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儿童和青少年原发性高血压筛查:美国预防服务工作组推荐声明。

Screening for primary hypertension in children and adolescents: U.S. Preventive Services Task Force recommendation statement.

出版信息

Ann Intern Med. 2013 Nov 5;159(9):613-9. doi: 10.7326/0003-4819-159-9-201311050-00725.

Abstract

DESCRIPTION

Update of the 2003 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for high blood pressure in children and adolescents.

METHODS

The USPSTF reviewed the evidence on screening and diagnostic accuracy of screening tests for blood pressure in children and adolescents, the effectiveness and harms of treatment of screen-detected primary childhood hypertension, and the association of hypertension with markers of cardiovascular disease in childhood and adulthood.

POPULATION

This recommendation applies to children and adolescents who do not have symptoms of hypertension.

RECOMMENDATION

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for primary hypertension in asymptomatic children and adolescents to prevent subsequent cardiovascular disease in childhood or adulthood.

摘要

描述

美国预防服务工作组(USPSTF)2003 年关于儿童和青少年高血压筛查建议的更新。

方法

USPSTF 回顾了儿童和青少年血压筛查和筛查试验诊断准确性、筛查出的原发性儿童高血压治疗的有效性和危害,以及儿童期和成年期高血压与心血管疾病标志物的相关性。

人群

本建议适用于无症状的儿童和青少年。

建议

USPSTF 得出结论,目前的证据不足以评估无症状儿童和青少年原发性高血压筛查的利弊平衡,以预防儿童期或成年期的心血管疾病。

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