Document Detail


The Prevalence of Hypertension in Children with Spina Bifida.
MedLine Citation:
PMID:  21342248     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  To determine if children with spina bifida have a higher prevalence of hypertension than population-based controls. Methods:  Charts of all patients (n=123) seen in the Spina Bifida Clinic at Shriners Hospital in Houston, Texas were reviewed for age, gender, ethnicity, type and level of neural tube defect, height, weight, and blood pressure. Hypertension was defined as a systolic blood pressure or diastolic blood pressure >95(th) percentile for age, gender, and height on >3 occasions. Data from the National Health and Nutrition Examination Survey and from a Houston-based study were used for comparison. Results:  Fifty-one (41.5%) patients were hypertensive. This was significantly higher than the 3% prevalence in the national controls, p < 0.001 and the 4.5% prevalence in the Houston controls, p < 0.001. Maximum body mass index increased the risk for hypertension, Odds Ratio 1.018, 95% Confidence Interval (1.005, 1.031), p=0.005) Conclusion:  Children with spina bifida have a significantly higher prevalence of hypertension than children in the general population. Age, gender, and height based norms are important for the early identification and treatment of hypertension in children.
Authors:
L Mazur; B Lacy; L Wilsford
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-22
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Acta Paediatrica © 2011 Foundation Acta Paediatrica.
Affiliation:
Shriners Hospital for Children, Houston, Texas, USA.
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