Improving Hypertension Screening in Childhood Using Modified Blood Pressure to Height Ratio

Dong, Bin, Wang, Zhiqiang, Wang, Hai-Jun and Ma, Jun (2016) Improving Hypertension Screening in Childhood Using Modified Blood Pressure to Height Ratio. The Journal of Clinical Hypertension, 18 6: 557-564. doi:10.1111/jch.12712


Author Dong, Bin
Wang, Zhiqiang
Wang, Hai-Jun
Ma, Jun
Title Improving Hypertension Screening in Childhood Using Modified Blood Pressure to Height Ratio
Journal name The Journal of Clinical Hypertension   Check publisher's open access policy
ISSN 1524-6175
1751-7176
Publication date 2016-06
Year available 2015
Sub-type Article (original research)
DOI 10.1111/jch.12712
Open Access Status Not Open Access
Volume 18
Issue 6
Start page 557
End page 564
Total pages 8
Place of publication Hoboken, NJ United States
Publisher Le Jacq Communications
Collection year 2016
Language eng
Formatted abstract
Blood pressure to height ratio (BPHR) has been suggested as a simple method for screening children with hypertension, but its discriminatory ability in young children is not as good as that in older children. Using data of 89,664 Chinese children aged 7 to 11 years, the authors assessed whether modified BPHR (BP:eHT13) was better than BPHR in identifying young children with hypertension. BP:eHT13 was estimated as BP/(height+7×(13−age in years)). Using Youden's index, the thresholds of systolic/diastolic BP:eHT13 for identifying prehypertension and hypertension were 0.67/0.44 and 0.69/0.45, respectively. These proposed thresholds revealed high sensitivity, specificity, negative predictive value, and area under the curve (AUC), ranging from 0.874 to 0.999. In addition, BP:eHT13 showed better AUCs and fewer cutoff points than, if not similar to, two existing BPHR references. BP:eHT13 generally performed better than BPHR in discriminating BP abnormalities in young children and may improve early hypertension recognition and control.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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Created: Tue, 13 Oct 2015, 10:16:57 EST by Bin Dong on behalf of Medicine - Royal Brisbane and Women's Hospital