闪亮和移动应用程序用于估计儿童的血压百分比
Laura Montelisciani1, Bernard A Rosner2, Joseph T Flynn3
1Departments of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy (L.M., L.A., S.G.).
Hypertension (Dallas, Tex. : 1979)
|October 1, 2025
概括
对于儿科高血压的不同指导方针造成了混乱. 新的应用程序有助于计算血压百分位数和分类高血压,帮助研究和临床实践.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 临床信息学 临床信息学
- 公共卫生 公共卫生
背景情况:
- 美国儿科学会,欧洲高血压学会和欧洲心脏病学会等组织对儿童和青少年提出了不一致的高血压分类标准.
- 这些基于百分点推导和年龄特定门的不同标准,可能会在临床实践和研究中引起混.
- 需要标准化工具来比较这些分类是明显的.
研究的目的:
- 开发用户友好的应用程序,用于计算儿科血压百分位数和分类高血压.
- 根据不同的指导方针,使高血压分类能够同时进行比较.
- 为儿童高血压管理提供研究和临床应用的工具.
主要方法:
- 开发两个Shiny应用程序和一个移动应用程序,用于血压百分位数计算和高血压分类.
- 设计用于研究的One Shiny应用程序,能够处理大型儿科数据集.
- 第二个Shiny应用程序和一个专为临床使用而设计的移动应用程序,具有用户友好的界面;在各种数据集上进行测试.
主要成果:
- 根据美国儿科学会和欧洲心脏病学会的标准,与欧洲高血压学会相比,在各种年龄和体重组中,更多的人被确定为高血压患者.
- 美国儿科学会和欧洲高血压学会之间的不一致率从2.3%到21.1%不等.
- 美国儿科学会和欧洲心脏病学会之间观察到很高的一致性 (不一致性为0.0%至4.4%),13-16岁的青少年除外.
结论:
- 开发的应用程序为研究人员和临床医生提供了有效的工具来计算血压百分位数和高血压分类.
- 这些工具有助于对不同高血压指南进行比较.
- 这项工作是确定哪种分类方法最能预测儿科高血压的临床结果的基本步骤.
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