Systemic Arterial Hypertension in Childhood: A Challenge Related to the Increasing Survival of Very Low Birth Weight Preterm Infants

被引:0
作者
Schoenardie, Bruna Ossanai [1 ]
Guimaraes, Victoria Bernardes [2 ]
Procianoy, Renato Soibelmann [3 ,4 ]
Silveira, Rita C. [3 ,4 ]
机构
[1] Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
[2] Univ Fed Ciencias Saude Porto Alegre, Sch Med, Porto Alegre, RS, Brazil
[3] Univ Fed Rio Grande do Sul, Dept Pediat, Porto Alegre, RS, Brazil
[4] Hosp Clin Porto Alegre, Neonatol Sect, Porto Alegre, RS, Brazil
关键词
systemic arterial hypertension; prematurity; early childhood; neonate; child; AMBULATORY BLOOD-PRESSURE; BORN; SIZE; GROWTH; NUMBER; AGE; PREECLAMPSIA; PREDICTORS; CHILDREN; OBESITY;
D O I
10.1055/s-0038-1675644
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective To verify the prevalence of systemic arterial hypertension (SAH) and to identify possible early predictors of SAH at ages 2 and 4 years in very low birth weight (VLBW) infants. Study Design This is a prospective cohort study including inborn children with birth weight (BW) <1,500 g. Arterial blood pressure measurements were performed at 2 and 4 years. Model 1 compared children with and those without SAH at age 4. Model 2 compared children who had SAH at ages 2 and 4 with the others. SAH was diagnosed if the systolic or/and diastolic pressures were above the 95th percentile. Results A total of 198 patients were included during the 5-year study period, of whom 56% had SAH at age 4. In model 1, white matter injury (WMI) and catch-up growth at age 2 were predictors of SAH at age 4. In model 2, bronchopulmonary dysplasia, WMI, catch-up growth at age 2, and BW were predictors of SAH at 2 and 4 years. SAH at age 2 was an independent risk factor for SAH at age 4. After a multivariate analysis of model 2, BW and catch-up growth were associated with SAH. Conclusion Prevalence of SAH was high in VLBW infants; it was associated with low BW and catch-up growth at age 2.
引用
收藏
页码:1072 / 1078
页数:7
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