从2015年到2023年,美国成年人患有心血管疾病的医疗保健和风险因素控制

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Updated: Sep 16, 2025

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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

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Tracy T Makuvire¹, Zara Latif², Sierra Atwater¹

¹Division of Cardiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

American heart journal

|July 4, 2025

概括

虽然COVID-19大流行改善了医疗保健的准入,但导致了不一致的心血管疾病风险因素控制. 尽管糖尿病治疗增加,但血糖控制恶化,突出显示了流行后护理的差距.

科学领域:

心血管疾病的研究研究.
公共卫生公共卫生
流行病学流行病学

背景情况:

COVID-19大流行严重影响了心血管疾病 (CVD) 护理和风险因素管理.
干扰影响了成人心血管疾病的健康获取,疾病意识,治疗和控制.

研究的目的:

调查COVID-19后患有心血管疾病或风险因素的成年人的健康获取,疾病意识,治疗和控制方面的变化.
评估大流行对高血压,高脂血症和糖尿病管理的影响.

主要方法:

对美国成年人 (≥20岁) 的国家健康和营养检查调查 (NHANES) 数据 (2015-2023) 的分析.
对高血压 (HTN),高脂血症 (HLD) 和糖尿病 (DM) 管理的评估,包括治疗和控制目标.
评估健康获取变化在COVID-19之前和之后.

主要成果:

流行后,高风险成年人表现出更高的透静血压,并增加了对高胆固醇和糖尿病前期的认识.
报告的HTN和HLD治疗减少,而DM治疗增加.
血糖控制恶化,但整体血压控制改善,尽管减少了HTN意识和治疗. 改善了获得医疗服务的机会.

结论:

流行后的医疗保健获得改善,但心血管风险因素控制仍然不一致.
报告的治疗与有效的疾病控制之间存在脱节,这表明心血管疾病风险管理中的潜在差距.
尽管增加了糖尿病治疗,但血糖控制的恶化需要进一步调查和有针对性的干预措施.

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