妊娠中の高血圧障害のスクリーニング:米国予防サービスタスクフォースの最終勧告声明
, Michael J Barry1, Wanda K Nicholson2
1Harvard Medical School, Boston, Massachusetts.
JAMA
|September 18, 2023
まとめ
妊娠中の高血圧障害のスクリーニングは,血圧測定を用いて推奨されます. このアプローチは 妊婦の健康に重大な利点をもたらし アメリカでは 懸念が高まっています
科学分野:
- 産婦人科
- 予防 医療
- 妊娠中の心臓血管の健康
背景:
- 妊娠中の高血圧障害は,米国における母親の病気と死亡の主な原因です.
- これらの疾患の発生率は 1993年から2017年の間にほぼ2倍に増加しました
研究 の 目的:
- 妊娠中の高血圧疾患のスクリーニングの利点と欠点を評価する.
- このシステマティック・レビューは米国予防サービス・タスクフォース (USPSTF) によって実施された.
主な方法:
- スクリーニング方法を評価するために,体系的なレビューが行われました.
- 対象は高血圧状態のない妊婦でした.
主要な成果:
- 妊娠中の高血圧障害に対する血圧測定スクリーニングは,かなりの純利益を示しています.
- USPSTFは,これらの利益について,適度な確実性を発見しました.
結論:
- USPSTFは,妊娠中のすべての妊婦において,高血圧障害に対する定期的な血圧スクリーニングを推奨しています.
- この推薦は"B"の推薦として分類され,利益の高い確実性を示しています.
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