Evidence mapPaperPMID 29976572Full record

ArticlePediatrics2018

Clinical Implications of the Revised AAP Pediatric Hypertension Guidelines.

Michael Khoury, Philip R Khoury, Lawrence M Dolan, Thomas R Kimball, Elaine M Urbina

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04752293 (Pediatric Hypertension and the Renin-Angiotensin SystEm), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04752293 recruitingnot on this mapstarted 2021, after this paper: background citation

Pediatric Hypertension and the Renin-Angiotensin SystEm (PHRASE): The Role of Angiotensin-(1-7) in Hypertension and Hypertension-Induced Heart and Kidney Damage

TypeobservationalSponsorWake Forest University Health SciencesRan2021 to 2026Enrolled125ConditionsHypertension, Left Ventricular Hypertrophy, Left Ventricular Dysfunction, Left Atrial Dilatation
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Rising pressure to understand the risks of hypertension in children with narcolepsy type 1.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The ongoing impact of obesity on childhood hypertension.Pediatric nephrology (Berlin, Germany) · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Re-evaluating hypertension in children according to different guidelines: a single-center study.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  17. Borderline and Hypertension.Hypertension (Dallas, Tex. : 1979) · 2022
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Michael KhouryHeart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Philip R KhouryHeart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Lawrence M DolanHeart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Thomas R KimballHeart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Elaine M UrbinaHeart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio elaine.urbina@cchmc.org.
Cincinnati Children's Hospital Medical Center · US

Funding

CV Disease in Adolescents with Type 2 DiabetesR01HL076269 · CHILDREN'S HOSPITAL MED CTR (CINCINNATI) · 2005 to 2005
$692k
NHLBI NIH HHS R01 HL076269
6 · The paper itself

Abstract

BACKGROUND AND

objectivesNew pediatric hypertension definitions were recently published in a clinical practice guideline (CPG). We evaluated the impact of the CPG, compared with the previous guideline ("Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents"), on the prevalence of hypertension and associations with target organ damage (TOD) in high-risk youth.

methodsParticipants (10-18 years old) undergoing an evaluation of the cardiovascular effects of obesity and type 2 diabetes mellitus in youth were studied. Blood pressure was categorized according to the 2 guidelines as normal, elevated, and hypertension (stages 1 and 2). Measures of TOD (carotid artery intima-media thickness, pulse wave velocity, left ventricular mass, and diastolic function) were obtained. Associations between blood pressure categories and TOD and the sensitivity of hypertension classification in identifying TOD were evaluated.

resultsData were available for 364 participants (65% female sex; 15.1 ± 2.1 years of age). Hypertension was identified in 8% and 13% as defined in the Fourth Report and CPG, respectively (

conclusionsIncorporation of the CPG increased the prevalence of pediatric hypertension in a population of high-risk youth and improved the sensitivity of TOD identification in hypertensive participants.

Indexed as

Academies and InstitutesAdolescentBlood PressureBlood Pressure DeterminationCarotid Intima-Media ThicknessChildDiabetes Mellitus, Type 2FemaleHumansHypertensionMaleObesityPractice Guidelines as TopicPulse Wave AnalysisRisk FactorsUnited States

Identifiers

PMID29976572
PMCPMC6317543
OpenAlexW2859589459

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.