Bloetzer Clemens, Bovet Pascal, Paccaud Fred, Burnier Michel, Chiolero Arnaud
a Department of Pediatrics , Lausanne University Hospital , Lausanne , Switzerland.
b Institute of social and preventive medicine, Lausanne University Hospital , Lausanne , Switzerland.
Blood Press. 2017 Apr;26(2):87-93. doi: 10.1080/08037051.2016.1213130. Epub 2016 Aug 9.
Targeted screening of hypertension in childhood might be more efficient than universal screening. We estimated the sensitivity, specificity, negative and positive predictive values of combined parental history of hypertension and overweight/obesity for the diagnosis of hypertension in 5207 children aged 10-14 years. Children had hypertension if they had sustained elevated blood pressure over three separate visits. The prevalence of hypertension was 2.2%. 14% of children were overweight or obese, 20% had a positive history of hypertension in at least one parent and 30% had either or both conditions. Targeted screening of hypertension to children with either overweight/obesity or with hypertensive parents limits the proportion of children (30%) to screen and identifies up to 65% of all hypertensive cases.
儿童高血压的针对性筛查可能比普遍筛查更有效。我们估计了5207名10至14岁儿童中，父母高血压病史与超重/肥胖相结合对于诊断高血压的敏感性、特异性、阴性预测值和阳性预测值。如果儿童在三次不同的就诊中血压持续升高，则诊断为高血压。高血压患病率为2.2%。14%的儿童超重或肥胖，20%的儿童至少有一位父母有高血压病史，30%的儿童有超重/肥胖或父母高血压病史中的一种或两种情况。对超重/肥胖或父母患有高血压的儿童进行高血压针对性筛查，可将需要筛查的儿童比例限制在30%，并能识别出所有高血压病例的65%。
