Eintrag weiter verarbeiten
Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children
Gespeichert in:
| Zeitschriftentitel: | The Journal of Clinical Hypertension |
|---|---|
| Personen und Körperschaften: | , , , |
| In: | The Journal of Clinical Hypertension, 21, 2019, 9, S. 1352-1357 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
|
| Schlagwörter: |
| author_facet |
Outdili, Zaïneb Marti‐Soler, Helena Bovet, Pascal Chiolero, Arnaud Outdili, Zaïneb Marti‐Soler, Helena Bovet, Pascal Chiolero, Arnaud |
|---|---|
| author |
Outdili, Zaïneb Marti‐Soler, Helena Bovet, Pascal Chiolero, Arnaud |
| spellingShingle |
Outdili, Zaïneb Marti‐Soler, Helena Bovet, Pascal Chiolero, Arnaud The Journal of Clinical Hypertension Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children Cardiology and Cardiovascular Medicine Endocrinology, Diabetes and Metabolism Internal Medicine |
| author_sort |
outdili, zaïneb |
| spelling |
Outdili, Zaïneb Marti‐Soler, Helena Bovet, Pascal Chiolero, Arnaud 1524-6175 1751-7176 Wiley Cardiology and Cardiovascular Medicine Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.1111/jch.13645 <jats:title>Abstract</jats:title><jats:p>Hypertension in children is defined as sustained elevated blood pressure (BP) over several visits. For the screening of hypertension, it is standard to obtain several BP readings at the initial visit. There is however no recommendation on the minimum number of readings needed. We evaluated the performance of BP readings obtained at one initial screening visit to predict the diagnosis of hypertension in children. In a school‐based study conducted in Switzerland, BP was measured three times on up to three visits in 5207 children. Sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) of elevated BP at the initial screening visit for the identification of hypertension were estimated using the 1st, 2nd, and 3rd BP readings (R1, R2, R3), as well as (R1 + R2)/2 and (R1 + R2 + R3)/3). These performance indices were compared with the reference method (R2 + R3)/2. The ability of BP readings to discriminate children with and without hypertension was evaluated with receiver operating characteristic curve analysis. The prevalence of systolic/diastolic hypertension was 2.2%. The greatest performance to identify children with hypertension was obtained with R2 (sensitivity: 97%; specificity: 88%; PPV: 15%; NPV: 100%) and the reference method, (R2 + R3)/2 (sensitivity: 100%; specificity: 90%; PPV: 18%; NPV: 100%). The ability to discriminate using R1, R2, (R1 + R2)/2, and (R2 + R3)/2 for the identification of hypertension was strong (AUC: 0.89, 0.93, 0.92, and 0.95, respectively). Obtaining two BP readings and using only the second one at a screening visit may be sufficient as initial step for the identification of hypertension in children.</jats:p> Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children The Journal of Clinical Hypertension |
| doi_str_mv |
10.1111/jch.13645 |
| facet_avail |
Online Free |
| finc_class_facet |
Medizin |
| format |
ElectronicArticle |
| fullrecord |
blob:ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTExMS9qY2guMTM2NDU |
| id |
ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTExMS9qY2guMTM2NDU |
| institution |
DE-Zwi2 DE-D161 DE-Gla1 DE-Zi4 DE-15 DE-Pl11 DE-Rs1 DE-105 DE-14 DE-Ch1 DE-L229 DE-D275 DE-Bn3 DE-Brt1 |
| imprint |
Wiley, 2019 |
| imprint_str_mv |
Wiley, 2019 |
| issn |
1524-6175 1751-7176 |
| issn_str_mv |
1524-6175 1751-7176 |
| language |
English |
| mega_collection |
Wiley (CrossRef) |
| match_str |
outdili2019performanceofbloodpressuremeasurementsataninitialscreeningvisitforthediagnosisofhypertensioninchildren |
| publishDateSort |
2019 |
| publisher |
Wiley |
| recordtype |
ai |
| record_format |
ai |
| series |
The Journal of Clinical Hypertension |
| source_id |
49 |
| title |
Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_unstemmed |
Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_full |
Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_fullStr |
Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_full_unstemmed |
Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_short |
Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_sort |
performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| topic |
Cardiology and Cardiovascular Medicine Endocrinology, Diabetes and Metabolism Internal Medicine |
| url |
http://dx.doi.org/10.1111/jch.13645 |
| publishDate |
2019 |
| physical |
1352-1357 |
| description |
