盐替代品的成本效益和老年护理设施的盐供应限制:DECIDE-盐随机临床试验
Xiaozhen Lai1,2, Yifang Yuan3,4, Hongxia Wang5
1Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China.
JAMA network open
|February 12, 2024
概括
盐替代是一种节省成本的策略,用于控制高血压和预防心血管疾病在中国的老年护理设施. 这种方法显著降低了缩血压和主要不良心血管事件 (MACE),为医疗保健带来了巨大的节省.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 卫生经济学 卫生经济学
背景情况:
- 减少的策略对于管理高血压和心血管疾病 (CVD) 是至关重要的.
- 盐替代已经显示出作为一种具有成本效益的减少方法的潜力,但需要在各种环境中进行验证.
- DECIDE-盐试验旨在评估中国老年护理机构的减少的策略.
研究的目的:
- 为了估计两种减少的战略的成本效益:盐替代和逐步限制盐.
- 评估这些策略对血压,高血压患病率,主要心血管不良事件 (MACE) 和死亡率的影响.
- 为公共卫生政策提供有关减少摄入量的证据.
主要方法:
- 一个集群随机试验,涉及48个老年护理机构在中国超过两年.
- 参与者被分配到接受盐替代品,盐限制,两者或两者都没有的组.
- 结果包括干预成本,高血压和MACE的医疗治疗,缩血压和高血压患病率的变化.
主要成果:
- 盐替代剂显著降低了7.14毫米升的缩血压和5.09个百分点的高血压患病率.
- 盐替代品策略使每位参与者节省了25.95美元的成本,主要是由于MACEs的医疗保健成本降低.
- 盐的限制没有产生显著的结果,而盐的替代在中国估计避免了48,101个MACE和107,857个高血压病例.
结论:
- 盐替代是一种节省成本的策略,用于控制高血压和预防心血管疾病在中国的老年护理设施.
- 这些发现支持政府实施盐替代品运动,以减少摄入量.
- 这一战略为健康带来了巨大的好处和经济节约,使其成为一个可行的公共卫生干预措施.
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