Evidence map›Paper›PMID 18839219›Full record

ReviewPediatric nephrology (Berlin, Germany)2009

Severe hypertension in children and adolescents: pathophysiology and treatment.

Joseph T Flynn, Kjell Tullus

Erratum issuedAbstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed.

  1. Perioperative Management of Paediatric Hypertension.Children (Basel, Switzerland) · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Treatment of Hypertension in Children.Current hypertension reviews · 2024
    Review
  6. Managing severe hypertension in children.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Acute severe hypertension associated with acute gastroenteritis in children.Journal of clinical hypertension (Greenwich, Conn.) · 2020
    Article
  17. Review
  18. Article
  19. Review
  20. Hypertensive crisis in children and adolescents.Pediatric nephrology (Berlin, Germany) · 2019
    Review
4 · The record

Corrections and comments

  • Erratum issued
    Dosage article in article text
5 · Who and what money

Authors and funding

2 authors.

Joseph T FlynnPediatric Hypertension Program, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA. joseph.flynn@seattlechildrens.org
Kjell Tullus

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe, symptomatic hypertension occurs uncommonly in children, usually only in those with underlying congenital or acquired renal disease. If such hypertension has been long-standing, then rapid blood pressure reduction may be risky due to altered cerebral hemodynamics. While many drugs are available for the treatment of severe hypertension in adults, few have been studied in children. Despite the lack of scientific studies, some agents, particularly continuous intravenous infusions of nicardipine and labetalol, are preferred in many centers. These agents generally provide the ability to control the magnitude and rapidity of blood pressure reduction and should--in conjunction with careful patient monitoring--allow the safe reduction of blood pressure and the avoidance of complications. This review provides a summary of the underlying causes and pathophysiology of acute severe hypertension in childhood as well as a detailed discussion of drug treatment and the optimal clinical approach to managing children and adolescents with acute severe hypertension.

Indexed as

AdolescentAlgorithmsAntihypertensive AgentsBlood PressureChildChild, PreschoolClinical Trials as TopicHumansHypertensionSeverity of Illness IndexAntihypertensive Agents

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.