<jats:title>Abstract</jats:title><jats:p>Hypertension in children is defined as sustained elevated blood pressure (BP) over several visits. For the screening of hypertension, it is standard to obtain several BP readings at the initial visit. There is however no recommendation on the minimum number of readings needed. We evaluated the performance of BP readings obtained at one initial screening visit to predict the diagnosis of hypertension in children. In a school‐based study conducted in Switzerland, BP was measured three times on up to three visits in 5207 children. Sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) of elevated BP at the initial screening visit for the identification of hypertension were estimated using the 1st, 2nd, and 3rd BP readings (R1, R2, R3), as well as (R1 + R2)/2 and (R1 + R2 + R3)/3). These performance indices were compared with the reference method (R2 + R3)/2. The ability of BP readings to discriminate children with and without hypertension was evaluated with receiver operating characteristic curve analysis. The prevalence of systolic/diastolic hypertension was 2.2%. The greatest performance to identify children with hypertension was obtained with R2 (sensitivity: 97%; specificity: 88%; PPV: 15%; NPV: 100%) and the reference method, (R2 + R3)/2 (sensitivity: 100%; specificity: 90%; PPV: 18%; NPV: 100%). The ability to discriminate using R1, R2, (R1 + R2)/2, and (R2 + R3)/2 for the identification of hypertension was strong (AUC: 0.89, 0.93, 0.92, and 0.95, respectively). Obtaining two BP readings and using only the second one at a screening visit may be sufficient as initial step for the identification of hypertension in children.</jats:p> |
| container_issue |
9 |
| container_start_page |
1352 |
| container_title |
The Journal of Clinical Hypertension |
| container_volume |
21 |
| format_de105 |
Article, E-Article |
| format_de14 |
Article, E-Article |
| format_de15 |
Article, E-Article |
| format_de520 |
Article, E-Article |
| format_de540 |
Article, E-Article |
| format_dech1 |
Article, E-Article |
| format_ded117 |
Article, E-Article |
| format_degla1 |
E-Article |
| format_del152 |
Buch |
| format_del189 |
Article, E-Article |
| format_dezi4 |
Article |
| format_dezwi2 |
Article, E-Article |
| format_finc |
Article, E-Article |
| format_nrw |
Article, E-Article |
| _version_ |
1792339445408595969 |
| geogr_code |
not assigned |
| last_indexed |
2024-03-01T15:48:15.298Z |
| geogr_code_person |
not assigned |
| openURL |
url_ver=Z39.88-2004&ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fvufind.svn.sourceforge.net%3Agenerator&rft.title=Performance+of+blood+pressure+measurements+at+an+initial+screening+visit+for+the+diagnosis+of+hypertension+in+children&rft.date=2019-09-01&genre=article&issn=1751-7176&volume=21&issue=9&spage=1352&epage=1357&pages=1352-1357&jtitle=The+Journal+of+Clinical+Hypertension&atitle=Performance+of+blood+pressure+measurements+at+an+initial+screening+visit+for+the+diagnosis+of+hypertension+in+children&aulast=Chiolero&aufirst=Arnaud&rft_id=info%3Adoi%2F10.1111%2Fjch.13645&rft.language%5B0%5D=eng |
| SOLR | |
| _version_ | 1792339445408595969 |
| author | Outdili, Zaïneb, Marti‐Soler, Helena, Bovet, Pascal, Chiolero, Arnaud |
| author_facet | Outdili, Zaïneb, Marti‐Soler, Helena, Bovet, Pascal, Chiolero, Arnaud, Outdili, Zaïneb, Marti‐Soler, Helena, Bovet, Pascal, Chiolero, Arnaud |
| author_sort | outdili, zaïneb |
| container_issue | 9 |
| container_start_page | 1352 |
| container_title | The Journal of Clinical Hypertension |
| container_volume | 21 |
| description | <jats:title>Abstract</jats:title><jats:p>Hypertension in children is defined as sustained elevated blood pressure (BP) over several visits. For the screening of hypertension, it is standard to obtain several BP readings at the initial visit. There is however no recommendation on the minimum number of readings needed. We evaluated the performance of BP readings obtained at one initial screening visit to predict the diagnosis of hypertension in children. In a school‐based study conducted in Switzerland, BP was measured three times on up to three visits in 5207 children. Sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) of elevated BP at the initial screening visit for the identification of hypertension were estimated using the 1st, 2nd, and 3rd BP readings (R1, R2, R3), as well as (R1 + R2)/2 and (R1 + R2 + R3)/3). These performance indices were compared with the reference method (R2 + R3)/2. The ability of BP readings to discriminate children with and without hypertension was evaluated with receiver operating characteristic curve analysis. The prevalence of systolic/diastolic hypertension was 2.2%. The greatest performance to identify children with hypertension was obtained with R2 (sensitivity: 97%; specificity: 88%; PPV: 15%; NPV: 100%) and the reference method, (R2 + R3)/2 (sensitivity: 100%; specificity: 90%; PPV: 18%; NPV: 100%). The ability to discriminate using R1, R2, (R1 + R2)/2, and (R2 + R3)/2 for the identification of hypertension was strong (AUC: 0.89, 0.93, 0.92, and 0.95, respectively). Obtaining two BP readings and using only the second one at a screening visit may be sufficient as initial step for the identification of hypertension in children.</jats:p> |
