ArticlePediatric nephrology (Berlin, Germany)2013
Should mean arterial pressure be included in the definition of ambulatory hypertension in children?
Article in Pediatric nephrology (Berlin, Germany), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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.
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.
Who cites it
8 citing papers in PubMed.
- Steroid withdrawal improves blood pressure control and nocturnal dipping in pediatric renal transplant recipients: analysis of a prospective, randomized, controlled trial.Pediatric nephrology (Berlin, Germany) · 2019Trial
- Relationship of 24-Hour Mean Arterial Pressure with Systolic and Diastolic Blood Pressure in Hypertension: Insights from Ambulatory Blood Pressure Monitoring.Anatolian journal of cardiology · 2024Article
- Ambulatory hypertension diagnosed by 24-h mean ambulatory versus day and night ambulatory blood pressure thresholds in children: a cross-sectional study.Clinical hypertension · 2022Article
- Challenges of diagnosing pediatric hypertension using ambulatory blood pressure monitoring.Pediatric nephrology (Berlin, Germany) · 2021Article
- COQ8B nephropathy: Early detection and optimal treatment.Molecular genetics & genomic medicine · 2020Article
- Blood pressure (BP) assessment-from BP level to BP variability.Pediatric nephrology (Berlin, Germany) · 2016Review
- Risk Factors in Adolescent Hypertension.Global pediatric health · 2016Article
- Pediatric ambulatory blood pressure monitoring: diagnosis of hypertension.Pediatric nephrology (Berlin, Germany) · 2013Article
Corrections and comments
- Commented on by
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe diagnosis of hypertension (HTN)/normotension (NT) on ambulatory blood pressure monitoring (ABPM) is usually based on systolic (SBP) or diastolic blood pressure (DBP). The goal of this study was to analyze whether inclusion of mean arterial pressure (MAP) improves the detection of HTN on ABPM.
methodsWe retrospectively studied ABPM records in 229 children (116 boys, median age = 15.3 years) who were referred for evaluation of HTN. A diagnosis of HTN was made if: (A) MAP or SBP or DBP was ≥ 1.65 SDS (95th percentile); (B) SBP or DBP was ≥ 1.65 SDS (95th percentile), during 24-h or daytime or night-time in both definitions.
resultsUsing definition A, 46/229 patients had HTN compared to definition B by which only 37/229 patients had HTN (p = 0.001). The level of agreement between the two definitions was very good (kappa = 0.86 ± 0.04), however nine patients (19.5 %) were missed by not using MAP in the definition of HTN. These nine patients had only mild HTN with a median Z score of 1.69.
conclusionsThe inclusion of MAP in the definition of ambulatory HTN significantly increased the number of hypertensive patients. MAP may be very helpful in detecting mild HTN in patients with normal/borderline SBP and DBP.
Indexed as
Identifiers
23340855What OpenQuestion holds
Registered trials
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.