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评估访问到访问血压变化作为心血管疾病风险因素的方法:范围审查
Mifetika Lukitasari1, Jitendra Jonnagaddala1, Siaw-Teng Liaw1
1School of Population Health, UNSW Sydney, NSW 2052, Australia.
Studies in health technology and informatics
|August 23, 2024
概括
访问到访问的血压变化 (BPV) 构成显著的心血管风险,但在临床实践中经常被忽视. 本次审查审查了估计BPV的方法,强调了测量方法缺乏共识.
科学领域:
- 心脏病学 心脏病学
- 临床研究 临床研究
- 医疗信息学 医疗信息学
背景情况:
- 访问到访问的血压变化 (BPV) 是心血管疾病 (CVD) 和死亡率的公认独立风险因素.
- 临床医生经常低估BPV,将连续测量视为随机波动而不是显著指标.
研究的目的:
- 审查估计BPV的方法,包括指标,测量频率和观察持续时间.
- 使用电子健康记录 (EHR) 数据进行BPV评估,与非EHR数据进行比较.
主要方法:
- 对评估BPV的研究进行范围审查.
- 基于EHR和非基于EHR的研究中使用的方法的比较.
- 对 BPV 估计的指标,测量协议和后续时间进行分析.
主要成果:
- 在用于BPV估计的具体指标上几乎没有共识,无论数据源 (EHR或非EHR).
- 与基于EHR的研究相比,使用非EHR数据的研究通常遵循更严格的血压测量协议.
- 无论是EHR还是非EHR研究小组,都使用了可比的方法来实际估计BPV.
结论:
- 为了准确的临床评估,需要对BPV指标和测量协议进行标准化.
- 需要进一步的研究来优化BPV估计方法,特别是在EHR系统中,以改善心血管疾病风险预测和患者的结果.
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