Kaszuba A L, Matanoski G, Gibson G
JACEP. 1978 Feb;7(2):51-5. doi: 10.1016/s0361-1124(78)80036-7.
To see if the emergency department is an appropriate site for hypertension screening, the coverage, appropriateness of the target population and the adequacy of follow-up procedures were evaluated. The study was conducted in the Adult Emergency Department of The Johns Hopkins Hospital, which 61% of the community regard as their regular source of care. All patients had their blood pressure read in the emergency department. A reading of 95 diastolic or greater was used as the definition of hypertension. Data from the 1970 census and The Johns Hopkins outpatient department billing system were used to evaluate screening coverage. Data to judge the appropriateness of the target population and adequacy of follow-up were collected in a retrospective audit of a random sample of emergency department records. The overall prevalence rate of hypertensive blood pressure reading was 19.5%. Blood pressure was read in only 75% of sample cases. The potential screeining coverage ranged from 9.9% to 38.6% with an overall community coverage of 24.2%. Less than 10% of the detected hypertensives were referred for follow-up. Therefore, in some emergency departments, including the Adult Emergency Department of The Johns Hopkins Hospital, hypertension screening may be feasible.
为了确定急诊科是否是高血压筛查的合适场所，对覆盖率、目标人群的适宜性以及后续程序的充分性进行了评估。该研究在约翰霍普金斯医院成人急诊科开展，61%的社区居民将其视为常规医疗服务来源。所有患者在急诊科均测量了血压。舒张压读数95或更高被用作高血压的定义。利用1970年人口普查数据和约翰霍普金斯门诊计费系统评估筛查覆盖率。在对急诊科记录随机抽样的回顾性审计中收集判断目标人群适宜性和后续充分性的数据。高血压血压读数的总体患病率为19.5%。仅在75%的样本病例中测量了血压。潜在筛查覆盖率在9.9%至38.6%之间，总体社区覆盖率为24.2%。不到10%的已检测出的高血压患者被转诊进行随访。因此，在一些急诊科，包括约翰霍普金斯医院成人急诊科，高血压筛查可能是可行的。
