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2018年5月测量月:斯洛文尼亚血压筛查结果分析

May Measurement Month 2018: an analysis of blood pressure screening results from Slovenia.

作者信息

Božič Nina, Knez Judita, Dolenc Primož, Salobir Barbara, Erhartič Andrej, Čegovnik Borut, Brus Ivanka, Petek Šter Marija, Hlastan Ribič Cirila, Beaney Thomas, Ster Anca Chis, Xia Xin, Poulter Neil R, Brguljan Hitij Jana

机构信息

Division of Internal Medicine, Department of Hypertension, University Medical Centre Ljubljana, Dr Peter Držaj Hospital, Vodnikova cesta 62, Ljubljana 1000, Slovenia.

Slovenian Hypertension Society, Dunajska cesta 162, Ljubljana, 1000 Slovenia.

出版信息

Eur Heart J Suppl. 2020 Aug;22(Suppl H):H112-H114. doi: 10.1093/eurheartj/suaa042. Epub 2020 Aug 28.

Abstract

Elevated blood pressure (BP) is a growing burden worldwide, contributing to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative organized by the International Society of Hypertension aimed to raise awareness of high BP. In May 2018, we carried out an opportunistic cross-sectional survey of volunteers from different parts of the country aged ≥18 years. Blood pressure measurement followed the standard MMM protocol and statistical analysis mean of the last 2 of 3 readings was used, where these were unavailable additional imputations were performed. In total, 4883 individuals (61.0% female) were screened during the whole month of May in 91 primary and secondary health facilities, pharmacies and through an online survey. After multiple imputation, 2841 (58.2%) had HTN. Of individuals not receiving antihypertensive medication, 850 (29.4%) were hypertensive. Of those receiving antihypertensive medication, 1025 (51.5%) had uncontrolled BP. MMM18 was the largest BP screening campaign undertaken in Slovenia. A substantial number of people with possible HTN were identified and referred to general practitioners for further management. The high number of individuals with HTN, with newly diagnosed HTN and with uncontrolled BP despite medication, confirms a real need for such screening programmes in our country.

摘要

血压升高是全球日益加重的负担,每年导致超过1000万人死亡。五月测量月(MMM)是由国际高血压学会组织的一项全球倡议,旨在提高对高血压的认识。2018年5月,我们对该国不同地区年龄≥18岁的志愿者进行了一项机会性横断面调查。血压测量遵循标准的MMM方案,并采用三次读数中最后两次读数的统计平均值,若无法获取这些读数,则进行额外的插补。在2018年5月的整个月里,通过91家初级和二级卫生机构、药店以及一项在线调查,共筛查了4883人(女性占61.0%)。经过多次插补后,2841人(58.2%)患有高血压。在未接受抗高血压药物治疗的个体中,850人(29.4%)患有高血压。在接受抗高血压药物治疗的个体中,1025人(51.5%)血压未得到控制。MMM18是斯洛文尼亚开展的最大规模的血压筛查活动。识别出了大量可能患有高血压的人,并将他们转诊给全科医生进行进一步管理。高血压患者、新诊断出高血压的患者以及尽管接受了药物治疗但血压仍未得到控制的患者数量众多,这证实了我国确实需要此类筛查项目。

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