Table of Contents
ISRN Hypertension
Volume 2013, Article ID 107915, 3 pages
http://dx.doi.org/10.5402/2013/107915
Research Article

Comparison among Different Screening Tests for Diagnosis of Adolescent Hypertension

1“Città della Scienza e della Salute di Torino”, Hypertension Unit, Department of Medical Sciences, University of Turin, 10126 Torino, Italy
2“Città della Scienza e della Salute di Torino”, Pediatric, University of Turin, 10126 Torino, Italy

Received 22 April 2013; Accepted 2 June 2013

Academic Editors: J. Johnson and M. Rosenberg

Copyright © 2013 Silvia Totaro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The diagnosis of childhood hypertension based upon percentile tables proposed by the international guidelines is complex and often a cause of underdiagnosis, particularly among physicians who have not had specific training in the field of adolescent hypertension. The use of a simple and accurate screening test may improve hypertension diagnosis in adolescents. The aim of our study is to compare the different screening methods currently used in the literature to improve the diagnosis of childhood hypertension. We have conducted a cross-sectional population-based study of 1412 Caucasian adolescents among students of public junior high schools of Turin, Italy. In this population we have defined the hypertensive status with four different screening tests: BPHR, Somu's equations, Ardissino, and Kaelber methods. Finally, we compared the diagnostic accuracy of the 4 screening tests with the gold standard. Our analysis identifies in BPHR the test which combines ease of use and diagnostic accuracy.