儿童和青少年高血压的学校查:一个系统的范围审查
Jonathan P Glenning1,2,3, Freya Sheeran4, Catherine Quinlan5,6,7
1Heart Research, Murdoch Children's Research Institute, Parkville, VIC, Australia. jonathan.glenning@mcri.edu.au.
概括
学校血压 (BP) 查需要一个标准化的协议. 目前的方法各不相同,影响儿童高血压的检测和管理.
科学领域:
- 儿科健康 儿科健康
- 公共卫生查 公共卫生查
- 预防心血管疾病 预防心血管疾病
背景情况:
- 基于学校的计划为儿科血压 (BP) 查提供了一个可扩展的方法.
- 有效实施需要了解当前的测量协议,诊断过程和实际考虑.
研究的目的:
- 系统地审查和范围对校本血压查的同行评审文献.
- 评估现有研究中的测量协议,诊断覆盖范围和实施策略.
主要方法:
- 在PubMed,OVID Medline和OVID Embase的系统文献搜索中搜索英语同行评审文章.
- 由两位作者进行独立选和全文审查,意见分歧通过讨论解决.
- 提取有关一般信息,血压测量,诊断过程和实施策略的数据.
主要成果:
- 在包括的112篇文章中,只有17篇专注于高血压查.
- 在血压测量技术和遵守美国儿科学会指导方针方面存在显著的变化.
- 观察到对实施策略的报告最少.
结论:
- 在学校进行血压查的标准化,务实的协议是必要的.
- 该协议应包含推的测量方法,并解决可行性/经济权衡问题.
- 优化可实施性需要仔细考虑学校和医疗保健机构内的诊断过程覆盖范围.
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