Title |
Evaluation and management of elevated blood pressures in hospitalized children
|
---|---|
Published in |
Pediatric Nephrology, August 2018
|
DOI | 10.1007/s00467-018-4070-8 |
Pubmed ID | |
Authors |
Abanti Chaudhuri, Scott M. Sutherland |
Abstract |
Elevated blood pressures (BP) are common among hospitalized children and, if not recognized and treated promptly, can lead to potentially significant consequences. Even though we have normative BP data and well-developed guidelines for the diagnosis and management of hypertension (HTN) in the ambulatory setting, our understanding of elevated BPs and their relationship to HTN in hospitalized children is limited. Several issues have hampered our ability to diagnose and manage HTN in the inpatient setting including the common presence of physiologic conditions, which are associated with transient BP elevations (i.e., pain or anxiety), non-standard approaches to BP measurement, a lack of clarity regarding appropriate diagnostic and therapeutic thresholds, and marginal outcome data. The purpose of this review is to highlight the issues and challenges surrounding BP monitoring, assessment of elevated BPs, and the diagnosis of HTN in hospitalized children. Extrapolating from currently available clinical practice guidelines and utilizing the best data available, we aim to provide guidelines regarding evaluation and treatment of elevated BP in hospitalized children. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 4 | 29% |
Iceland | 1 | 7% |
Australia | 1 | 7% |
Mexico | 1 | 7% |
Colombia | 1 | 7% |
Unknown | 6 | 43% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 8 | 57% |
Scientists | 3 | 21% |
Science communicators (journalists, bloggers, editors) | 2 | 14% |
Practitioners (doctors, other healthcare professionals) | 1 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 43 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 5 | 12% |
Student > Ph. D. Student | 5 | 12% |
Student > Postgraduate | 4 | 9% |
Professor > Associate Professor | 3 | 7% |
Student > Bachelor | 2 | 5% |
Other | 9 | 21% |
Unknown | 15 | 35% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 17 | 40% |
Biochemistry, Genetics and Molecular Biology | 2 | 5% |
Nursing and Health Professions | 2 | 5% |
Social Sciences | 2 | 5% |
Agricultural and Biological Sciences | 1 | 2% |
Other | 4 | 9% |
Unknown | 15 | 35% |