TITLE:
Pediatric Hypertension (HTN) Assessed by Various Methods: A Study among Pediatric Inpatients in University Hospital Gabriel Touré (UH-GT)
AUTHORS:
Hamidou Oumar Bâ, Youssouf Camara, Ibrahima Sangare, Maiga Belco, Diakite Mamadou, A. Dembele, Fofana Cheick Hamala, Toure Mamadou, Hamidou Camara, Sogodogo Adama, Traore Aladji, Sidibe Samba, Sidibe Noumou, Diakite Mamadou, Doumbia Coumba Thiam, Maiga Asmaou Kéita, Konate Massama, Sonfo Boubacar, Menta Ichaka, Ilo Bella Diall, Togo Boubacar, Diarra Mamadou Bocary
KEYWORDS:
Hypertension, Pediatric, Bamako
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.10 No.3,
March
26,
2020
ABSTRACT: Introduction: It is known for decades that a correlation among child blood pressure and adult pressure exist. There are few publications on Hypertension (HTN) in pediatric area. We therefore conducted this study to estimate the extension of HTN among children and looking for associated factors. Methods: Blood pressure was assessed using the references released by the National institutes of health in the United States, those of the French Society of Pediatric Nephrology and z-score. We used the auscultation method with appropriate cuff adapted to the child’s upper arm. We got for each arm 3 blood pressure measures taken children seated or lying on the back and mean blood pressure was calculated and used for the evaluation of the pressure level. The arm with the higher blood pressure was considered for the study. Socio-demographical and clinical data were collected anonymously on a formulary and then inserted in a Microsoft Access Database. Analysis was done using Statistical Package for the Social Sciences (SPSS) software using appropriate tests. Results: The study involved 154 patients (boys:girls = 56.5:43.5) aged 3 to 16 years. Patients of 11 years and older made 57.1% of the sample. Most patients suffered from severe malaria (35.1%, glomerular and heart diseases with respectively 16.2% and 9.1%. The global proportion of hypertensive patients was 27%, 39% and 5.2% respectively based on references of the French society of nephrology, those of the 4th report of the NHBPEP and standard deviation. Looking for associated factors with hypertension the logistic regression found no predictor for hypertension using pressure cut-offs values based on the French society of nephrology and those of the 4th report of the National High Blood Pressure Education Programm (NHBPEP). Conclusion: Children must be checked for hypertension to avoid organ damage and later cardiovascular complications. Blood pressure assessment should be preferably done on outpatients as the role of the stressful hospitalization environment can be attenuated.