儿童和青少年高血压查:美国预防服务工作组建议声明
, Alex H Krist1,2, Karina W Davidson3
1Fairfax Family Practice Residency, Fairfax, Virginia.
JAMA
|November 10, 2020
概括
由于证据不足,不建议对3至18岁儿童和青少年进行高血压查. 美国预防服务工作组 (USPSTF) 发现查的益处和危害无法确定.
科学领域:
- 儿童健康
- 预防心血管疾病
- 公共卫生建议
背景情况:
- 美国儿童和青少年的高血压患病率为3-4%,主要高血压与年龄和家族病史和BMI等风险因素有关.
- 年轻儿童的二次高血压往往来自遗传,脏,内分泌或心血管问题.
研究的目的:
- 更新2013年关于儿童和青少年高血压查的建议.
- 评估查对益处,危害,测试准确性和治疗有效性的证据.
主要方法:
- 美国预防服务工作组 (USPSTF) 审查了3至18岁儿童和青少年的证据.
- 这项审查集中在没有已知的高血压的无症状患者身上.
主要成果:
- 支持儿童和青少年高血压查的证据不足.
- 这种查的好处与坏处之间的平衡无法确定.
结论:
- 目前的证据不足以评估儿童高血压查的益处和危害.
- 这导致了"I"声明,表明证据不足.
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