2012, Number 2
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Rev Cubana Pediatr 2012; 84 (2)
Primary health care physicians' perceptions of the blood hypertension risks in childhood
González SR, Llapur MR, Jiménez HJM, Sánchez PA
Language: Spanish
References: 15
Page:
PDF size: 56.40 Kb.
ABSTRACT
Introduction: blood hypertension in the child has increased, due to growing obesity and inadequate life habits in children and adolescents. It is necessary that the health staff including physicians have good knowledge about blood hypertension at pediatric ages.
Objectives: to characterize the blood hypertension risk perception of the health professionals.
Methods: an exploratory study was conducted in physicians and 6th year medical students from a health area of Centro Habana municipality, from October 1st, 2009 to March 31st, 2010. To this end, the qualitative research and participating observation techniques as well as the qualitative questionnaire and expert criteria (DELPHI technique) were used.
Results: the blood hypertension risk perception in children was not adequate; half of the professionals considered that blood pressure should be measured at adolescence; neither all risk factors, blood pressure percentiles for the proper diagnosis of blood hypertension or pre-hypertension nor the adequate sphygmomanometer size for children were clearly identified by them.
Conclusions: the blood hypertension risk perception as a possible disease beginning at childhood is poor, so the preparation of health professionals in management of infant blood hypertension must continue in order to make an early diagnosis.
REFERENCES
Robinson JG, Fox KM, Bullano MF, Grandy S. Atherosclerosis profile and incidence of cardiovascular events: a population-based survey. BMC Cardiovascular Disorders. 2009;9:46.
Grupo de Hipertensión Arterial. Manual de Hipertensión Arterial en la Práctica Clínica de Atención Primaria. Andalucía: Sociedad Andaluza de Medicina de Familia; 2006.
Aregullin-Eligio EO, Alcorta-Garza MC. Prevalencia y factores de riesgo de hipertensión arterial en escolares mexicanos: caso Sabinas Hidalgo. Salud Pública Mex. 2009;51:14-8.
Falkner B. Hypertension in children and adolescents: epidemiology and natural history. Pediatr Nephrol. 2010 July;25(7):1219-24.
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114:555-76.
Flynn JT. Hypertension in the young: epidemiology, sequelae and therapy. Nephrology Dialysis Transplantation. 2009;24(2):370-5.
Yancey AK, Mc Carthy WJ, Siegel JM, Wong WK, Ward A, Leslie J, González E. Correlation of Obesity with Elevated Blood Pressure Among Racial/Ethnic Minority Children in Two Los Angeles Middle Schools. Prev Chronic Dis. 2008 April;5(2):A46.
Llapur R, González R, Betancourt A, Rubio Y. Hipertrofia ventricular izquierda y factores de riesgo cardiovascular en niños y adolescentes hipertensos. Rev Cubana Pediatr [serie en internet]. 2009 [citado 3 de octubre de 2010];81(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312009000200004&lng=es&nrm=iso&tlng=es
Hipertensión arterial y grupos especiales. En: Guía para la prevención, diagnóstico y tratamiento. Comisión Nacional Técnica Asesora del Programa de Hipertensión Arterial. La Habana: Editorial Ciencias Médicas; 2008. p. 36-8.
Busaniche J, Eymann A, Otero P, Llera J. Análisis de registros de tensión arterial en pacientes de 3-20 años por pediatras en la historia clínica electrónica. Arch Argent Pediatric. 2008;106(3):226-30.
Lazarou C, Panagiotakos DB, Matalas AL. Lifestyle factors are determinants of childrens blood pressure levels: CYKIDS study. Journal of Human Hypertension. 2009;23:456-63.
Martínez-Gómez D, Eisenmann JC, Gómez-Martínez S, Veses A, Marcos A, Veiga OL. Sedentarismo, adiposidad y factores de riesgo cardiovascular en adolescentes. Estudio AFINOS. Rev Esp Cardiol. 2010;63(03):277-85.
Lurbe E, Cifkova R, Cruickshank JK, Dillon MJ, Ferreira I, Invitti C, et al. Manejo de la hipertensión arterial en niños y adolescentes: recomendaciones de la Sociedad Europea de Hipertensión. Hipertensión. 2010;27(2):47-74.
Bendersky M, Piskorz D, Boccardo D. Cardiopatía hipertensiva. Rev Fed Arg Cardiol. 2002;31:321-34.
Boneparth A, Flynn JT. Evaluation and Treatment of Hypertension in General Pediatric Practice Clinical. Pediatrics. 2009;8(1):44-9.