| Screening for hypertension among older adults: a primary care "high risk" approach. | |
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MedLine Citation:
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PMID: 20606923 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Recommendations for early detection and management of elevated blood pressure through opportunistic clinic-based screening may be inadequate for the rural population in India as access to health facilities is limited. MATERIALS AND METHODS: Sixteen Health Aides (trained primary care workers) were trained to measure blood pressure using a standardized training procedure. Six of those assessed competent in initial evaluation were allotted a stratified random sample of about 150 persons each, 50 years or over, in the village under their care to measure blood pressures during their regular scheduled visits. RESULTS: 14/16 of the health aides (83%) met the stipulated criteria for the simulation study using a module from British Hypertension Society. In the field survey of 920 individuals where 20% of the population was evaluated by a blinded investigator, the weighted Kappa for agreement, using normal, pre-hypertension and hypertension as categories, ranged between 62% and 89%. Only 75/286 (25%) of those detected to be hypertensive knew their status prior to the study. All those detected with hypertension were referred to a physician at a referral facility. 70% of those referred were evaluated at the referral facility and 64% of them initiated on treatment for hypertension within 3 months. CONCLUSION: Using primary care workers to screen for hypertension through the model suggested here will ensure that the population over 50 years of age will be screened once every 2 years without burdening the worker. This screening process will enable the health system to identify and cater to needs of this vulnerable population. |
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Authors:
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Jacob John; Jayaprakash Muliyil; Vinohar Balraj |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine Volume: 35 ISSN: 1998-3581 ISO Abbreviation: Indian J Community Med Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-07-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9315574 Medline TA: Indian J Community Med Country: India |
Other Details:
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Languages: eng Pagination: 67-9 Citation Subset: - |
Affiliation:
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Department of Community Health, Christian Medical College, Vellore - 632 002, India. |
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