Relationship between outpatient visit frequency and hypertension control: a 9-year occupational cohort study
Relationship between outpatient visit frequency and hypertension control: a 9-year occupational cohort study
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DOI：
10.1038/hr.2015.157
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发表时间：
2016-05-01
影响因子：
5.4
通讯作者：
Miyamatsu, Naomi
中科院分区：
文献类型：
--
作者：
Shima, Azusa;Tatsumi, Yukako;Miyamatsu, Naomi
本研究的目的是探讨门诊就诊频率与健康保险记录中确定的高血压控制之间的关系。这项在日本进行的为期9年的队列研究基于2004年接受健康检查的518名高血压患者。参与者年龄在35-56岁之间，没有心血管或脑血管疾病史。所有人都由同一家员工健康保险公司承保。在9年期间，医院/诊所的平均年度门诊访视天数被分类在四个四分位数内（Q1、Q2、Q3、Q4）。未控制的高血压定义为收缩压（BP）≥ 140 mm Hg和舒张压≥ 90 mm Hg。采用Logistic回归分析估计Q1、Q2和Q3组与Q4组中未控制高血压患病率的多变量校正比值比（OR）和95%置信区间（CI）。中位（第25 - 75百分位数）年度门诊访视天数为9.4（4.0-15.5）。2013年，在62.4%的参与者中观察到不受控制的高血压。Q1、Q2和Q3与Q4中未控制高血压的多变量校正OR和95%CI分别为4.03（2.28-7.12）、1.67（0.99-2.81）和1.44（0.86-2.41）。随着门诊就诊次数的减少，未控制的高血压显著增加（P
The purpose of this study was to investigate the relationship between the frequency of outpatient visits and hypertension control as determined from health insurance records. This 9-year cohort study in Japan was based on 518 participants with hypertension who underwent health checkups in 2004. Participants were aged 35-56 years and none had a history of cardiovascular or cerebrovascular disease. All were covered by the same employee health insurer. Mean annual outpatient visit days at a hospital/clinic during the 9-year period were classified within four quartiles (Q1, Q2, Q3, Q4). Uncontrolled hypertension was defined as a systolic blood pressure (BP) >= 140 mm Hg and a diastolic BP >= 90 mm Hg. Logistic regression analysis was used to estimate the multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the prevalence of uncontrolled hypertension in groups Q1, Q2 and Q3 vs. Q4. The median (25th-75th percentile) annual outpatient visit days was 9.4 (4.0-15.5). Uncontrolled hypertension was observed in 62.4% of the participants in 2013. The multivariable-adjusted ORs and 95% CIs for uncontrolled hypertension in Q1, Q2 and Q3 vs. Q4 were 4.03 (2.28-7.12), 1.67 (0.99-2.81) and 1.44 (0.86-2.41), respectively. Uncontrolled hypertension increased significantly as the number of outpatient visits decreased (P for trend