Ronchi E, Posca M, Sassi S, Scarani W, Bianchi G B, Palumbo G
Divisione di Medicina 5. Piano, Ospedale S. Carlo Borromeo, Milano.
Clin Ter. 1990 Apr 30;133(2):95-101.
In this study of ambulatory patients who had their first visit at the hypertension Unit of the Ospedale San Carlo Borromeo in Milan during the years 1979-1983, we report some data regarding compliance and long-term prognosis of mild hypertension. In these 5 years, 445 mild hypertensives (mean DBP: 103.3 +/- 13.2 mmHg) came to our facilities at least once: of these, 57 (12.9%) have been in constant touch with the outpatient clinic until today; 310 (69.6%) have been lost to follow-up after less than 1 year; 78 (17.5%) had an irregular pattern of attendance with a mean length of follow-up of 3.49 +/- 1.8 years. These data indicate a less than ideal compliance especially for patients who were older, smokers, not married and with no previous pharmacological treatment at the first visit. Index of morbidity and mortality for all causes and for cardiovascular disease and blood pressure control were better, although without reaching statistical significance, in the 57 patients with the best compliance. Altogether our data point to a reevaluation of the approach to the problem of mild hypertension through specialised hospital facilities.
在这项针对1979年至1983年间首次到米兰圣卡罗·博罗梅奥医院高血压科就诊的门诊患者的研究中，我们报告了一些关于轻度高血压患者依从性和长期预后的数据。在这5年中，445例轻度高血压患者（平均舒张压：103.3±13.2mmHg）至少到我们的医疗机构就诊过一次：其中，57例（12.9%）至今一直与门诊保持联系；310例（69.6%）在不到1年的时间里失访；78例（17.5%）就诊模式不规律，平均随访时间为3.49±1.8年。这些数据表明依从性不太理想，尤其是对于年龄较大、吸烟、未婚且首次就诊时未接受过药物治疗的患者。在依从性最好的57例患者中，所有原因以及心血管疾病的发病率和死亡率指标以及血压控制情况较好，尽管未达到统计学意义。总的来说，我们的数据表明需要通过专门的医院设施重新评估轻度高血压问题的处理方法。
