Zaidi Touis Laila, Bolbrinker Juliane, Riemer Thomas Günther, Kreutz Reinhold
Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institut fur Klinische Pharmakologie und Toxikologie, Berlin, Germany.
BMJ Open. 2018 Oct 21;8(10):e022026. doi: 10.1136/bmjopen-2018-022026.
Moderation of alcohol consumption is included as a class I, level of evidence A recommendation in the current European guidelines for the management of hypertension. We investigated its awareness and self-reported implementation among European physicians across different specialties and workplaces.
A cross-sectional survey study conducted in two annual German meetings (German Society of Cardiology and the German Society of Internal Medicine) and two annual European meetings (European Society of Hypertension and European Society Cardiology) in 2015.
1064 physicians attending the European meetings were interviewed including 52.1% cardiologists, 29.2% internists and 8.8% general practitioners.
Physician screening of alcohol consumption, awareness and self-implementation of the recommendation of the current European guidelines about moderation of alcohol consumption for the management of hypertension.
Overall, 81.9% of physicians reported to generally quantify alcohol consumption in patients with hypertension. However, only 28.6% and 14.5% of participants reported screening alcohol consumption in their patients with newly detected or treatment-resistant hypertension. Physicians recommended a maximum alcohol intake of 13.1±11.7 g/day for women (95% CI 12.3 to 13.8) and 19.9±15.6 g/day for men (95% CI 18.8 to 20.9). In case of moderate to high alcohol consumption, 10.3% would manage only hypertension without addressing alcohol consumption, while 3.7% of the physicians would do so in case of alcohol dependence (p<0.001).
The average amount of alcohol intake per day recommended by European physicians in this survey was in agreement with the guidelines. The low number of physicians that screen for alcohol consumption in patients with newly detected and with treatment-resistant hypertension indicates an important deficit in the management of hypertension.
减少酒精摄入被纳入当前欧洲高血压管理指南的I类证据A级推荐。我们调查了欧洲不同专业和工作场所的医生对该推荐的知晓情况及自我报告的执行情况。
2015年在两次德国年度会议（德国心脏病学会和德国内科医学会）以及两次欧洲年度会议（欧洲高血压学会和欧洲心脏病学会）上开展的一项横断面调查研究。
对参加欧洲会议的1064名医生进行了访谈，其中包括52.1%的心脏病专家、29.2%的内科医生和8.8%的全科医生。
医生对酒精摄入量的筛查、对当前欧洲高血压管理指南中关于减少酒精摄入推荐的知晓情况及自我执行情况。
总体而言，81.9%的医生报告称通常会对高血压患者的酒精摄入量进行量化。然而，只有28.6%和14.5%的参与者报告对新诊断或难治性高血压患者进行酒精摄入量筛查。医生建议女性的酒精摄入量上限为13.1±11.7克/天（95%CI 12.3至13.8），男性为19.9±15.6克/天（95%CI 18.8至20.9）。对于中度至高度饮酒的情况，10.3%的医生只会治疗高血压而不涉及酒精摄入问题，而在酒精依赖的情况下，3.7%的医生会这样做（p<0.001）。
本次调查中欧洲医生推荐的每日平均酒精摄入量与指南一致。对新诊断和难治性高血压患者进行酒精摄入量筛查的医生数量较少，表明高血压管理存在重要不足。
