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首页> 外文期刊>The journal of clinical hypertension. >Similar Blood Pressure Values Across Racial and Economic Groups: Baseline Data from a Group Randomized Clinical Trial
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Similar Blood Pressure Values Across Racial and Economic Groups: Baseline Data from a Group Randomized Clinical Trial

机译：跨种族和经济群体的血压值相似：来自一组随机临床试验的基线数据

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This paper examines baseline characteristics from a prospective, cluster-randomized trial in 32 primary care offices. Offices were first stratified by percentage of minorities and level of clinical pharmacy services and then randomized into 1 of 3 study groups. The only differences between randomized arms were for marital status (P=.03) and type of insurance coverage (P<.001). Blood pressures (BPs) were similar in Caucasians and minority patients, primarily blacks, who were hypertensive at baseline. On multivariate analyses, patients who were 65 years and older had higher systolic BP (152.4±14.3 mm Hg), but lower diastolic BP (77.3±11.8 mm Hg) compared with those younger than 65 years (147.4±15.0/88.6±10.6 mm Hg, P<.001 for both systolic and diastolic BP). Other factors significantly associated with higher systolic BP were a longer duration of hypertension (P=.04) and lower basal metabolic index (P=.011). Patients with diabetes or chronic kidney disease had a lower systolic BP than those without these conditions (P<.0001). BP was similar across racial and socioeconomic groups for patients with uncontrolled hypertension in primary care, suggesting that patients with uncontrolled hypertension and an established primary care relationship likely have different reasons for poor BP control than other patient populations.
机译：本文通过在32个初级保健机构中进行的一项前瞻性，整群随机试验研究了基线特征。首先按照少数族裔的百分比和临床药学服务水平对办公室进行分层，然后将其随机分为3个研究组中的1个。随机分组之间的唯一区别是婚姻状况（P = .03）和保险类型（P <.001）。在基线时为高血压的高加索人和少数民族患者（主要是黑人）的血压（BP）相似。在多变量分析中，与65岁以下的患者（147.4±15.0 / 88.6±10.6 mm）相比，年龄在65岁及以上的患者的收缩压较高（152.4±14.3 mm Hg），但舒张压较低（77.3±11.8 mm Hg）。 Hg，对于收缩压和舒张压，P <.001）。与较高的收缩压显着相关的其他因素是高血压持续时间更长（P = .04）和较低的基础代谢指数（P = .011）。患有糖尿病或慢性肾脏疾病的患者的收缩压要比没有这些疾病的患者低（P <.0001）。高血压在种族和社会经济群体之间在基层医疗中是相似的，这表明与其他患者人群相比，未控制的高血压和已建立的基层医疗关系的患者可能有不良的血压控制原因。

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