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大人の高血圧のスクリーニング:米国予防サービスタスクフォース再確認勧告声明
, Alex H Krist1,2, Karina W Davidson3
1Fairfax Family Practice Residency, Fairfax, Virginia.
JAMA
|April 27, 2021
まとめ
18歳以上の成人における高血圧のスクリーニングは,健康に重大な利点をもたらします. 米国予防サービスタスクフォースは,定期的な血圧検査と診察室外測定を推奨しています.
科学分野:
- 心血管医学
- 予防 健康
- クリニカル・プラクティスのガイドライン
背景:
- 高血圧は米国の成人のほぼ半分に影響し,深刻な健康問題の主要な原因です.
- 外来診療では最も多い診断です.
- 高血圧は,心不全,心臓発作,脳卒中,腎臓疾患のリスクを大幅に高めます.
研究 の 目的:
- 高血圧のスクリーニングに関する勧告を更新する.
- スクリーニングの利害を評価する.
- 検診と確認のために血圧測定の精度を評価する.
主な方法:
- 米国予防サービスタスクフォース (USPSTF) が委託した体系的なレビュー.
- 再確認の審議プロセス
- 診療室と診療室外の血圧測定の精度に関する評価
主要な成果:
- 成人における高血圧のスクリーニングは,実質的な純利益を示しています.
- 診察室での血圧測定は初期スクリーニングで正確です.
- 診断の確認のために非臨床的設定測定が推奨されます.
結論:
- USPSTFは18歳以上のすべての成人のための定期的な高血圧スクリーニングを推奨しています.
- 治療開始前に診察室外の測定で診断を確認することをお勧めします.
- この勧告は,実質的な純利益の高い確実性を持っています.
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