加拿大初级保健患者的多病症和血压控制
Tu N Nguyen1,2, Sumeet Kalia2, Peter Hanlon3
1University of Sydney, Sydney, NSW, Australia.
Journal of primary care & community health
|December 14, 2023
概括
综合性疾病,定义为高血压加上其他长期疾病,与加拿大初级保健患者更好的血压控制有关. 一些慢性疾病,包括糖尿病和心力衰竭,与改善血压管理有关.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 关于多病症和血压 (BP) 控制之间的关联存在相互矛盾的证据.
- 高血压管理是一个关键的公共卫生问题,特别是在老龄化人口中.
研究的目的:
- 调查加拿大初级保健高血压患者多病症和血压控制之间的关联.
- 为了确定除了高血压之外,是否还与改善血压控制相关的特定长期疾病.
主要方法:
- 在多伦多 (2017-2019) 接受初级保健的67,385名高血压患者的横截面研究.
- 综合性被定义为高血压加上至少11种选择的慢性疾病之一.
- 后勤回归模型评估了多病症/个体状况与不受控制的血压 (静脉血压≥140 mmHg或静脉血压≥90 mmHg) 之间的关联.
主要成果:
- 该研究包括67,385名患者 (平均年龄70岁,53.1%为女性);80.6%患有多病症,35.7%患有不受控制的血压.
- 患有多病症的患者表现出不控制血压的几率较低 (调整后OR=0.72).
- 与更好的血压控制相关的具体情况包括糖尿病,心力衰竭,缺血性心脏病,精神分裂症,抑郁症/焦虑症,痴呆症和骨关节炎.
结论:
- 多病症与加拿大初级保健中高血压患者的更好的血压控制有关.
- 几种个人慢性疾病有助于改善血压控制,这表明多病患者在管理高血压方面存在复杂的相互作用.
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