在2019年新冠肺炎疫情期间控制高血压:美国退伍军人之间的队列研究
Caroline Korves1, Aldo J Peixoto2, Brian P Lucas1,3
1Department of Veterans Affairs Medical Center, White River Junction, VT.
Medical care
|January 29, 2024
概括
在COVID-19大流行期间,高血压检查间隔较长减少了维持血压控制的可能性. 然而,患有非控制高血压的个体在此期间略有更有可能控制高血压.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在2019年冠状病毒病 (COVID-19) 流行期间,医疗保健中断很普遍.
- 了解这些干扰对治疗慢性疾病 (如高血压) 的影响至关重要.
研究的目的:
- 调查随访护理延迟是否影响高血压控制.
- 分析疫情期间随访间隔和高血压控制之间的关联.
主要方法:
- 使用退伍军人卫生管理局的数据进行了一项回顾性队列研究.
- 包括患有大流行前 (2019年3月至2020年2月) 和大流行 (2020年3月至2022年2月) 期间高血压的人.
- 用通用估计方程分析了随访间隔和高血压控制之间的关联.
主要成果:
- 总共有1,648,424个人被分析.
- 在大流行期间保持控制高血压的可能性较小 (RR:0.93).
- 较长的随访间隔降低了在两个时期保持控制的可能性.
- 在大流行期间,控制不良的高血压的可能性略高 (RR: 1.01).
结论:
- 在大流行期间延长的随访间隔对维持高血压控制产生了负面影响.
- 患有无控高血压的个体在疫情期间控制高血压的情况略有增加.
- 这些发现强调了连在公共卫生危机中,对高血压管理进行一致的后续行动的重要性.
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