在心血管疾病风险高的退伍军人中控制血压
Aseel Zghayer1, Meghan O'Halloran2, Kevin Stroupe3,4
1Departments of Medicine, Loyola University Chicago, Chicago, IL, USA.
American journal of preventive cardiology
|March 14, 2025
概括
不到一半的美国退伍军人高血压达到最佳的血压 (BP) 控制 (<130/80 mmHg),尽管高心血管疾病 (CVD) 风险. 需要基于团队的护理和家庭血压监测等策略来改善退伍军人的高血压管理.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心血管疾病 (CVD) 是美国退伍军人死亡和残疾的主要原因.
- 有效的血压控制对于降低心血管疾病风险至关重要.
- 高血压管理是退伍军人事务 (VA) 医疗保健的一个重点.
研究的目的:
- 检查美国退伍军人高血压高风险心血管疾病事件的BP控制率.
- 将血压控制定义为静缩血压<130 mmHg和静缩血压<80 mmHg.
- 为了确定退伍军人人口中不同风险子组的BP控制水平.
主要方法:
- 使用的VA信息和计算基础设施企业数据仓库数据.
- 包括2019年1月至2020年2月为患有高血压的退伍军人进行的初级保健访问.
- 专注于65岁以上的退伍军人和/或被诊断患有心血管疾病,糖尿病 (DM) 或慢性病 (CKD).
主要成果:
- 这项研究包括83633名患有高血压的退伍军人 (平均年龄71.6岁,96.4%是男性).
- 在38.7%的退伍军人中,总体血压控制<130/80 mmHg.
- 在76.9%的退伍军人中,血压控制<140/90 mmHg,心血管疾病,DM或CKD的子组的比例更高.
结论:
- 只有不到一半的患有高血压的高风险退伍军人达到130/80mmHg以下的目标血压.
- 需要改进血压控制策略,包括以团队为基础的护理和家庭血压监测.
- 进一步的研究应该在VA系统中探索增强的高血压管理方法.
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