Hardes G R, Leeder S R
Aust Fam Physician. 1979 Nov;8(11):1152-5.
15,746 people had their blood pressure measured in a hypertensive screening programme conducted in the Hunter Region of New South Wales. High blood pressure readings were found in 10.4 per cent (1,634) of the screened population. Followup information received from local general practitioners indicated that, of screened subjects attending the general practitioner following a higher screening reading, only 55.3 per cent were diagnosed as hypertensive, of whom 62 per cent had been diagnosed previously by their general practitioner. No diagnosis could be made in 20.5 per cent of the cases. A diagnosis of 'normotensive' was made for the remaining 24.2 per cent of screened subjects attending the general practitioner following a high screening reading. The value of screening programmes for hypertension is debated in view of the small number of newly detected hypertensives, the even smaller number of newly detected and successfully treated hypertensives and the morbidity associated with detection and labelling of hypertensive patients.
在新南威尔士州猎人地区开展的一项高血压筛查项目中，15746人接受了血压测量。在筛查人群中，10.4%（1634人）的血压读数偏高。从当地全科医生处获得的随访信息表明，在筛查读数较高后前往全科医生处就诊的筛查对象中，只有55.3%被诊断为高血压，其中62%此前已被其全科医生诊断过。20.5%的病例无法做出诊断。在筛查读数较高后前往全科医生处就诊的其余24.2%的筛查对象被诊断为“血压正常”。鉴于新发现的高血压患者数量较少，新发现并成功治疗的高血压患者数量更少，以及高血压患者检测和标记所带来的发病率问题，高血压筛查项目的价值存在争议。
