Prevalence of Hypertension in Children: Applying the New American Academy of Pediatrics Clinical Practice Guideline
Prevalence of Hypertension in Children: Applying the New American Academy of Pediatrics Clinical Practice Guideline
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DOI：
10.1161/hypertensionaha.118.11673
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发表时间：
2019-01-01
期刊：
影响因子：
8.3
通讯作者：
Samuels, Joshua A.
中科院分区：
文献类型：
--
作者：
Bell, Cynthia S.;Samuel, Joyce P.;Samuels, Joshua A.
2017年，美国儿科学会发布了新的儿童高血压临床实践指南，作为2004年发布的第四次报告指南的更新。根据之前的指南，儿童中确诊的小儿高血压患病率为2%至4%，但尚不清楚新指南下的患病率是多少。我们根据美国儿科学会的新指南，在我们的校内血压筛查计划中估计了血压升高、1 期和 2 期高血压的患病率。将新的患病率估计值与同一人群中第四报告的患病率估计值按性别、年龄和身高因素进行比较。作为德克萨斯大学麦戈文医学院休斯顿儿科和高血压项目的一部分，对 22224 名 10 至 17 岁的学生进行了筛查，血压升高（以前称为高血压前期）的患病率从第四次报告的 14.8% 上升到美国儿科学会新指南的 16.3%。血压升高的这种增加是由于年幼和年长儿童的分类变化不同造成的。该人群中确诊高血压的患病率仍为 2% 至 4%，但身高较矮的儿童
In 2017, the American Academy of Pediatrics issued a new clinical practice guideline for defining hypertension in children as an update to the previous Fourth Report guidelines issued in 2004. Prevalence of confirmed pediatric hypertension in children has ranged from 2% to 4% based on previous guidelines yet it is unknown what the prevalence is under the new guideline. We estimated the prevalence of elevated blood pressure, stage 1, and stage 2 hypertension by the new American Academy of Pediatrics guideline in our school-based blood pressure screening program. New prevalence estimates were compared with Fourth Report prevalence estimates in the same population by sex, age, and height factors. In 22224 students aged 10 to 17 years screened in school as part of the Houston Pediatric and Hypertension Program at the University of Texas McGovern Medical School, the prevalence of elevated blood pressure (previously called prehypertension) increased from 14.8% by Fourth Report to 16.3% by the new American Academy of Pediatrics guideline. This increase in elevated blood pressure resulted from differential classification changes in younger and older children. Prevalence of confirmed hypertension remains at 2% to 4% in this population, however shorter children