Radice M, Alli C, Avanzini F, Di Tullio M, Guiducci D, Mariotti G, Taioli E
Istituto di Scienze Biomediche Bassini, University of Milan, Italy.
Acta Cardiol. 1991;46(2):207-13.
The effect of a population screening for hypertension was assessed through a subsequent survey performed 1 year later. All the hypertensives identified at the first visit (239 subjects, 15.6% of the whole screened population) were invited for a re-examination: the adhesion rate was 84.5%. After the screening, a high proportion of subjects (74.7%) had contacted their physicians because of their blood pressure. The most common advice physicians gave was to have further measurements of blood pressure (72.8%). Laboratory tests were prescribed in 62 patients (41.1%), but a complete assessment of a target organ damage was carried out in few cases (1.9%). Only 19.5% of patients started a course of treatment during the year following the screening and no more than one-third of those with moderate to severe hypertension. Out of the 176 subjects showing other cardiovascular risk factors at the screening, only 12 reported they had modified their habits 1 year later. Our results suggest that a screening for hypertension, when performed without any liaison with other medical facilities, seems to have a poor impact on physicians' and patients' attitudes towards hypertension.
通过1年后进行的后续调查评估了高血压人群筛查的效果。首次就诊时确诊的所有高血压患者（239名受试者，占整个筛查人群的15.6%）均被邀请再次检查：复查率为84.5%。筛查后，很大一部分受试者（74.7%）因血压问题联系了他们的医生。医生给出的最常见建议是进一步测量血压（72.8%）。62名患者（41.1%）接受了实验室检查，但很少有病例（1.9%）对靶器官损害进行了全面评估。在筛查后的一年中，只有19.5%的患者开始了治疗疗程，中度至重度高血压患者中开始治疗的不超过三分之一。在筛查时显示有其他心血管危险因素的176名受试者中，只有12人报告称1年后改变了生活习惯。我们的结果表明，在没有与其他医疗设施进行任何联络的情况下进行高血压筛查，似乎对医生和患者对高血压的态度影响甚微。
