Key result
Among 126 children admitted with hypertension, renal etiology (predominantly glomerulonephritis) was the most common cause, and the mortality rate was 4.7%.
Why the study?
The clinical profile of hypertensive children aged 3 to 12 years admitted to a tertiary care hospital needed evaluation.
Observational (n=126)
No
In children aged 3 to 12 years admitted with hypertension, renal causes (particularly glomerulonephritis) are the most common etiology, often presenting with hypertensive emergencies.
Objective: To study the prole of hypertensive children admitted in a tertiary care hospital in the age group of 3 to 12 years. Method: It is a Prospective type Study done over 1 year from June 2019 to May 2020 in the Department of Pediatrics, Silchar Medical College and Hospital (SMCH), a tertiary care Hospital in Assam,India. One twenty six children in the age group of 3 to 12 years meeting the inclusion criteria were admitted with hypertension. Results: During the study period a total of 3214 patients were admitted in the Pediatric Department of Silchar Medical College and Hospital. Out of which 126 patients were found to be hypertensive (3.9%). The number of males were 81(65%) and females 45(56%). The most common affected group was school going children age group (6 to 12 years). 37(29.3%) cases presented with hypertensive emergency. 22(17%) cases presented with congestive cardiac failure and 15(11.9%) cases hypertensive encephalopathy. Renal Cause of hypertension was the leading cause of admission and glomerulonephritis was the leading renal cause (80%). The mortality was 4.7% (6 out of 126 patients) and was due to complication of Glomerulonephritis. Conclusion: Hypertension is a common cause of hospitalization in children. Renal or renovascular etiology of hypertension is the most common cause of hypertension.
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Debnath et al. (2022) conducted an observational in Hypertension (n=126). Hypertension was evaluated on Etiology and clinical profile of hypertension. Among 126 children admitted with hypertension, renal etiology (predominantly glomerulonephritis) was the most common cause, and the mortality rate was 4.7%.
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