2017 American Academy of Pediatrics Clinical Practice Guideline: Impact on Prevalence of Arterial Hypertension in Children and Adolescents With Type 1 Diabetes.
作者： Axel Dost , Susanne Bechtold , Katharina Fink , Walter Bonfig , Dagobert Wiemann
DOI: 10.2337/DC19-2022
关键词:
摘要: OBJECTIVE In 2017, the American Academy of Pediatrics introduced a new guideline (2017 Clinical Practice Guideline [AAP 2017]) to diagnose arterial hypertension (HTN) in children that included revised, lower normative blood pressure (BP) values and cut points for diagnosing high BP adolescents. We studied impact AAP 2017 on prevalence HTN with type 1 diabetes mellitus (T1DM). RESEARCH DESIGN AND METHODS Up September 2018, 1.4 million office measurements 79,849 adolescents (aged 5–20 years) T1DM were documented DPV (Diabetes Prospective Follow-up) registry. most recent year aggregated, 74,677 patients without antihypertensive medication analyzed (median age 16 years duration 5.3 years, 52.8% boys). classified according references German Health Interview Examination Survey Children Adolescents (KiGGS) (2011) Fourth Report Diagnosis, Evaluation, Treatment High Blood Pressure (fourth report) (2004). RESULTS Of patients, 44.1%, 29.5%, 26.5% hypertensive KiGGS, fourth report, respectively. Differences strongly dependent: CONCLUSIONS Classification as depends data used. Use results significant increase teenagers ≥15 T1DM, particularly boys. enhances awareness elevated children, increased risk cardiovascular disease.
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