Pediatric Hypertension (HTN) Assessed by Various Methods: A Study among Pediatric Inpatients in University Hospital Gabriel Touré(UH-GT)

• 作者: A. Dembele Diakite Mamadou Diarra Mamadou Bocary Doumbia Coumba Thiam Fofana Cheick Hamala Hamidou Camara Hamidou Oumar Ba Ibrahima Sangare Ilo Bella Diall Konate Massama Maiga Asmaou Kéita Maiga Belco Menta Ichaka Sidibe Noumou Sidibe Samba Sogodogo Adama Sonfo Boubacar Togo Boubacar Toure Mamadou Traore Aladji Youssouf Camara
• 来源期刊: 心血管病(英文)
• 学科: 医学
• 关键词: HYPERTENSION PEDIATRIC BAMAKO
• 年，卷（期）: 2020,（3）
• 页码范围: 144-154
• 页数: 11页
• 分类号: R54

摘要

Introduction: It is known for decades that a correlation among child blood pressure and adult pressure exist. There are few publications on Hypertension (HTN) in pediatric area. We therefore conducted this study to estimate the extension of HTN among children and looking for associated factors. Methods: Blood pressure was assessed using the references released by the National institutes of health in the United States, those of the French Society of Pediatric Nephrology and z-score. We used the auscultation method with appropriate cuff adapted to the child’s upper arm. We got for each arm 3 blood pressure measures taken children seated or lying on the back and mean blood pressure was calculated and used for the evaluation of the pressure level. The arm with the higher blood pressure was considered for the study. Socio-demographical and clinical data were collected anonymously on a formulary and then inserted in a Microsoft Access Database. Analysis was done using Statistical Package for the Social Sciences (SPSS) software using appropriate tests. Results: The study involved 154 patients (boys:girls = 56.5:43.5) aged 3 to 16 years. Patients of 11 years and older made 57.1% of the sample. Most patients suffered from severe malaria (35.1%, glomerular and heart diseases with respectively 16.2% and 9.1%. The global proportion of hypertensive patients was 27%, 39% and 5.2% respectively based on references of the French society of nephrology, those of the 4th report of the NHBPEP and standard deviation. Looking for associated factors with hypertension the logistic regression found no predictor for hypertension using pressure cut-offs values based on the French society of nephrology and those of the 4th report of the National High Blood Pressure Education Programm (NHBPEP). Conclusion: Children must be checked for hypertension to avoid organ damage and later cardiovascular complications. Blood pressure assessment should be preferably done on outpatients as the role of the stressful hospitalization environment can be att