在军事急诊室患者中血压升高
Joseph Rhee1, Tom Beltran2, Y Sammy Choi2
1School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, 20814, United States.
Military medicine
|September 23, 2025
概括
升高的血压 (BP) 在军事急诊室很常见,往往没有被诊断出来. 早期检测和随访对于管理高血压和降低心血管疾病风险至关重要.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 军人卫生保健 军人卫生保健
背景情况:
- 高血压是动脉样硬化心血管疾病 (ASCVD) 的一个主要可改变的风险因素.
- 有限的数据存在于年轻人群中的高血压患病率,如军人服务人员.
- 早期发现高血压 (BP) 对于预防长期ASCVD至关重要.
研究的目的:
- 确定高血压在现役美国武装部队服役人员向军事紧急部门 (ED) 提交的患病率.
- 检查ED患者血压升高与随后的高血压诊断之间的关系.
- 评估该人口中高血压的诊断差距.
主要方法:
- 现役军人的门诊医疗遭遇的回顾性分析 (2016年1月至2022年12月).
- 来自行政和电子健康记录的数据,包括社会人口统计和职业信息.
- 多变量混合效应回归分析以确定与BP相关的因素.
主要成果:
- 37.9%的研究人口在军事ED中呈现高血压,只有3.4%的人先前有高血压诊断.
- 在ED诊所,30.2%的患者符合第一阶段的标准,7.7%的患者符合第二阶段的高血压标准.
- 在12个月内,高血压诊断显著增加,但很大一部分仍未被诊断或治疗不足.
结论:
- 在现役人员中,高血压在军事ED中非常普遍.
- 在高血压发现和正式高血压诊断之间存在很大的差距.
- 患有高血压的ED访问需要门诊随访,以便及时评估高血压和降低ASCVD风险.
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