North J D, Dyne L
Aust Clin Rev. 1982 Dec(7):10-6.
Blood pressure on admission to hospital is a "stressed blood pressure" that will tend to exaggerate the prevalence of hypertension. Twelve per cent of patients admitted to Auckland Hospital did not have their blood pressure recorded. The number of blood pressure recordings was excessive in many untreated hypertensive patients admitted to Auckland Hospital. The physician tends to examine patients with high blood pressure in a predictable manner without regard to the severity of pressure recorded. The diagnosis of hypertension or kidney disease was recorded in the medical case summaries sent to the general practitioners in only 11% of patients whose admission blood pressure was raised. The blood pressure of many hypertensive patients was not communicated to the general practitioner; this information was given in 60% of treated and 39% of untreated hypertensive patients.
入院时的血压是一种“应激血压”，往往会夸大高血压的患病率。奥克兰医院12%的入院患者未记录血压。在许多入住奥克兰医院的未经治疗的高血压患者中，血压测量次数过多。医生倾向于以一种可预测的方式检查高血压患者，而不考虑所记录血压的严重程度。在发送给全科医生的病历摘要中，只有11%入院时血压升高的患者被记录有高血压或肾病的诊断。许多高血压患者的血压情况未告知全科医生；在接受治疗的高血压患者中有60%、未接受治疗的高血压患者中有39%的患者提供了这一信息。
