Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension

ABSTRACT: This study evaluated the accuracy of four height-based equations: blood pressure to height ratio (BPHR), modified BPHR (MBPHR), new modified BPHR (NMBPHR), and height-based equations (HBE) for screening elevated BP in children and adolescents in the SAYCARE study. We measured height and BP...

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Autores:
Skapino, Estela
Rupérez, Azahara Iris
Restrepo Mesa, Sandra Lucía
Araújo Moura, Keisyanne
Moraes, Augusto César De
Barbosa Carvalho, Heráclito
Aristizábal Rivera, Juan Carlos
Moreno, Luis Alberto
Tipo de recurso:
Article of investigation
Fecha de publicación:
2020
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/23425
Acceso en línea:
http://hdl.handle.net/10495/23425
https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.14087
Palabra clave:
Presión Sanguínea
Blood Pressure
Hipertensión
Hypertension
Adolescentes
Teenagers
Niños
Children
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id UDEA2_e5dca0b7fa84e554b25be14ec2fd67f8
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/23425
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
spellingShingle Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
Presión Sanguínea
Blood Pressure
Hipertensión
Hypertension
Adolescentes
Teenagers
Niños
Children
title_short Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title_full Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title_fullStr Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title_full_unstemmed Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
title_sort Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical Hypertension
dc.creator.fl_str_mv Skapino, Estela
Rupérez, Azahara Iris
Restrepo Mesa, Sandra Lucía
Araújo Moura, Keisyanne
Moraes, Augusto César De
Barbosa Carvalho, Heráclito
Aristizábal Rivera, Juan Carlos
Moreno, Luis Alberto
dc.contributor.author.none.fl_str_mv Skapino, Estela
Rupérez, Azahara Iris
Restrepo Mesa, Sandra Lucía
Araújo Moura, Keisyanne
Moraes, Augusto César De
Barbosa Carvalho, Heráclito
Aristizábal Rivera, Juan Carlos
Moreno, Luis Alberto
dc.subject.decs.none.fl_str_mv Presión Sanguínea
Blood Pressure
Hipertensión
Hypertension
topic Presión Sanguínea
Blood Pressure
Hipertensión
Hypertension
Adolescentes
Teenagers
Niños
Children
dc.subject.lemb.none.fl_str_mv Adolescentes
Teenagers
Niños
Children
description ABSTRACT: This study evaluated the accuracy of four height-based equations: blood pressure to height ratio (BPHR), modified BPHR (MBPHR), new modified BPHR (NMBPHR), and height-based equations (HBE) for screening elevated BP in children and adolescents in the SAYCARE study. We measured height and BP of 829 children and adolescents from seven South American cities. Receiving operating curves were used to assess formula performance to diagnose elevated BP in comparison to the 2017 clinical guideline. Sensitivity, specificity, and positive and negative predictive values (PPV, NPV) were calculated for the four screening formulas. The diagnostic agreement was evaluated with the kappa coefficient. The HBE equation showed the maximum sensitivity (100%) in children, both for boys and girls, and showed the best performance results, with a very high NPV (>99%) and high PPV (>60%) except for female children (53.8%). In adolescents, the highest sensitivity (100%) was achieved with the NMBPHR for both sexes. Kappa coefficients indicated that HBE had the highest agreement with the gold standard diagnostic method (between 0.70 and 0.75), except for female children (0.57). Simplified methods are friendlier than the percentile gold standard tables. The HBE equation showed better performance than the other formulas in this Latin American pediatric population.
