Questionnaire survey on pediatric hypertension in Japan and Korea

作者: Hyung Eun Yim , Eun Hee Lee , Gi Young Jang , Kee Hwan Yoo , Chang Sung Son

DOI: 10.1111/J.1442-200X.2009.02860.X

关键词: Outpatient clinicAmbulatory blood pressureResponse rate (survey)QuestionnairePediatricsMercury sphygmomanometerTreatment goalsPediatric hypertensionMedicineBlood pressurePediatrics, Perinatology, and Child Health

摘要: Background:  Hypertension (HTN) is no longer viewed as an adult disease. The purpose of the present study was to understand how hypertensive children are evaluated and managed, by surveying pediatricians in Japan South Korea. Methods:  A questionnaire mailed 109 Japanese (JA) 159 Korean (KO) pediatric cardiologists, nephrologists, other pediatricians. Results:  total 127 replies were received (response rate 47%). Most respondents did not check blood pressure (BP) routinely outpatient clinics (JA 77%, KO 88%). mercury sphygmomanometer most commonly used method for BP measurements 72%, 62%). treatment goals usually set at 95th percentile age, gender, height 47%, 54%). More a lower goal with primary HTN than JA. preferred angiotensin-converting enzyme inhibitors (ACEI) initial agents regardless underlying diseases whereas JA chose various medications, that is, calcium channel blockers, diuretics, ACEI. For monitoring, self-monitoring found be frequent both countries 80%, 57%). Ambulatory monitoring frequently utilized 33% 34%). Conclusion:  current assessment, management differing trends Korea have been identified study. Pediatricians should aware growing implications children.

参考文章(32)
Lavjay Butani, Bruce Z. Morgenstern, Are pitfalls of oscillometric blood pressure measurements preventable in children Pediatric Nephrology. ,vol. 18, pp. 313- 318 ,(2003) , 10.1007/S00467-003-1075-7
Jonathan M. Sorof, Jennifer Turner, Kathy Franco, Ronald J. Portman, Characteristics of hypertensive children identified by primary care referral compared with school-based screening The Journal of Pediatrics. ,vol. 144, pp. 485- 489 ,(2004) , 10.1016/J.JPEDS.2003.12.047
Vibha Singhal, W. Frederick Schwenk, Seema Kumar, Evaluation and Management of Childhood and Adolescent Obesity Mayo Clinic Proceedings. ,vol. 82, pp. 1258- 1264 ,(2007) , 10.4065/82.10.1258
M. Bald, P. F. Hoyer, Measurement of blood pressure at home: survey among pediatric nephrologists Pediatric Nephrology. ,vol. 16, pp. 1058- 1062 ,(2001) , 10.1007/S004670100027
Alan R. Sinaiko, Orlando Gomez-Marin, Ronald J. Prineas, Prevalence of “significant” hypertension in junior high school-aged children: The Children and Adolescent Blood Pressure Program The Journal of Pediatrics. ,vol. 114, pp. 664- 669 ,(1989) , 10.1016/S0022-3476(89)80718-8
Y. Li, X. Yang, F. Zhai, J. Piao, W. Zhao, J. Zhang, G. Ma, Childhood obesity and its health consequence in China Obesity Reviews. ,vol. 9, pp. 82- 86 ,(2008) , 10.1111/J.1467-789X.2007.00444.X
Robert P. Woroniecki, Joseph T. Flynn, How are hypertensive children evaluated and managed? A survey of North American pediatric nephrologists Pediatric Nephrology. ,vol. 20, pp. 791- 797 ,(2005) , 10.1007/S00467-004-1804-6
J. M. Sorof, D. Lai, J. Turner, T. Poffenbarger, R. J. Portman, Overweight, Ethnicity, and the Prevalence of Hypertension in School-Aged Children Pediatrics. ,vol. 113, pp. 475- 482 ,(2004) , 10.1542/PEDS.113.3.475
Stella Stabouli, Vasilios Kotsis, Savvas Toumanidis, Christos Papamichael, Andreas Constantopoulos, Nikos Zakopoulos, White-coat and masked hypertension in children: association with target-organ damage. Pediatric Nephrology. ,vol. 20, pp. 1151- 1155 ,(2005) , 10.1007/S00467-005-1979-5
Empar Lurbe, Jonathon M. Sorof, Stephen R. Daniels, Clinical and research aspects of ambulatory blood pressure monitoring in children. The Journal of Pediatrics. ,vol. 144, pp. 7- 16 ,(2004) , 10.1016/J.JPEDS.2003.09.050