Key result
Simple clinical data, including family history and blood pressure lability, failed to detect secondary hypertension in children, emphasizing the need for renal imaging.
Why the study?
Does simple clinical data (history, physical exam, urinalysis) accurately discriminate between essential and secondary hypertension in pediatric patients?
Population
103 patients, aged 2 weeks to 18 years, consecutively referred for investigation of hypertension
Design
Cohort
Authors
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Routine clinical assessment may miss secondary hypertension in children; leaves open whether routine renal imaging improves detection in prospective cohorts.
Observational (n=103)
Does simple clinical data (history, physical exam, urinalysis) accurately discriminate between essential and secondary hypertension in pediatric patients?
Simple clinical data is insufficient to rule out secondary hypertension in children, emphasizing the need for thorough investigation including renal imaging.
Malcolm R. Ogborn (1987) conducted an observational in Pediatric Hypertension (n=103). Simple clinical data (history, physical examination, and urinalysis) was evaluated on Discrimination of essential or secondary hypertension. Simple clinical data, including family history and blood pressure lability, failed to detect secondary hypertension in children, emphasizing the need for renal imaging.
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