在住院儿科患者中定义静脉血压规范值:单个中心的经验
Amanda M Uber1, Jialin Han2, Paul Grimm3
1Department of Nephrology, Primary Children's Hospital, University of Utah, Salt Lake City, UT, USA.
Pediatric research
|February 7, 2024
概括
住院儿童的血压高于门诊标准,现有的高血压定义在住院治疗中不可靠. 这项研究为住院儿科患者提供了新的BP百分曲线,以指导临床管理.
科学领域:
- 儿科脏病学 儿科脏病学
- 儿童的心血管健康问题
- 临床儿科 临床儿科
背景情况:
- 门诊血压 (BP) 规范和高血压 (HTN) 定义不足以启动儿童的住院治疗.
- 在住院儿科患者中缺乏高血压的既定规范数据.
- 这项研究解决了为儿科住院患者制定特定血压指南的需要.
研究的目的:
- 为了确定住院儿童中高血压的患病率.
- 在住院期间为儿科患者生成规范血压值.
- 为启动住院治疗和管理儿科高血压提供基础.
主要方法:
- 在斯坦福儿童医院进行了一项横截面观测研究.
- 这项研究包括从2014年至2018年期间,有7468例2至18岁以下儿童住院治疗.
- 从超过24小时的住院治疗中分析了超过118,000个自动振荡计血压测量结果.
主要成果:
- 根据门诊指南,HTN的患病率在男孩中为12-48%,在女孩中为6-39%.
- 第一阶段的缩性HTN影响了12-38%的男孩和6-31%的女孩;第二阶段影响了3-10%的男孩和1-8%的女孩.
- 导出的百分点曲线表明,与门诊患者相比,住院儿童的血压读数显著更高.
结论:
- 住院儿童的血压比门诊儿童高.
- 门诊血压规范对于指导儿科患者的住院治疗开始是不可靠的.
- 该研究生成的百分点曲线为治疗住院儿科患者的临床医生提供了关键指导.
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