Galassi Andrea, Brancaccio Diego, Cozzolino Mario, Bellinghieri Guido, Buoncristiani Umberto, Cavatorta Fosco, D'Apice Ludovica, Di Iorio Biagio, Gesualdo Loreto, Gianni Salvatore, Ricciardi Biagio, Russo Domenico, Andreucci Vittorio
Fondazione Italiana del Rene (FIR) Onlus, Naples, Italy.
J Clin Hypertens (Greenwich). 2009 Mar;11(3):138-43. doi: 10.1111/j.1751-7176.2009.00081.x.
Arterial hypertension and proteinuria are risk factors for chronic kidney disease. A mobile clinic was parked in a central plaza of 11 Italian cities to check blood pressure (BP), prescribe antihypertensive drugs, assess for proteinuria, and provide awareness about hypertension. Among 3757 patients, 56% were hypertensive, 37% were not diabetic nor proteinuric with BP >or=140/90 mm Hg, 17% were diabetic or proteinuric with BP >or=130/80 mm Hg, and 11% were on treatment with BP at target. Among 1204 treated patients, 400 (33%) had controlled BP. Among all 2114 hypertensive patients, only 1344 (64%) were aware of their hypertension. Awareness was greater among treated patients at target (99%). As many as 523 (14%) patients had proteinuria >or=30 mg/dL. The authors conclude that awareness of people walking in the street about their BP and proteinuria is insufficient. Mobile screening clinics may increase public awareness and detection of hypertension and proteinuria in the general community and detect patients at risk for chronic kidney disease.
动脉高血压和蛋白尿是慢性肾脏病的危险因素。一辆移动诊所停在意大利11个城市的中心广场，用于测量血压（BP）、开抗高血压药物、评估蛋白尿，并提高对高血压的认识。在3757名患者中，56%患有高血压，37%既非糖尿病患者也无蛋白尿但血压≥140/90 mmHg，17%为糖尿病患者或有蛋白尿且血压≥130/80 mmHg，11%正在接受治疗且血压达标。在1204名接受治疗的患者中，400名（33%）血压得到控制。在所有2114名高血压患者中，只有1344名（64%）知晓自己患有高血压。血压达标且接受治疗的患者中知晓率更高（99%）。多达523名（14%）患者蛋白尿≥30 mg/dL。作者得出结论，在街上行走的人群对自身血压和蛋白尿的知晓情况不足。移动筛查诊所可能会提高公众对高血压和蛋白尿的认识，并在普通社区中检测出这些疾病，还能发现慢性肾脏病的高危患者。
