000119787 001__ 119787
000119787 005__ 20240319080952.0
000119787 0247_ $$2doi$$a10.1111/jch.14489
000119787 0248_ $$2sideral$$a128801
000119787 037__ $$aART-2022-128801
000119787 041__ $$aeng
000119787 100__ $$0(orcid)0000-0003-3435-4854$$aPérez-Gimeno, G.$$uUniversidad de Zaragoza
000119787 245__ $$aHeight-based equations as screening tools for high blood pressure in pediatric practice, the GENOBOX study
000119787 260__ $$c2022
000119787 5060_ $$aAccess copy available to the general public$$fUnrestricted
000119787 5203_ $$aDue to the absence of easily applicable cut-off points to determine high blood pressure or hypertension in children, as in the adult population, blood pressure is rarely measured in the pediatrician''s clinical routine. This has led to an underdiagnosis of high blood pressure or hypertension in children. For this reason, the present study evaluate the utility of five equations for the screening of high blood pressure in children: blood pressure to height ratio, modified blood pressure to height ratio, new modified blood pressure to height ratio, new simple formula and height-based equations. The authors evaluated 1599 children between 5 and 18 years. The performance of the five equations was analyzed using the receiver-operating characteristics curves for identifying blood pressure above P90th according to the American Academy of Pediatrics Clinical Practice Guideline 2017. All equations showed an area under the curve above 0.882. The new modified blood pressure to height ratio revealed a high sensitivity whereas the height-based equations showed the best performance, with a positive predictive value above 88.2%. Finally, all equations showed higher positive predictive values in children with overweight or obesity. The height-based equation obtained the highest PPV values above 71.1% in children with normal weight and above 90.2% in children with overweight or obesity. In conclusions, the authors recommend the use of the height-based equations equation because it showed the best positive predictive values to identify children with elevated blood pressure, independently of their sex, pubertal and weight status. © 2022 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.
000119787 536__ $$9info:eu-repo/grantAgreement/ES/CIBERObn/CB15-00043$$9info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI11-01425$$9info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI16-01205
000119787 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000119787 590__ $$a2.8$$b2022
000119787 592__ $$a0.684$$b2022
000119787 591__ $$aPERIPHERAL VASCULAR DISEASE$$b38 / 68 = 0.559$$c2022$$dQ3$$eT2
000119787 593__ $$aCardiology and Cardiovascular Medicine$$c2022$$dQ2
000119787 593__ $$aInternal Medicine$$c2022$$dQ2
000119787 593__ $$aEndocrinology, Diabetes and Metabolism$$c2022$$dQ2
000119787 594__ $$a5.2$$b2022
000119787 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000119787 700__ $$0(orcid)0000-0002-3850-8235$$aRuperez, A. I.
000119787 700__ $$aGil-Campos, M.
000119787 700__ $$aAguilera, C. M.
000119787 700__ $$aAnguita, A.
000119787 700__ $$aVázquez-Cobela, R.
000119787 700__ $$aSkapino, E.
000119787 700__ $$0(orcid)0000-0003-0454-653X$$aMoreno, L. A.$$uUniversidad de Zaragoza
000119787 700__ $$aLeis, R.
000119787 700__ $$0(orcid)0000-0002-0902-387X$$aBueno-Lozano, G.$$uUniversidad de Zaragoza
000119787 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000119787 7102_ $$11011$$2670$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Pediatría
000119787 773__ $$g24 (2022), 713-722$$pJOURNAL OF CLINICAL HYPERTENSION$$tJOURNAL OF CLINICAL HYPERTENSION$$x1524-6175
000119787 8564_ $$s403628$$uhttps://zaguan.unizar.es/record/119787/files/texto_completo.pdf$$yVersión publicada
000119787 8564_ $$s2357489$$uhttps://zaguan.unizar.es/record/119787/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000119787 909CO $$ooai:zaguan.unizar.es:119787$$particulos$$pdriver
000119787 951__ $$a2024-03-18-13:11:57
000119787 980__ $$aARTICLE