publishDate 2020
dc.date.issued.none.fl_str_mv 2020
dc.date.accessioned.none.fl_str_mv 2021-10-25T15:19:03Z
dc.date.available.none.fl_str_mv 2021-10-25T15:19:03Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
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dc.type.local.spa.fl_str_mv Artículo de investigación
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dc.identifier.citation.spa.fl_str_mv Skapino E, Rupérez AI, Restrepo-Mesa S, et al. Hegiht-based equations as screening tools for elevated blood pressure in te SAYCARE study. J Clin Hypertens. 2020; 22:2221-2229. https://doi,org/10.1111/jch.14087
dc.identifier.issn.none.fl_str_mv 1524-6175
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/23425
dc.identifier.doi.none.fl_str_mv 10.1111/jch.14087
dc.identifier.eissn.none.fl_str_mv 1751-7176
dc.identifier.url.spa.fl_str_mv https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.14087
identifier_str_mv Skapino E, Rupérez AI, Restrepo-Mesa S, et al. Hegiht-based equations as screening tools for elevated blood pressure in te SAYCARE study. J Clin Hypertens. 2020; 22:2221-2229. https://doi,org/10.1111/jch.14087
1524-6175
10.1111/jch.14087
1751-7176
url http://hdl.handle.net/10495/23425
https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.14087
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv J. Clin. Hypertens.
dc.rights.spa.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.spa.fl_str_mv Wiley
dc.publisher.group.spa.fl_str_mv Alimentación y Nutrición Humana
Grupo de Investigación en Fisiología y Bioquímica - Physis
dc.publisher.place.spa.fl_str_mv Hoboken, Estados Unidos
institution Universidad de Antioquia
bitstream.url.fl_str_mv http://bibliotecadigital.udea.edu.co/bitstream/10495/23425/1/license_rdf
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spelling Skapino, EstelaRupérez, Azahara IrisRestrepo Mesa, Sandra LucíaAraújo Moura, KeisyanneMoraes, Augusto César DeBarbosa Carvalho, HeráclitoAristizábal Rivera, Juan CarlosMoreno, Luis Alberto2021-10-25T15:19:03Z2021-10-25T15:19:03Z2020Skapino E, Rupérez AI, Restrepo-Mesa S, et al. Hegiht-based equations as screening tools for elevated blood pressure in te SAYCARE study. J Clin Hypertens. 2020; 22:2221-2229. https://doi,org/10.1111/jch.140871524-6175http://hdl.handle.net/10495/2342510.1111/jch.140871751-7176https://onlinelibrary.wiley.com/doi/epdf/10.1111/jch.14087ABSTRACT: This study evaluated the accuracy of four height-based equations: blood pressure to height ratio (BPHR), modified BPHR (MBPHR), new modified BPHR (NMBPHR), and height-based equations (HBE) for screening elevated BP in children and adolescents in the SAYCARE study. We measured height and BP of 829 children and adolescents from seven South American cities. Receiving operating curves were used to assess formula performance to diagnose elevated BP in comparison to the 2017 clinical guideline. Sensitivity, specificity, and positive and negative predictive values (PPV, NPV) were calculated for the four screening formulas. The diagnostic agreement was evaluated with the kappa coefficient. The HBE equation showed the maximum sensitivity (100%) in children, both for boys and girls, and showed the best performance results, with a very high NPV (>99%) and high PPV (>60%) except for female children (53.8%). In adolescents, the highest sensitivity (100%) was achieved with the NMBPHR for both sexes. Kappa coefficients indicated that HBE had the highest agreement with the gold standard diagnostic method (between 0.70 and 0.75), except for female children (0.57). Simplified methods are friendlier than the percentile gold standard tables. The HBE equation showed better performance than the other formulas in this Latin American pediatric population.COL0000407COL00073289application/pdfengWileyAlimentación y Nutrición HumanaGrupo de Investigación en Fisiología y Bioquímica - PhysisHoboken, Estados Unidosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-nd/4.0/Height-based equations as screening tools for elevated blood pressure in the SAYCARE study , Journal of Clinical HypertensionPresión SanguíneaBlood PressureHipertensiónHypertensionAdolescentesTeenagersNiñosChildrenJ. Clin. Hypertens.Journal of Clinical Hypertension222122292212CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8823http://bibliotecadigital.udea.edu.co/bitstream/10495/23425/1/license_rdfb88b088d9957e670ce3b3fbe2eedbc13MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/23425/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5210495/23425oai:bibliotecadigital.udea.edu.co:10495/234252021-10-25 13:40:48.315Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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