Chronological Impact of Earthquakes on Blood Pressure: A Literature Review and Retrospective Study of Hypertension in Haiti Before and After the 2010 Earthquake.

Chronological Impact of Earthquakes on Blood Pressure: A Literature Review and Retrospective Study of Hypertension in Haiti Before and After the 2010 Earthquake.
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DOI:
10.3389/fpubh.2020.600157
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发表时间:
2020
影响因子:
5.2
通讯作者:
Lucas AR
Lucas AR
中科院分区:
医学3区
文献类型:
--
作者:
Fath AR;Aglan A;Platt J;Yaron JR;Varkoly KS;Beladi RN;Gorgas D;Jean JT;Dasni P;Eldaly AS;Juby M;Lucas AR

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目的:回顾以往有关地震后高血压(HTN)发病率的研究,并对2010年海地地震后HTN的发病率进行回顾分析。方法:回顾以往有关HTN发病率的报告,并对7年间(5个诊所)4308例HTN患者的诊断图表进行回顾性分析。然后对11例获得线性随访的患者进行了回顾性队列研究。结果:文献综述显示地震后急性和亚急性HTN显著增加。然而,地震的慢性影响各不相同。我们的图表回顾发现,128公里外的利伯特堡诊所和术后4周的HTN诊断结果没有显著差异。在地震前后对11名个体进行的次级线性RCS也没有检测到HTN患病率的显著变化。结论:先前的研究表明,地震后HTN呈急性和亚急性升高,但后期变化各不相同。在128公里外的利伯特堡诊所进行的回顾研究显示,HTN没有显著变化,证实了先前的发现,即地震后HTN的变化是早期和局部事件。需要进一步检查地震后的HTN,以改善自然灾害后的早期卫生保健。
Objective: We review prior studies on the incidence of hypertension (HTN) after earthquakes and present a retrospective analysis of HTN after the 2010 earthquake in Haiti. Methods: Prior reports on HTN incidence were reviewed and a retrospective chart review for diagnosis of HTN in 4,308 patient charts was performed over a 7 year period (five clinics). A retrospective cohort study (RCS) was then performed on 11 patients with linear follow-up. Results: The Literature review revealed a significant increase in acute and subacute HTN following earthquakes. However, the chronic effects of earthquakes varied. Our chart review uncovered no significant difference in diagnosed HTN in a Fort-Liberté clinic 128 kilometers (km) distant and 4 weeks post-event. A secondary linear RCS for 11 individuals, prior to and after the earthquake, also did not detect a significant change in HTN prevalence. Conclusion: Prior studies demonstrate acute and subacute, increases in HTN after earthquakes, but late changes have varied. Retrospective studies in the Fort-Liberté clinic, 128 km distant and 4 weeks post-event, revealed no significant change in HTN, confirming prior findings that changes in HTN after earthquakes are early and local events. Further work examining HTN after earthquakes is needed to improve early health care after natural disasters.
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