Academic Journal
Performance of Eleven Simplified Methods for the Identification of Elevated Blood Pressure in Children and Adolescents.
| العنوان: | Performance of Eleven Simplified Methods for the Identification of Elevated Blood Pressure in Children and Adolescents. |
|---|---|
| المؤلفون: | Ma, C., Kelishadi, R., Hong, Y.M., Bovet, P., Khadilkar, A., Nawarycz, T., Krzywińska-Wiewiorowska, M., Aounallah-Skhiri, H., Zong, X., Motlagh, M.E., Kim, H.S., Khadilkar, V., Krzyżaniak, A., Ben Romdhane, H., Heshmat, R., Chiplonkar, S., Stawińska-Witoszyńska, B., El Ati, J., Qorbani, M., Kajale, N., Traissac, P., Ostrowska-Nawarycz, L., Ardalan, G., Parthasarathy, L., Zhao, M., Xi, B. |
| المصدر: | Hypertension, vol. 68, no. 3, pp. 614-620 |
| سنة النشر: | 2016 |
| المجموعة: | Université de Lausanne (UNIL): Serval - Serveur académique lausannois |
| مصطلحات موضوعية: | Adolescent, Age Factors, Blood Pressure Determination/methods, Child, Child Health, Cross-Sectional Studies, Databases, Factual, Female, Humans, Hypertension/diagnosis, Hypertension/epidemiology, Male, Mass Screening/methods, Monitoring, Physiologic/methods, Risk Assessment, Task Performance and Analysis, adolescents, children, epidemiology, high blood pressure, hypertension, methodology |
| الوصف: | The identification of elevated blood pressure (BP) in children and adolescents relies on complex percentile tables. The present study compares the performance of 11 simplified methods for assessing elevated or high BP in children and adolescents using individual-level data from 7 countries. Data on BP were available for a total of 58 899 children and adolescents aged 6 to 17 years from 7 national surveys in China, India, Iran, Korea, Poland, Tunisia, and the United States. Performance of the simplified methods for screening elevated or high BP was assessed with receiver operating characteristic curve (area under the curve), sensitivity, specificity, positive predictive value, and negative predictive value. When pooling individual data from the 7 countries, all 11 simplified methods performed well in screening high BP, with high area under the curve values (0.84-0.98), high sensitivity (0.69-1.00), high specificity (0.87-1.00), and high negative predictive values (≥0.98). However, positive predictive value was low for most simplified methods, but reached ≈0.90 for each of the 3 methods, including sex- and age-specific BP references (at the 95th percentile of height), the formula for BP references (at the 95th percentile of height), and the simplified method relying on a child's absolute height. These findings were found independently of sex, age, and geographical location. Similar results were found for simplified methods for screening elevated BP. In conclusion, all 11 simplified methods performed well for identifying high or elevated BP in children and adolescents, but 3 methods performed best and may be most useful for screening purposes. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/27432869; info:eu-repo/semantics/altIdentifier/eissn/1524-4563; https://serval.unil.ch/notice/serval:BIB_333F57D42AD5 |
| DOI: | 10.1161/HYPERTENSIONAHA.116.07659 |
| الاتاحة: | https://serval.unil.ch/notice/serval:BIB_333F57D42AD5 https://doi.org/10.1161/HYPERTENSIONAHA.116.07659 |
| رقم الانضمام: | edsbas.F4AF536B |
| قاعدة البيانات: | BASE |
| DOI: | 10.1161/HYPERTENSIONAHA.116.07659 |
|---|