J Pediatr Intensive Care 2020; 09(01): 045-050
DOI: 10.1055/s-0039-1698759
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Epidemiology and Management of Children with Hypertensive Crisis: A Single-Center Experience

Alicia May Lim
1  Department of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore
,
Siew Le Chong
1  Department of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore
,
Yong Hong Ng
1  Department of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore
,
Yoke Hwee Chan
2  Children's Intensive Care Unit, KK Women's and Children's Hospital, Singapore, Singapore
,
Jan Hau Lee
2  Children's Intensive Care Unit, KK Women's and Children's Hospital, Singapore, Singapore
3  Office of Clinical Sciences, Duke-NUS School of Medicine, Singapore, Singapore
› Author Affiliations
Further Information

Publication History

05 July 2019

02 September 2019

Publication Date:
22 October 2019 (online)

Abstract

Most children who present with hypertensive crisis have a secondary cause for hypertension. This study describes the epidemiology and management of children with hypertensive crisis. A retrospective cohort study was done in a tertiary pediatric hospital from 2009 to 2015. Thirty-seven patients were treated for hypertensive crisis. Twelve (32.4%) patients were treated for hypertensive emergency. The majority of our patients (33 [89.1%]) had a secondary cause of hypertension. The most common identifiable cause of hypertension was a renal pathology (18/37 [48.6%]). Oral nifedipine (23 [62.1%]) was the most frequently used antihypertensive, followed by intravenous labetalol (8 [21.6%]). There were no mortalities or morbidities. Hypertensive crisis in children is likely secondary in nature. Oral nifedipine and intravenous labetalol are both effective treatments.