在儿童和青少年中遵循指南的高血压:来自台湾的多机构数据库分析
Shao-Ju Chien1, Lung-Chih Li2,3, Hsiao-Ching Kuo4
1Division of Pediatric Cardiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan.
Journal of clinical medicine
|July 14, 2023
概括
这项研究发现,儿童高血压在台湾年轻人中很常见,而2017年美国儿科学会的指导方针发现的病例比较多. 定期监测血压对于早期检测和管理至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 公共卫生 公共卫生
- 高血压研究 高血压研究
背景情况:
- 儿童时期出现的高血压是心血管疾病和死亡率的重要风险因素.
- 准确识别和管理儿科高血压对于长期健康结果至关重要.
研究的目的:
- 评估台湾年轻人中遵循指南的高血压的流行情况.
- 为了比较2017年美国儿科学会 (AAP) 的诊断准则与2004年儿童高血压第四报告之间的诊断协议.
- 为了确定与儿科高血压相关的患者相关因素.
主要方法:
- 一项横截面研究分析了2009年至2018年期间12469名儿童和青少年 (1-17岁) 的门诊血压 (OBP) 测量结果.
- 使用了常规护理的OBP数据,需要至少三个单独的测量才能包含.
- 使用统计分析评估高血压率和两套指南之间的一致性.
主要成果:
- 根据2017年AAP指南,儿科高血压的患病率在每1000人中从0.78到5.95不等.
- 在2017年AAP和2004年第四报告指南之间,在各年龄组 (1-7,8-12,13-17岁) 的高血压值之间发现了良好的一致性 (κ统计≥0.85).
- 与2004年第四次报告相比,2017年AAP指导方针确定了患有高血压的青少年人数较多. 患有高血压的儿童和青少年经常患有复杂的慢性疾病,需要大量的医疗保健利用.
结论:
- 在台湾的年轻人中,符合指南的儿科高血压显而易见,这强调了需要持续监测血压的必要性.
- 2017年AAP指南在检测青少年高血压方面似乎更为敏感.
- 需要进一步的研究,以了解更新高血压值对确定儿科患者目标器官损伤的影响.
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