Trial reportJournal of human hypertension2018
Performance of modified blood pressure-to-height ratio for identifying hypertension in Chinese and American children.
Trial report in Journal of human hypertension, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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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
7 citing papers in PubMed, 8 citations in OpenAlex.
- A proposal to simplify the definition of pediatric hypertension: bridging the gap between perception and action.BMC medicine · 2024Article
- Height-based equations as screening tools for high blood pressure in pediatric practice, the GENOBOX study.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Height-based equations as screening tools for elevated blood pressure in the SAYCARE study.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Hypertension and selected indicators of health assessment in a population of 19-year-old men subject to military qualifications.Medicine · 2020Observational
- Performance of modified blood pressure-to-height ratio for diagnosis of hypertension in children: The CASPIAN-V study.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- The challenge of simplifying blood pressure screening in children and adolescents.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- A new simple formula built on the American Academy of Pediatrics criteria for the screening of hypertension in overweight/obese children.European journal of pediatrics · 2019Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Blood pressure-to-height ratio (BPHR) has been reported to perform well for identifying hypertension (HTN) in adolescents but not in young children. Our study was aimed to evaluate the performance of BPHR and modified BPHR (MBPHR) for screening HTN in children. A total of 5268 Chinese children (boys: 53.1%) aged 6-12 years and 5024 American children (boys: 48.1%) aged 8-12 years were included in the present study. BPHR was calculated as BP/height (mmHg/cm). MBPHR7 was calculated as BP/(height + 7*(13-age)). MBPHR3 was calculated as BP/(height + 3*(13-age)). We used receiver-operating characteristic curve analysis to assess the performance of the three ratios for identifying HTN in children as compared to the 2017 U.S. clinical guideline as the "gold standard". The prevalence of HTN in Chinese and American children was 9.4% and 5.4%, respectively, based on the 2017 U.S. guideline. The AUC was larger for MBPHR3 than BPHR and MBPHR7. All three ratios had optimal negative predictive value (~100%). The positive predictive value (PPV) was higher for MBPHR3 than BPHR in both Chinese (43.9% vs. 37.9%) and American (39.1% vs. 26.3%) children. In contrast, the PPV was higher for MBPHR7 than BPHR in Chinese children (47.4% vs. 37.9%) but not in American children (24.8% vs. 26.3%). In summary, MBPHR3 overall performed better than MBPHR7 and BPHR for identifying HTN in children. However, the three ratios had low PPV (<50%) as compared to the 2017 U.S. guidelines, which makes these ratios of limited use for HTN screening in children.
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