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November 9, 2010PEDIATRICSOpen Access

Learning and Attention Problems Among Children With Pediatric Primary Hypertension

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Why the study?

Does sustained primary hypertension increase the risk of learning disabilities in children?

Population

201 children 10 to 18 years of age referred for elevated blood pressure

Comparison

Sustained primary hypertension (n=100) vs No hypertension (n=101)

Design

Cross-sectional

Authors

HAHeather AdamsUniversity of Rochester Medical CenterPSPeter G. SzilagyiUniversity of California, Los AngelesLGLaura GebhardtBaystate Medical Center

Discussion

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Implication

Hypertension was associated with elevated odds of learning disabilities in children; hypothesis-generating and requires prospective studies before informing practice.

Structured PICO

Does sustained primary hypertension increase the risk of learning disabilities in children?

P
Population
201 children 10 to 18 years of age referred for elevated blood pressure
I
Intervention
Sustained primary hypertension (n=100)
C
Comparator
No hypertension (n=101)
O
Outcome
Provider-confirmed learning disability (LD) or attention-deficit/hyperactivity disorder (ADHD) as reported by parents

Children with sustained primary hypertension have significantly higher odds of having learning disabilities compared to normotensive children, suggesting a need for cognitive monitoring in this population.

Cite This Study

Adams et al. (2010) studied this question.

synapsesocial.com/papers/6a87f02fd79ae02bd34de68bhttps://doi.org/10.1542/peds.2010-1899

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Underdiagnosis of Hypertension in Children and Adolescents2007 · 825 citations
  2. 2Hypertension and neuropsychological performance in men: Interactive effects of age.1996 · 83 citations
  3. 3Patient-, Provider-, and Clinic-Level Predictors of Unrecognized Elevated Blood Pressure in Children2010 · 137 citations
  4. 4Hypertension in the young: epidemiology, sequelae and therapy2008 · 54 citations
  5. 5Hypertension and the Brain: Vulnerability of the Prefrontal Regions and Executive Functions.2003 · 323 citations