坚持推的高血压实验室检测:来自全国性队列的见解
Maximilian C Volk1, Ahmad Safdar1, Omer Ashruf2
1Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.
American journal of hypertension
|May 21, 2025
概括
美国新诊断高血压患者的实验室检测率较低. 老年患者和女性在接受推测试 (如CBC和ECG) 方面存在差异.
科学领域:
- 心脏病学 心脏病学
- 临床诊断 临床诊断 临床诊断
- 公共卫生 公共卫生
背景情况:
- 指南推的高血压 (HTN) 实验室检测对于患者管理至关重要.
- 在美国新诊断的HTN患者中,这些测试的实际患病率尚未得到充分记录.
研究的目的:
- 评估新诊断高血压患者指南推的实验室检测的发生率.
- 根据患者人口统计数据,识别测试中的潜在差异.
主要方法:
- 对TrinetX数据库 (2018-2023) 的回顾性分析,包括超过200万成年人.
- 新诊断高血压的患者在诊断后六个月内被评估进行CBC,BMP/CMP,脂质谱,TSH,禁食葡萄糖,尿液分析和心电图等测试.
- 分析按年龄,性别,种族和种族分层.
主要成果:
- 在所有推测试中观察到的完成率较低,脂质样本 (17.0%) 和禁食葡萄糖 (9.6%) 是最低的.
- 老年患者 (≥65岁) 对于大多数参数的测试率更高.
- 女性的性别与几个测试的较低率有关,包括CBC和ECG,但TSH和尿液分析的比例较高.
结论:
- 在新诊断的高血压患者中,推的实验室检测的流行率显著较低.
- 在不同年龄组和性别之间存在测试率的差异,突出显示了在护理方面的潜在不平等.
- 需要进一步的研究来理解和解决这些测试差距.
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