Departamento de Pediatría, Clínica Foscal, Bucaramanga.
Departamento de Pediatría, Clínica Chicamocha, Bucaramanga.
Arch Cardiol Mex. 2023;93(1):13-21. doi: 10.24875/ACM.21000362.
To establish the prevalence of arterial hypertension in pediatric patients hospitalized in a tertiary hospital center in Medellin, Colombia for 6 years.
A descriptive cross-sectional study was carried out that reviewed retrospective information obtained from the clinical records of patients under 18 years of age hospitalized at the Pablo Tobón Uribe Hospital in Medellín.
From a total of 382 pediatric patients hospitalized in the studied period, a prevalence of hypertension of 30.6% was found. Systolic hypertension prevalence was 23.6% and diastolic 20.7%. Age under 5, treatment with vancomycin and critical care admission increased the risk of being hypertensive during hospitalization.
In children the frequency of hypertension in hospitalized patients is higher than the prevalence reported in outpatients. The highest risk group and potentially modifiable factors must be recognized and treatment administered in a timely manner. Secondary complications are low, except for left ventricular hypertrophy, which requires long-term follow-up.
在哥伦比亚麦德林的一家三级医院中心，对住院的儿科患者进行为期 6 年的动脉高血压患病率调查。
这是一项描述性的横断面研究，对麦德林 Pablo Tobón Uribe 医院住院的 18 岁以下患者的临床记录进行回顾性信息审查。
在研究期间，共有 382 名儿科患者住院，高血压的患病率为 30.6%。收缩期高血压的患病率为 23.6%，舒张期高血压的患病率为 20.7%。年龄<5 岁、使用万古霉素治疗和重症监护入院会增加住院期间高血压的风险。
在住院患儿中，高血压的频率高于门诊患者的患病率。必须识别出高危人群和潜在的可改变因素，并及时进行治疗。除左心室肥厚外，继发性并发症发生率较低，需要长期随访。
