More children are getting hospitalized for high blood pressure according to a study published in the American Heart Association Journal Hypertension.
It's the first nationally-based study in which researchers looked at hypertension hospitalizations in children.
Researchers obtained discharge records from the Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database from 1997, 2000, 2003 and 2006.
They found: Pediatric hypertension-related hospitalizations in the United States nearly doubled, from 12,661 in 1997 to 24,602 in 2006. Charges for inpatient care for hypertensive children increased by 50 percent, reaching an estimated $3.1 billion.
That does not include outpatient charges, a figure that remains unknown nationwide. The most significant increases in healthcare charges were for children with hypertension and end stage kidney disease.
Average length of stay for children with hypertension was double that of children with other illnesses, eight days compared to four days. Researchers hypothesize that the increasing hospitalizations may in part be due to the rise in childhood obesity.
Children hospitalized with hypertension were more likely to be older than 9 years, male, African-American and treated in a teaching hospital.
Overall, the most common diagnoses for hospitalized children were pneumonia, acute appendicitis and asthma. When hypertension was the primary diagnosis, convulsive disorder, headache, obesity and systemic lupus erythematosus were the most common secondary diagnoses.
When high blood pressure was in any diagnoses, the most common primary diagnoses were lupus, complications of kidney transplant, pneumonia and acute proliferative glomerulonephritis, a condition in the kidney that causes inflammation that can result in hypertension.
"A child with high blood pressure is at increased risk for having high blood pressure in adulthood and the heart and stroke risks that come with that diagnosis," said Cheryl Tran, M.D., study lead author and pediatric nephrology fellow in the Department of Pediatric Nephrology at the University of Michigan in Ann Arbor.
Tran says Hypertension is present in 1 percent to 3 percent of children in the United States. Among children ages 2 to 19 years, 31.7 percent are overweight (23.6 million) and 16.9 percent are obese (12.6 million), according to American Heart Association statistics.
Parents are urged to have their family physicians talk to their children about lifestyle changes to help combat the health issue.
Increase in hospitalization for children
