美国成年人可能受到2014年高血压指南影响的比例
Ann Marie Navar-Boggan1, Michael J Pencina2, Ken Williams3
1Division of Cardiology, Duke University Medical Center, Durham, North Carolina.
JAMA
|April 1, 2014
概括
2014年的血压指南 (JNC 8) 与JNC 7相比,减少了美国成年人推接受高血压治疗的人数. 它还增加了目标BP的实现,特别是在老年人中.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 临床指南 临床指南
背景情况:
- 2014年,第八届联合国家委员会 (JNC8) 发布了新的血压指南.
- 该指导方针为60岁及以上的成年人以及糖尿病和慢性病患者提出了不那么严格的血压目标.
研究的目的:
- 估计美国成年人受高血压管理建议最近变化的影响的比例.
- 为了比较JNC 8指南与之前的JNC 7指南,关于高血压治疗的资格和目标的实现.
主要方法:
- 进行了一项跨部门,全国代表性的调查.
- 分析了来自美国国家健康和营养检查调查 (2005-2010) 对16372名美国成年人的数据.
- 根据JNC 7和JNC 8,估计了成年人达到基于指南的BP目标的比例.
主要成果:
- 2014年的指南减少了建议接受高血压治疗的成年人比例,特别是60岁及以上的成年人.
- 根据2014年指南,目标血压的实现大幅增加,特别是在老年人中.
- 根据JNC 7接受药物治疗的显著比例的患者可能有资格在JNC 8下接受较少严格的治疗或不接受治疗.
结论:
- 与JNC 7相比,JNC 8指南与较少的美国成年人建议高血压治疗有关.
- 根据JNC 8指南,成年人达到血压目标的比例显著增加,特别是在老年人群中.
- 这些发现突显了高血压管理策略的转变,影响了相当一部分成年人群.
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