Trends of paediatric hypertension screening and management in primary care before and during the coronavirus disease 2019 pandemic: A retrospective cohort study DOI Creative Commons
Leanne Kosowan, Rahul Chanchlani, Allison Dart

et al.

Paediatrics & Child Health, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 23, 2024

Abstract Objectives We assessed trends in primary care paediatric blood pressure (BP) screening, follow-up, and treatment before during the coronavirus disease 2019 (COVID-19) pandemic. Methods Retrospective cohort study using electronic medical records from Canadian Primary Care Sentinel Surveillance Network to capture visits (aged 3 18) between January 1, 2011, December 31, 2020. Time-series analysis was performed documentation of monthly BP, high follow-up abnormal antihypertensive prescribing. differences pre (January 2011 March 11, 2020) COVID-19 (March 12, 2020 2020). Results Of 343,191 patients, 30.9% had ≥1 BP documented. Documentation increased each year 17.3% 19.8% (β = 0.05, 95% CI 0.04, 0.07, P < 0.001), with a decrease trend 11.0% −16.95, −18.91, −14.99, 0.001). There an increasing pre-pandemic for laboratory screening prescribing 0.12, 0.1, 0.14, 0.0001; β 0.02, 0.0001). During pandemic, further (24.5% 31.1%; 5.19, 2.03, 8.35, 0.002), whereas there no significant change (1.3% 1.4%; 0.15, −0.01, 0.32, 0.07). Conclusions annually, then declined precipitously Despite lower prevalence hypertension remained stable. Clinical practice highlight areas improve management hypertensive patients.

Language: Английский

Approach to Diagnosis and Management of Pediatric Hypertension in an Outpatient Setting DOI Open Access

Shawn Khullar,

Anu Asaithambi,

Priya Pais

et al.

Indian Journal of Nephrology, Journal Year: 2025, Volume and Issue: 0, P. 1 - 10

Published: May 21, 2025

Pediatric hypertension (HTN) is a public health concern with significant possible long-term adverse outcomes. This review comprehensive guide for pediatricians, nephrologists, and trainees, focusing on the latest approaches HTN diagnoses in children highlighting importance of accurate blood pressure measurement techniques. We also explore current classification systems offer evidence-based management strategies tailored to pediatric patients. Lifestyle modifications are recommended first-line interventions, including dietary changes, physical activity, weight management. Pharmacological treatments severe cases or when lifestyle insufficient. The guidelines provide an overview commonly prescribed antihypertensive medications, potential complications associated untreated HTN, target organ damage increased cardiovascular risk adulthood, early recognition intervention. aims help healthcare professionals thoroughly understand improve diagnosis, treatment,

Language: Английский

Citations

0
Temporal Trends in Practice Patterns After Introduction of Pediatric Hypertension Guidelines in Canada DOI Creative Commons

Michael Wu,

Allison Dart, Leanne Kosowan

et al.

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(2), P. e2355239 - e2355239

Published: Feb. 8, 2024

Importance In 2016 and 2017, respectively, new Canadian US guidelines for diagnosis management of pediatric hypertension (HTN) were published. Six years after their publication, it is unknown whether the recommendations have led to changes in primary care practice patterns. Objectives To determine HTN are associated with patterns among clinicians. Design, Setting, Participants This retrospective, multicenter, population-based cohort study was conducted across 3 phases: January 1, 2011, December 31, 2015 (era 1), 2016, 2017 (washout period), 2018, 2019 2). Data collected from 7 provinces using Primary Care Sentinel Surveillance Network Electronic Medical Record database. Eligible participants included children adolescents (aged ≥3 <18 years) 1 or more encounters analysis February 2022 2023. Exposure Implementation Hypertension Canada American Academy Pediatrics guidelines. Main Outcomes Measures The outcomes annual BP screening documentation, high follow-up documentation at 6 months 1-year, prevalence, laboratory testing rates, medication prescription rates. Interrupted time series used assess association introduction outcomes. Results 343 191 (mean [SD] age first encounter, 6.7 (4.6) years; 173 290 female [50.5%]; 169 901 male [49.5%]), including 235 094 patients era 193 473 2. 55 550 (23.6%) had least measurement, 2, 45 006 (23.3%) measurement. There a significant increase 2 26 876 148 554 screenings (18.1%) 28 556 141 192 (20.2%; β = 0.202; 95% CI, 0.009 0.390; P .04), increasing trend sustained. decrease measurement (1265 4941 measurements [25.6%] 1718 7321 [23.5%]; −0.490; −0.758 −0.223; .001) year (1974 [40.0%] 2314 [31.6%]; −1.392; −1.573 −1.212; < proportion meeting criteria significantly increased 2540 (4.6%) 5690 (12.6%) (β 0.0210; 0.0021 0.0410; .03). no change rates (949 tested [19.2%] 1149 [15.7%]; −0.159; −0.364 0.046; .12). prescribing medications also decreased (1305 prescribed [26.4%] 1415 [19.3%]; −0.605; −0.830 −0.358; .001). Conclusions Relevance findings this within setting suggest that there prevalence publication national international guidelines; however, still suboptimal. Increasing emphasize need better adherence improve

Language: Английский

Citations

3
Investigation and management of young-onset hypertension: British and Irish hypertension society position statement DOI Creative Commons

Spoorthy Kulkarni,

Luca Faconti, Sarah Partridge

et al.

