Investigations for diagnosis of secondary hypertension in children: yield and costs.

ABSTRACT:

Background

Screening for secondary hypertension is not recommended for all hypertensive patients, but missing these cases is critical. We aimed to (i) assess hypertension causes in a cohort of hypertensive children, (ii) determine the costs and contributions of an extended diagnostic work-up to screen for secondary hypertension, and (iii) compare the performance of a "short diagnostic work-up" with the protocols of the American Academy of Pediatrics (AAP) and European Society of Hypertension (ESH).

Methods

We conducted a retrospective, single-center study of 70 hypertensive patients aged 1-18 years. All underwent an extended work-up to exclude secondary hypertension. Diagnostic findings, test counts, and costs were analyzed. A short work-up (serum creatinine, fasting glucose

SUBMITTER: Guarino S 

PROVIDER: S-EPMC12296987 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature