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2017年智利美洲地区的五月测量月。

May Measurement Month 2017 in Chile-Americas.

作者信息

Lanas Fernando, García María Soledad, Paccot Melanie, Peña Jimena, Torres Pamela, Beaney Thomas, Kobeissi Elsa, Poulter Neil R

机构信息

Universidad de La Frontera, Facultad de Medicina, Departamento de Medicina Interna, M Mont 112 Temuco, Chile.

Cardiovascular Diseases Program, Superviser Physician, Servicio de Salud Araucanía Sur, Arturo Prat 969, Temuco, Chile.

出版信息

Eur Heart J Suppl. 2019 Apr;21(Suppl D):D34-D36. doi: 10.1093/eurheartj/suz082. Epub 2019 Apr 24.

Abstract

Elevated blood pressure (BP) is a growing burden worldwide, leading to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative aimed at raising awareness of high BP and to act as a temporary solution to the lack of screening programmes worldwide. National Health Surveys, PURE and CESCAS Chilean cohorts have shown a high prevalence of hypertension, with a significant proportion of people unaware of being hypertensive or under treatment but with uncontrolled BP. An opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in May 2017. BP measurement, the definition of hypertension and statistical analysis followed the MMM protocol. Sixty-seven sites participated. Most screening sites were National Heath Public System outpatient clinics, mainly in the 9th region of the country. In addition, clinical research sites and private clinics participated. Overall, 4754 individuals were screened during MMM17. After multiple imputations, 1153 (24.2%) had hypertension. Of individuals not receiving anti-hypertensive medication, 653 (15.3%) were hypertensive. Of the 500 individuals receiving anti-hypertensive medication, 162 (32.5%) had uncontrolled BP. MMM17 was one of the largest BP screening campaigns performed in Chile. It demonstrated a high proportion of hypertension among screenees with a low proportion the individuals with controlled hypertension in the community. The high percentage of persons untreated or with uncontrolled hypertension whilst on pharmacologic treatment suggests that systematic screening programmes may be a useful tool to improve hypertension control in Chile.

摘要

血压升高是全球日益沉重的负担,每年导致超过1000万人死亡。五月测量月(MMM)是一项全球倡议,旨在提高对高血压的认识,并作为全球筛查项目不足的临时解决方案。国家健康调查、PURE和智利CESCAS队列研究表明高血压患病率很高,有很大一部分人不知道自己患有高血压,或者正在接受治疗但血压未得到控制。2017年5月对年龄≥18岁的志愿者进行了一项机会性横断面调查。血压测量、高血压定义和统计分析遵循MMM方案。共有67个地点参与。大多数筛查地点是国家卫生公共系统门诊诊所,主要位于该国第9大区。此外,临床研究地点和私人诊所也参与其中。总体而言,在MMM17期间共筛查了4754人。经过多次插补后,1153人(24.2%)患有高血压。在未接受抗高血压药物治疗的个体中,653人(15.3%)患有高血压。在接受抗高血压药物治疗的500人中,162人(32.5%)血压未得到控制。MMM17是智利开展的最大规模的血压筛查活动之一。它表明筛查人群中高血压比例很高,而社区中血压得到控制的个体比例较低。未接受治疗或正在接受药物治疗但血压未得到控制的人群比例很高,这表明系统的筛查项目可能是改善智利高血压控制的有用工具。

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引用本文的文献

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本文引用的文献

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May Measurement Month 2017: an analysis of blood pressure screening results worldwide.
Lancet Glob Health. 2018 Jul;6(7):e736-e743. doi: 10.1016/S2214-109X(18)30259-6. Epub 2018 May 16.
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