstract

Keywords:
Hipertensión arterialHospitalizaciónHospitalizationHypertensionPediatricsPediatríaPrevalencePrevalencia

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