儿童和青少年高血压的诊断不足
Matthew L Hansen1, Paul W Gunn, David C Kaelber
1School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
JAMA
|August 23, 2007
概括
儿科高血压和前高血压往往没有被诊断出来. 诸如年龄,身高,肥胖和频繁的高血压读数等因素增加了儿童诊断的可能性.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 公共卫生 公共卫生
- 临床儿科 临床儿科
背景情况:
- 儿科高血压的患病率正在上升,与肥胖流行病有关.
- 诊断儿科高血压是具有挑战性的,因为年龄,性别,和高度依赖的血压规范.
研究的目的:
- 为了确定儿童未被诊断的高血压和高血压前期的频率.
- 确定与这些疾病的低诊断相关的患者因素.
主要方法:
- 进行了一项对14187名儿童和青少年 (3-18岁) 的队列研究.
- 分析了电子医疗记录,以记录高血压或高血压前期的诊断.
- 多变量逻辑回归确定了与正确诊断相关的因素.
主要成果:
- 3.6%的儿童患有高血压,但只有26%的儿童被诊断出高血压.
- 11%的高血压前儿童 (3.4%的队列) 得到了适当的诊断.
- 增加诊断几率的因素包括年龄,肥胖和更频繁/严重的高血压读数.
结论:
- 高血压和前高血压在儿童群体中经常未被诊断出来.
- 患者的年龄,身高,肥胖和血压读数的严重程度/频率是影响诊断的关键因素.
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