Evidence map›Paper›PMID 21054771›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2010

Isradipine for treatment of acute hypertension in hospitalized children and adolescents.

Yosuke Miyashita, Do Peterson, Jane M Rees, Joseph T Flynn

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Treatment of Hypertension in Children.Current hypertension reviews · 2024
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Hypertensive crisis in children and adolescents.Pediatric nephrology (Berlin, Germany) · 2019
    Review
  10. Review
  11. Neonatal hypertension: cases, causes, and clinical approach.Pediatric nephrology (Berlin, Germany) · 2019
    Review
  12. Evaluation and treatment of hypertensive crises in children.Integrated blood pressure control · 2016
    Review
  13. Pediatric hypertensive emergencies.Current hypertension reports · 2014
    Review
  14. Article
  15. Review
  16. Management of blood pressure in children.Current opinion in nephrology and hypertension · 2012
    Review
  17. Hypertensive crisis in children.Pediatric nephrology (Berlin, Germany) · 2012
    Review
  18. Hypertension in infancy: diagnosis, management and outcome.Pediatric nephrology (Berlin, Germany) · 2012
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Yosuke MiyashitaDivision of Nephrology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh, Pittsburgh, PA 15224, USA. yosuke.miyashita@chp.edu
Do Peterson
Jane M Rees
Joseph T Flynn
Children's Hospital of Pittsburgh · USSeattle Children's Hospital · USUniversity of Pittsburgh · USUniversity of Washington · US

Funding

Pediatric Nephrology Training ProgramT32DK007662 · NIDDK · UNIVERSITY OF WASHINGTON · PI HINGORANI, SANGEETA · 1991 to 2020
$5.5M
NIDDK NIH HHS T32 DK007662
6 · The paper itself

Abstract

Severe acute hypertension in pediatric patients requires prompt and controlled blood pressure (BP) reduction to prevent end-organ damage. The authors aimed to examine the efficacy and safety of isradipine, an orally administered second-generation dihydropyridine calcium channel blocker, for treatment of acute hypertension in hospitalized pediatric patients. A retrospective analysis of 391 doses of isradipine administered to 282 patients (58% boys) with acute hypertension and median age of 12.8 years (range, 0.1-21.9) was performed. Primary diagnoses included renal disease (n=154), malignancy (45), nonrenal transplant (37), neurologic disease (21), and other (25). The decrease in systolic BP was 16.3%±11.6% (mean ± SD) and diastolic BP was 24.2%±17.2%. BPs were significantly lower in all age groups and in all diagnosis categories following isradipine administration. The decrease in BP was the highest in children younger than 2 years. The mean increase in pulse after a dose was 7±17 beats per minute. Forty adverse events were reported in 33 patients, with emesis and nausea being the most common; 5 of these events were hypotension. The authors conclude that isradipine effectively reduces BP in a wide variety of hospitalized children and adolescents with acute hypertension. A lower initial dose of 0.05 mg/kg may be appropriate in children younger than 2 years.

Indexed as

HypertensionIsradipineAcute DiseaseAdolescentAge FactorsBlood PressureCalcium Channel BlockersChildChild, PreschoolFemaleHeart RateHospitalizationHumansInfantKidney DiseasesMaleCalcium Channel BlockersIsradipine

Identifiers

PMID21054771
PMCPMC3182108
OpenAlexW2070253092

What OpenQuestion holds

Textmetadata
LicenceTDM
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.