| doi_str_mv | 10.1111/jch.13645 |
| facet_avail | Online, Free |
| finc_class_facet | Medizin |
| format | ElectronicArticle |
| format_de105 | Article, E-Article |
| format_de14 | Article, E-Article |
| format_de15 | Article, E-Article |
| format_de520 | Article, E-Article |
| format_de540 | Article, E-Article |
| format_dech1 | Article, E-Article |
| format_ded117 | Article, E-Article |
| format_degla1 | E-Article |
| format_del152 | Buch |
| format_del189 | Article, E-Article |
| format_dezi4 | Article |
| format_dezwi2 | Article, E-Article |
| format_finc | Article, E-Article |
| format_nrw | Article, E-Article |
| geogr_code | not assigned |
| geogr_code_person | not assigned |
| id | ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTExMS9qY2guMTM2NDU |
| imprint | Wiley, 2019 |
| imprint_str_mv | Wiley, 2019 |
| institution | DE-Zwi2, DE-D161, DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1 |
| issn | 1524-6175, 1751-7176 |
| issn_str_mv | 1524-6175, 1751-7176 |
| language | English |
| last_indexed | 2024-03-01T15:48:15.298Z |
| match_str | outdili2019performanceofbloodpressuremeasurementsataninitialscreeningvisitforthediagnosisofhypertensioninchildren |
| mega_collection | Wiley (CrossRef) |
| physical | 1352-1357 |
| publishDate | 2019 |
| publishDateSort | 2019 |
| publisher | Wiley |
| record_format | ai |
| recordtype | ai |
| series | The Journal of Clinical Hypertension |
| source_id | 49 |
| spelling | Outdili, Zaïneb Marti‐Soler, Helena Bovet, Pascal Chiolero, Arnaud 1524-6175 1751-7176 Wiley Cardiology and Cardiovascular Medicine Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.1111/jch.13645 <jats:title>Abstract</jats:title><jats:p>Hypertension in children is defined as sustained elevated blood pressure (BP) over several visits. For the screening of hypertension, it is standard to obtain several BP readings at the initial visit. There is however no recommendation on the minimum number of readings needed. We evaluated the performance of BP readings obtained at one initial screening visit to predict the diagnosis of hypertension in children. In a school‐based study conducted in Switzerland, BP was measured three times on up to three visits in 5207 children. Sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) of elevated BP at the initial screening visit for the identification of hypertension were estimated using the 1st, 2nd, and 3rd BP readings (R1, R2, R3), as well as (R1 + R2)/2 and (R1 + R2 + R3)/3). These performance indices were compared with the reference method (R2 + R3)/2. The ability of BP readings to discriminate children with and without hypertension was evaluated with receiver operating characteristic curve analysis. The prevalence of systolic/diastolic hypertension was 2.2%. The greatest performance to identify children with hypertension was obtained with R2 (sensitivity: 97%; specificity: 88%; PPV: 15%; NPV: 100%) and the reference method, (R2 + R3)/2 (sensitivity: 100%; specificity: 90%; PPV: 18%; NPV: 100%). The ability to discriminate using R1, R2, (R1 + R2)/2, and (R2 + R3)/2 for the identification of hypertension was strong (AUC: 0.89, 0.93, 0.92, and 0.95, respectively). Obtaining two BP readings and using only the second one at a screening visit may be sufficient as initial step for the identification of hypertension in children.</jats:p> Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children The Journal of Clinical Hypertension |
| spellingShingle | Outdili, Zaïneb, Marti‐Soler, Helena, Bovet, Pascal, Chiolero, Arnaud, The Journal of Clinical Hypertension, Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children, Cardiology and Cardiovascular Medicine, Endocrinology, Diabetes and Metabolism, Internal Medicine |
| title | Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_full | Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_fullStr | Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_full_unstemmed | Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_short | Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_sort | performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| title_unstemmed | Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children |
| topic | Cardiology and Cardiovascular Medicine, Endocrinology, Diabetes and Metabolism, Internal Medicine |
| url | http://dx.doi.org/10.1111/jch.13645 |