患有瘤综合征的儿童中高血压的发生率和危险因素
Cal Robinson1, Stéphanie Wagner2, Nowrin Aman3
1Division of Nephrology, The Hospital for Sick Children, Toronto, Ontario, Canada; Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada.
The Journal of pediatrics
|December 22, 2024
概括
一半患有性综合征的儿童患上高血压. 类固醇耐药,类固醇依赖,经常复发和肥胖儿童面临的风险最高,需要密切监测血压.
科学领域:
- 儿科脏病学 儿科脏病学
- 儿童的心血管健康问题
背景情况:
- 脏综合征是儿童的一个严重的脏疾病.
- 高血压是一种已知的并发症,但在这个人群中,其发病率和特定的危险因素需要进一步阐明.
研究的目的:
- 为了确定患有综合征的儿童高血压的发病率.
- 在这个队列中确定与高血压发展相关的风险因素.
主要方法:
- 一项前性观察性研究,使用来自"洞察脏综合征" (INSIGHT) 队列的数据.
- 通过高血压或开始服用抗高血压药物来定义的高血压.
- 根据类固醇耐药性/敏感性和复发频率进行分层分析.
主要成果:
- 在748名儿童中,53%的儿童在5.2年的中位随访期内患上高血压 (发生率8.2/100人年).
- 高血压在类固醇耐药 (70%对52%),类固醇依赖 (67%) 和经常复发 (63%) 的综合征中更为常见.
- 较高的BMI Z-score和学术中心是类固醇敏感病例的危险因素.
结论:
- 大约一半患有性综合征的儿童患有高血压.
- 类固醇耐药性,类固醇依赖性,经常复发和肥胖是关键的危险因素.
- 定期监测血压对于早期检测和管理至关重要.
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