在2014年至2021年期间,在英国的城市初级保健环境中,高血压的流行,编码和控制
Karol Basta1, Lesedi Ledwaba-Chapman2, Hiten Dodhia1
1Lambeth Council Public Health, Civic Centre.
Journal of hypertension
|October 5, 2023
概括
高水平的失控高血压仍然存在,特别是在男性和黑人中. 肥胖和男性预测未编码的高血压,而黑人种族与不受控制的高血压有关,需要有针对性的干预措施.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 在全球范围内,高血压仍然是可预防的死亡原因之一.
- 现有的健康不平等因社会经济地位和种族等因素而加剧,COVID-19大流行进一步复杂化.
- 不被诊断和不受控制的高血压的高率持续存在,特别是在初级保健机构.
研究的目的:
- 为了确定未测血压 (BP),未编码的高血压和不受控制的高血压的患病率.
- 在初级保健群体中确定与这些高血压结果相关的预测因素.
- 为改善高血压管理和控制提供有针对性的干预信息.
主要方法:
- 一项基于人口的队列研究,使用来自41家全科医院的匿名初级保健数据.
- 包括社会人口统计学,生活方式和临床因素进行分析.
- 后勤回归建模,以确定患者特征和高血压结果之间的关联,根据NICE指南定义.
主要成果:
- 39.5%的患者没有测量血压,男性性别和流行病登记作为关键预测因素.
- 36.0%的患有高血压的成年人没有编码,肥胖和年龄增加是显著的预测因素.
- 高血压登记的46.8%的成年人患有不受控制的高血压,黑人族裔和心血管并发症是预测因素.
结论:
- 在初级保健中存在大量未编码的高血压和不受控制的高血压负担.
- 肥胖,男性性别和黑人种族是需要集中注意力的重要预测因素.
- 有针对性的举措对于优化高血压编码和控制至关重要,特别是在弱势子组中.
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