A simple table based on height to assess elevated and high blood pressure in children.
Détails
ID Serval
serval:BIB_239646190443
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
A simple table based on height to assess elevated and high blood pressure in children.
Périodique
Journal of human hypertension
ISSN
1476-5527 (Electronic)
ISSN-L
0950-9240
Statut éditorial
Publié
Date de publication
03/2019
Peer-reviewed
Oui
Volume
33
Numéro
3
Pages
248-254
Langue
anglais
Notes
Publication types: Evaluation Study ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
The 2017 American Academy of Pediatrics (AAP) guideline for assessing "elevated blood pressure (BP) (90 <sup>th</sup> BP percentile)" and "high BP (95 <sup>th</sup> BP percentile)" includes a large number of BP cut-offs based on sex, age and height, which makes it cumbersome to use in clinical practice. We developed and evaluated the performance of a simple table based on a child's height only to assess elevated and high BP in children compared to the reference AAP guideline based on sex, age and height. Data came from 6816 children aged 8-12 years from the U.S. National Health and Nutrition Examination Survey (NHANES) 1999-2016 and 3145 participants aged 5-12 years from NHANES III (1988-1994). Compared to the reference AAP guideline, the simple table had high values of AUC (0.96/0.91), sensitivity (92.7%/83.2%), specificity (99.0%/99.4%), PPV (92.6%/89.3%), NPV (99.0%/99.0%), and Kappa coefficient (0.92/0.85) for screening elevated/high BP when applied to NHANES, and values were similarly high when applied to NHANES III. These findings show that the simple table based on height only performed nearly as well as the reference 2017 AAP guideline based on sex, age and height for assessing elevated and high BP in U.S. children. This simple table may be a useful screening tool to assess high BP in children aged 5-12 years, particularly in a context of mass screening programs.
Mots-clé
Body Height, Child, Child, Preschool, Humans, Hypertension/diagnosis, Nutrition Surveys, Reference Standards
Pubmed
Web of science
Création de la notice
13/11/2018 12:26
Dernière modification de la notice
07/07/2020 5:20