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Performance of Eleven Simplified Methods for the Identification of Elevated Blood Pressure in Children and Adolescents

Title
Performance of Eleven Simplified Methods for the Identification of Elevated Blood Pressure in Children and Adolescents
Authors
Ma, ChuanweiKelishadi, RoyaHong, Young MiBovet, PascalKhadilkar, AnuradhaNawarycz, TadeuszKrzywinska-Wiewiorowska, MalgorzataAounallah-Skhiri, HajerZong, Xin'nanMotlagh, Mohammad EsmaeilKim, Hae SoonKhadilkar, VamanKrzyzaniak, AlicjaBen Romdhane, HabibaHeshmat, RaminChiplonkar, ShashiStawinska-Witoszynska, BarbaraEl Ati, JalilaQorbani, MostafaKajale, NehaTraissac, PierreOstrowska-Nawarycz, LidiaArdalan, GelayolParthasarathy, LavanyaZhao, MinXi, Bo
Ewha Authors
홍영미
SCOPUS Author ID
홍영미scopus
Issue Date
2016
Journal Title
HYPERTENSION
ISSN
0194-911XJCR Link1524-4563JCR Link
Citation
vol. 68, no. 3, pp. 614 - +
Keywords
adolescentschildrenepidemiologyhigh blood pressurehypertensionmethodology
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
The identification of elevated blood pressure (BP) in children and adolescents relies on complex percentile tables. The present study compares the performance of 11 simplified methods for assessing elevated or high BP in children and adolescents using individual-level data from 7 countries. Data on BP were available for a total of 58 899 children and adolescents aged 6 to 17 years from 7 national surveys in China, India, Iran, Korea, Poland, Tunisia, and the United States. Performance of the simplified methods for screening elevated or high BP was assessed with receiver operating characteristic curve (area under the curve), sensitivity, specificity, positive predictive value, and negative predictive value. When pooling individual data from the 7 countries, all 11 simplified methods performed well in screening high BP, with high area under the curve values (0.84-0.98), high sensitivity (0.69-1.00), high specificity (0.87-1.00), and high negative predictive values (=0.98). However, positive predictive value was low for most simplified methods, but reached approximate to 0.90 for each of the 3 methods, including sex-and age-specific BP references (at the 95th percentile of height), the formula for BP references (at the 95th percentile of height), and the simplified method relying on a child's absolute height. These findings were found independently of sex, age, and geographical location. Similar results were found for simplified methods for screening elevated BP. In conclusion, all 11 simplified methods performed well for identifying high or elevated BP in children and adolescents, but 3 methods performed best and may be most useful for screening purposes.
DOI
10.1161/HYPERTENSIONAHA.116.07659
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의학전문대학원 > 의학과 > Journal papers
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