子どもと青少年における高血圧のスクリーニング:米国予防サービスタスクフォースの勧告声明
, Alex H Krist1,2, Karina W Davidson3
1Fairfax Family Practice Residency, Fairfax, Virginia.
JAMA
|November 10, 2020
まとめ
高血圧のスクリーニングは,十分な証拠がないため,3歳から18歳の子供や青少年では推奨されません. 米国予防サービスタスクフォース (USPSTF) は,スクリーニングの利益と害を決定することができないことを発見しました.
科学分野:
- 小児の健康
- 心血管疾患の予防
- 公衆衛生に関する勧告
背景:
- アメリカの子供と青少年の高血圧の罹患率は3~4%で,初発性高血圧は年齢や家族歴やBMIなどの危険因子に関連している.
- 小児の二次高血圧は 遺伝的,腎臓,内分泌,心血管の問題に起因します
研究 の 目的:
- 高血圧のスクリーニングに関する2013年の勧告を更新する.
- スクリーニングの利点,害,検査の精度,治療の有効性に関する証拠を評価する.
主な方法:
- 米国予防サービスタスクフォース (USPSTF) は,3歳から18歳の子供と青少年に関する証拠をレビューした.
- このレビューは,症状のない高血圧患者に焦点を当てた.
主要な成果:
- 子供と青少年における高血圧のスクリーニングを支える証拠は不十分であることが判明しました.
- このようなスクリーニングの利益と害のバランスを決定することができなかった.
結論:
- USPSTFは,小児集団における高血圧のスクリーニングの利益と害を評価するには,現在の証拠が不十分であると結論付けました.
- これは不十分な証拠を示す"I"の声明をもたらしました.
関連する概念動画
Hypertension I: Introduction
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
Blood Pressure
The movement of blood in a human body, commonly referred to as blood flow, is determined by the volume of blood that traverses a certain section of the bodily system per unit time. It is the rhythmic contraction of the heart's ventricles that primarily instigates this movement. As the ventricles contract, blood is forced into the prominent arteries, which then flow from areas of greater pressure to lower pressure areas. This movement continues into smaller arteries and arterioles and...
Blood Pressure
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the diastolic...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the diastolic...
Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Assessment of blood pressure in brachial artery(two-step method)
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
Assessment of blood pressure in brachial artery(one-step method)
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:


