没有治疗的高血压和糖尿病在胸痛观察单元
Benjamin T Hutchison1, Nicklaus P Ashburn1, Anna C Snavely1,2
1Wake Forest University School of Medicine, Department of Emergency Medicine, Wake Forest University, Winston-Salem, North Carolina.
The western journal of emergency medicine
|November 5, 2025
概括
许多高血压和糖尿病患者在急诊室观察室 (EDOU) 评估急性冠状动脉综合征 (ACS),但没有得到足够的治疗. 这凸显了基于EDOU的预防性心血管护理的需要.
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:
- 高血压和糖尿病是心血管疾病的重要危险因素.
- 在急诊室观察室 (EDOU) 接受急性冠状动脉综合征 (ACS) 评估的患者经常有这些并发症.
- 了解EDOU中这些疾病的治疗率对于改善患者的治疗结果至关重要.
研究的目的:
- 在EDOU中评估ACS的患者中确定未经治疗的高血压和糖尿病的发病率.
- 评估EDOU中糖尿病患者中血糖控制评估 (HbA1c测试) 的频率.
主要方法:
- 一项追溯的观察性队列研究对649名成年患者进行了评估,在第三级护理中心EDOU中对ACS进行了评估.
- 治疗被定义为抗高血压或抗高血糖药物处方或一年内糖尿病咨询.
- 后勤回归被用来比较人口群体之间的治疗率.
主要成果:
- 在649名患者中,76.9%患有高血压,31.3%患有糖尿病.
- 在1年内,未经治疗的高血压发生在36.4%的相关患者中,未经治疗的糖尿病发生在25.0%的相关患者中.
- 只有32.0%的糖尿病患者在一年内接受了HbA1c测试.
结论:
- 在EDOU中评估ACS的高血压和糖尿病患者中,很大一部分患者没有及时接受治疗.
- 目前EDOU中糖尿病患者的血糖控制评估率较低.
- 建议在EDOU环境中启动高血压和糖尿病的预防性心血管护理.
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