BACKGROUND Rates of pediatric hypertension have increased, but adherence to the current diagnostic criteria for hypertension (HTN) in pediatrics is not well known. We investigated the timeline and predictors of time to referral for those referred to nephrology for elevated blood pressure (EBP). METHODS A retrospective study was conducted on patients, aged 3-18 years, referred to a nephrology clinic for EBP over a 3-year period. Patients were excluded if they were referred previously, were referred for other conditions, or did not have ≥ 1 prior visit with EBP. Analyses were performed to determine whether sex, age, ethnicity, socioeconomic status, and obesity predicted number of prior visits with EBP and time to referral. RESULTS There were 120 patients (64% male; 53% obese) included and 82 (68%) had ≥ 3 prior visits with EBP ≥ 95%. Medians were as follows: 15.08 years of age at referral; 5 visits with EBP and 3.45 years from first EBP ≥ 90%; 4 visits with EBP and 1.42 years from third EBP ≥ 95%. No variables significantly predicted number of prior visits with EBP or time to referral from the first EBP. Starting with the third EBP ≥ 95%, only obesity significantly predicted number of prior visits and time to referral: Obese patients had more visits (p = 0.01), and took longer to be referred (p = 0.03) than healthy patients. CONCLUSION Patients with EBP were generally not referred to nephrology promptly, which was especially true for obese patients. Further research is needed to identify interventions to improve time to referral for EBP.

中文翻译：

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是时候转诊至小儿高血压肾脏病诊所了。

背景技术小儿高血压的发病率已经增加，但是对小儿高血压的现行诊断标准（HTN）的依从性尚不为人所知。我们调查了转诊至肾病学血压升高（EBP）的患者的时间表和预测时间。方法回顾性研究了3-18岁的患者，在3年内转诊至肾病门诊为EBP。如果患者先前曾被转诊，因其他情况而转诊或先前接受EBP访视不超过1次，则被排除在外。进行分析以确定性别，年龄，种族，社会经济状况和肥胖症是否预测了先前的EBP访视次数和转诊时间。结果纳入了120例患者（64％男性； 53％肥胖），其中82例（68％）曾进行过3次以上访视，且EBP≥95％。中位数如下：推荐人年龄为15.08岁；5次就诊，距首次EBP≥90％的3.45年；从第三次EBP≥95％开始的4次EBP访视和1.42年。没有变量可以显着预测先前有EBP的就诊次数或从第一个EBP转诊的时间。从第三个EBP≥95％开始，只有肥胖才能显着预测以前的就诊次数和转诊时间：肥胖患者的访视次数更多（p = 0.01），并且被转诊的时间更长（p = 0.03）。结论EBP患者通常不及时转诊至肾脏科，对于肥胖患者尤其如此。需要进一步的研究来确定干预措施，以缩短转诊至EBP的时间。从第三次EBP≥95％开始的42年。没有变量可以显着预测先前有EBP的就诊次数或从第一个EBP转诊的时间。从第三个EBP≥95％开始，只有肥胖才能显着预测以前的就诊次数和转诊时间：肥胖患者的访视次数更多（p = 0.01），并且被转诊的时间更长（p = 0.03）。结论EBP患者通常不及时转诊至肾脏科，对于肥胖患者尤其如此。需要进一步的研究来确定干预措施，以缩短转诊至EBP的时间。从第三次EBP≥95％开始的42年。没有变量可以显着预测先前有EBP的就诊次数或从第一个EBP转诊的时间。从第三个EBP≥95％开始，只有肥胖才能显着预测以前的就诊次数和转诊时间：肥胖患者的访视次数更多（p = 0.01），并且被转诊的时间更长（p = 0.03）。结论EBP患者通常不及时转诊至肾脏科，对于肥胖患者尤其如此。需要进一步的研究来确定干预措施，以缩短转诊至EBP的时间。01），并且比健康患者接受转诊的时间更长（p = 0.03）。结论EBP患者通常不及时转诊至肾脏科，对于肥胖患者尤其如此。需要进一步的研究来确定干预措施，以缩短转诊至EBP的时间。01），并且转诊所需时间比健康患者更长（p = 0.03）。结论EBP患者通常不及时转诊至肾脏科，对于肥胖患者尤其如此。需要进一步的研究来确定干预措施，以缩短转诊至EBP的时间。