Home blood pressure measurement has a stronger predictive power for mortality than does screening blood pressure measurement: a population-based observation in Ohasama, Japan
Home blood pressure measurement has a stronger predictive power for mortality than does screening blood pressure measurement: a population-based observation in Ohasama, Japan
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DOI：
10.1097/00004872-199816070-00010
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发表时间：
1998-07-01
影响因子：
4.9
通讯作者：
Hisamichi, S
中科院分区：
文献类型：
--
作者：
Ohkubo, T;Imai, Y;Hisamichi, S
目的比较家庭自我血压测量(家庭血压测量)和随机(筛查)血压测量对死亡率的预测能力。设计前瞻性队列研究。经年龄、性别、吸烟状况、既往心血管病史和降压药物使用情况调整后的Cox比例风险回归模型分析血压对死亡率的预测意义。结果当家庭血压值和筛查血压值作为连续变量同时纳入COX模型时，只有多倍(超过3倍)的家庭收缩压值的平均值与心血管死亡风险显著相关。两个初始家庭血压值的平均值与死亡风险的相关性也好于筛查血压值。结论家庭血压测量比一般人群筛查血压对死亡率的预测能力更强。这似乎是第一次对家庭和筛查血压测量的预后意义进行比较的研究。J Hyperten 16：971-975(C)1998 Lippincott-Raven出版社。
Objective To compare the predictive powers of self-measurement of blood pressure at home (home blood pressure measurement) and casual (screening) blood pressure measurement for mortality.Design A prospective cohort study.Subjects and methods We obtained home and screening blood pressure measurements for 1789 subjects aged greater than or equal to 40 years who were followed up for a mean of 6.6 years. The prognostic significance of blood pressure for mortality was determined by the Cox proportional hazards regression model adjusted for age, sex, smoking status, past history of cardiovascular disease, and the use of antihypertensive medication.Results When the home blood pressure values and the screening blood pressure values Were simultaneously incorporated into the Cox model as continuous variables, only the average of multiple (taken more than three times) home systolic blood pressure values was significantly and strongly related to the cardiovascular mortality risk. The average of the two initial home blood pressure values was also better related, to the mortality risk than were the screening blood pressure values.Conclusions Home blood pressure measurement had a stronger predictive power for mortality than did screening blood pressure measurement for a general population. This appears to be the first study in which the prognostic significances of home and screening blood pressure measurements have been compared. J Hypertens 16:971-975 (C) 1998 Lippincott-Raven Publishers.