Abnormal blood pressure among individuals evaluated for tuberculosis infection in a U.S. public health tuberculosis clinic.

IF 2.5 4区 医学 Q3 INFECTIOUS DISEASES
Trevor M Stantliff, Argita D Salindri, Rocio Egoavil-Espejo, Ashton D Hall, Laura Medina-Rodriguez, Kavya Patel, Matthew J Magee, Elaine M Urbina, Moises A Huaman
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引用次数: 0

Abstract

Tuberculosis infection (TBI) has been associated with increased cardiovascular risks. We aimed to characterize abnormal blood pressure (BP) readings in individuals with TBI. We conducted a retrospective study of adults with TBI presenting for their initial medical visit at a large midwestern U.S. public health clinic between 2019 and 2020. Abnormal BP was defined as having a systolic BP ≥ 130 mmHg and/or a diastolic BP ≥ 80 mmHg. Of 310 individuals with TBI, median age was 36 years (interquartile range 27-48), 34% were male, 64% non-US-born; 58 (18.7%) were previously diagnosed with hypertension. The prevalence of any hypertension (i.e., had a history of hypertension and/or an abnormal BP reading) was 64.2% (95% confidence interval 58.7-69.4). Any hypertension was independently associated with older age, male sex, higher body mass index, and individuals of Black race. In conclusion, any hypertension was present in over half of the adults evaluated for TBI in our clinic. Established hypertension risk factors were also common among this group, suggesting that individuals with TBI could benefit from clinical and public health interventions aiming to reduce the risk of future cardiovascular events.

在美国一家公共卫生结核病诊所接受结核病感染评估的人血压异常。
肺结核感染(TBI)与心血管风险增加有关。我们的目的是描述创伤性脑损伤患者血压(BP)读数异常的特征。我们对 2019 年至 2020 年期间在美国中西部一家大型公共卫生诊所初次就诊的 TBI 成人进行了一项回顾性研究。血压异常的定义是收缩压≥130 mmHg 和/或舒张压≥80 mmHg。在 310 名创伤性脑损伤患者中,中位年龄为 36 岁(四分位数间距为 27-48),34% 为男性,64% 非美国出生;58 人(18.7%)曾被诊断患有高血压。任何高血压(即有高血压病史和/或血压读数异常)的患病率为 64.2%(95% 置信区间为 58.7-69.4)。任何高血压与年龄偏大、性别为男性、体重指数较高和黑人种族有关。总之,在本诊所接受创伤性脑损伤评估的成年人中,超过半数患有任何高血压。在这一群体中,既有的高血压风险因素也很常见,这表明创伤性脑损伤患者可受益于旨在降低未来心血管事件风险的临床和公共卫生干预措施。
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来源期刊
Epidemiology and Infection
Epidemiology and Infection 医学-传染病学
CiteScore
4.10
自引率
2.40%
发文量
366
审稿时长
3-6 weeks
期刊介绍: Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.
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