Journal of Human Hypertension, Journal Year: 2024, Volume and Issue: 38(7), P. 544 - 554

Published: June 28, 2024

National and international hypertension guidelines recommend that adults with young-onset (aged <40 years at diagnosis) are reviewed by a specialist to exclude secondary causes of optimise therapeutic regimens. A recent survey among UK care physicians highlighted variations in the investigation such patients. In this position statement, British Irish Hypertension Society seek provide clinicians practical approach management hypertension. We aim ensure individuals receive consistent high-quality across Ireland, highlight gaps current evidence, identify important future research questions.

Language: Английский

Citations

3
Blood pressure in Japanese junior and senior high school students DOI
Atsushi Tanaka,

Ayumu Yajima,

Kaori Kitaoka

et al.

Hypertension Research, Journal Year: 2023, Volume and Issue: 47(1), P. 195 - 196

Published: Nov. 8, 2023

Language: Английский

Citations

4
Prevention and treatment of hypertensive left ventricular hypertrophy DOI

Manvita Tatavarthy,

John Stathopoulos,

Ahmet Oktay

et al.

Current Opinion in Cardiology, Journal Year: 2024, Volume and Issue: unknown

Published: March 5, 2024

Purpose of review Left ventricular (LV) hypertrophy (LVH) is a well recognized target organ adaptation to longstanding uncontrolled hypertension and other cardiovascular risk factors. It also strong independent predictor many disorders. Recent findings This focused explores the current concepts in screening, diagnosis, prevention, treatment LVH patients with hypertension. Currently, primary screening diagnostic tools for are ECG 2D echocardiography. Implementing machine learning modalities can improve sensitivity detection LVH. Lifestyle modifications, blood pressure control antihypertensive therapy, management comorbidities aid preventing reversing LV remodeling. Summary common often silent complication Prevention reversal remodeling crucial reduction

Language: Английский

Citations

1
Hypertension in children and adolescents: perspectives in Japan DOI
Takeshi Fujiwara, Hidehiro Kaneko, Kaori Hayashi

et al.

Hypertension Research, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 10, 2024

Language: Английский

Citations

1
A Call for Australian Clinical Practice Guidelines for Paediatric Hypertension DOI
Jonathan P. Mynard, Swasti Chaturvedi,

Michael M.H. Cheung

et al.

Heart Lung and Circulation, Journal Year: 2023, Volume and Issue: 32(9), P. 1032 - 1034

Published: July 24, 2023

Language: Английский

Citations

2
Association of the Protective Dietary Pattern for Blood Pressure with Elevated Blood Pressure and Hypertension among Chinese Children and Adolescents Aged 6–17 Years Old: Data from China Nutrition and Health Surveillance (2015–2017) DOI Open Access
Yuge Li, Yuxiang Yang,

Lahong Ju

et al.

Nutrients, Journal Year: 2023, Volume and Issue: 15(23), P. 4927 - 4927

Published: Nov. 26, 2023

Studies focused on the association between dietary patterns and elevated blood pressure (BP) hypertension (HTN) among children adolescents remain insufficient. This study aimed to explore a pattern that could be helpful for prevention of abnormal BP investigate this HTN Chinese adolescents. A total 52,080 aged 6~17 years old from China Nutrition Health Surveillance (CNHS) 2015-2017 were included in current study. The reduced rank regression (RRR) method was applied derive is associated with BP. Multivariable logistic used assess (DP) HTN. Dietary Approach Stop Hypertension (DASH) score also calculated each participant as comparative validate derived RRR method. protective (PDP) derived, which characterized by high intakes dairy products, mushrooms/edible fungi, fresh vegetables, fruits, eggs, aquatic mixed legumes, soybeans related offal, dried coarse cereals, low refined grains. After multiple adjustments, there significant inverse associations PDP scores odds (elevated BP: Q5 vs. Q1, OR = 0.849, 95%CI 0.755-0.931, P-trend < 0.05; HTN: 0.795, 0.694-0.911, 0.05). DASH diet observed have effects model I (Q5 0.899, 0.828-0.975, 0.05), but not (HTN: 0.958, 0.876-1.048, > suggested greater adherence might lower

Language: Английский

Citations

2
Childhood Primary Hypertension: Not Uncommon, Not Benign DOI Open Access
Susan M. Halbach, Joseph T. Flynn

Hypertension, Journal Year: 2023, Volume and Issue: 80(6), P. 1197 - 1198

Published: May 17, 2023

Language: Английский

Citations

1
Ambulatory Blood Pressure and Number of Subclinical Target Organ Injury Markers in Youth: The SHIP AHOY Study DOI Open Access
Gilad Hamdani, Elaine M. Urbina, Stephen R. Daniels

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: March 19, 2024

Abstract Background Hypertension in adolescence is associated with subclinical target organ injury (TOI). We aimed to determine whether different blood pressure (BP) thresholds were increasing number of TOI markers healthy adolescents. Methods 244 participants (mean age 15.5±1.8 years, 60.1% male) studied. Participants divided based on both systolic clinic and ambulatory BP (ABP), into low- (<75 th percentile), mid- (75 -90 percentile) high-risk (>90 groups. assessments included left ventricular mass, diastolic function, vascular stiffness. The for each participant was calculated. A multivariable general linear model constructed evaluate the association characteristics higher numbers markers. Results 47.5% had at least one marker: 31.2% one, 11.9% two, 3.7% three, 0.8% four. increased according risk groups: percentage more than low-, mid-, high groups 6.7%, 19.1%, 21.8% (p=0.02), ABP 9.6%, 15.8%, 32.2% (p<0.001). In a regression analysis, percentile SBP index independently When model, only significantly Conclusion High SBP, especially when assessed by ABPM, an cardiovascular

Language: Английский

Citations

0