Development of the Depist’HTA® score to predict a rise in blood pressure during a self-testing session: PREDIC-HTA bakery survey
| العنوان: | Development of the Depist’HTA® score to predict a rise in blood pressure during a self-testing session: PREDIC-HTA bakery survey |
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| المؤلفون: | R. Boualit, O. Hanon, Xavier Girerd |
| المساهمون: | CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) |
| المصدر: | Annales de Cardiologie et d'Angéiologie Annales de Cardiologie et d'Angéiologie, Elsevier Masson, 2019, 68 (4), pp.237-240. ⟨10.1016/j.ancard.2019.08.001⟩ |
| بيانات النشر: | Elsevier BV, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Self-screening, medicine.drug_class, [SDV]Life Sciences [q-bio], 030204 cardiovascular system & hematology, Hypertension artérielle, Prediction score, 03 medical and health sciences, 0302 clinical medicine, High blood pressure, Predictive Value of Tests, Epidemiology, medicine, Food Industry, Humans, Family history, Antihypertensive drug, Occupational Health, Health professionals, business.industry, Automatic blood pressure monitor, Score de prédiction, Blood Pressure Monitoring, Ambulatory, Middle Aged, 3. Good health, Cross-Sectional Studies, Blood pressure, Hypertension, Emergency medicine, Female, France, Self Report, Cardiology and Cardiovascular Medicine, business, Health questionnaire, Auto-dépistage |
| الوصف: | The use of an automatic blood pressure monitor with the help of a protocol given by an e-health application allows self-testing of blood pressure without the help of a health professional. Objective Conduct a screening campaign for high blood pressure in artisanal bakeries in France and develop a score to predict the observation of an increase in blood pressure during self-testing. Method Cross-sectional survey conducted in mainland France in 2018 using 1000 screening kits including a tablet, Predic’HTA® application and a connected electronic blood pressure monitor (BP Track, IHealth). Available for one week in 14,000 artisanal bakeries, in turn. Used in the workplace, on a voluntary basis, by bakery employees. Completion of a health questionnaire with an estimate of excessive salt consumption. Self-screening of 3 blood pressure measurements with centralization of data on a secure database for epidemiological analysis. The average of the last 2 measurements characterizes each subject. Results Full use of Predic’HTA® was obtained in 62.4% of users or 7502 subjects (44% under 35 years of age, 44% 35 to 54 years of age, 12% 55 years of age and over). Antihypertensive treatment was followed by 27% of those aged 55 and over and 1% of those under 35. Among untreated subjects, the prevalence of BP > 140/90 was 21.1%, increasing with age (13%, 27%, 33%) and higher among men (27.2%) than among women (15.4%). With the parameters age, sex, weight, IMC, family history of high blood pressure, excessive salt consumption, previous intake of an antihypertensive drug, a score is calculated to associate a probability of having an BP >120/80 with self-screening. The ROC curve shows an AUC at 0.723 with a PPV at 91% and a NPV at 41%. The depist’HTA® score is available at www.depisthta.net Conclusion Self-testing of blood pressure is possible with an electronic blood pressure monitor if a dedicated appliance is used at the same time. The development of the prediction score depist’HTA® for a blood pressure level > 120/80 would be useful to target subjects who need to self-test their blood pressure in the short term. |
| تدمد: | 0003-3928 1768-3181 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::989cfa5ec613d0c93cf82bc24b9437b7 https://doi.org/10.1016/j.ancard.2019.08.001 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....989cfa5ec613d0c93cf82bc24b9437b7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00033928 17683181 |
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