Complications of hypertension in Minhang District of Shanghai based on electronic health records
10.19428/j.cnki.sjpm.2022.21984
- VernacularTitle:基于电子健康档案的上海市闵行区高血压并发症疾病谱分析
- Author:
Jiayun WANG
1
;
Jun LI
2
;
Tongtong LIANG
2
;
Guo XUAN
3
;
Pu LIU
2
;
Jinling ZHANG
2
;
Yuhong AO
2
;
Jun LYU
1
;
Chengyue LI
1
Author Information
1. Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai 200032, China
2. Minhang District Center for Disease Control and Prevention, Shanghai 201101, China
3. Mental Health Center of Minhang District, Shanghai 201109, China
- Publication Type:Journal Article
- Keywords:
hypertension;
complication;
incidence proportion;
Shanghai
- From:
Shanghai Journal of Preventive Medicine
2022;34(9):895-900
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo determine the complications of hypertension among local residents in Minhang district of Shanghai， and provide scientific evidence for key preventive intervention. MethodsWe retrieved the data from the electronic health records， in which hypertensive patients were included for community-based management， in Minhang district of Shanghai from January 1st， 2014 to December 31st， 2018. A total of 38 599 hypertensive patients who had not had hypertension related clinical symptom when included in the electronic health records were enrolled in our study. Chi-square test and Cochran-Mantel-Haenszel test were used to determine the complications of hypertension. ResultsThe incidence proportion of complications was 10.77%， of which cerebrovascular damage was the highest （7.44%）， followed by cardiac damage （3.55%） and peripheral vascular damage （0.81%）. The incidence proportions in patients aged 18‒59， 60‒69， 70 and above were 5.53%， 9.61% and 16.19%， respectively. There was significant difference in the incidence proportions of complications among age groups （χ²=668.670， P<0.05）. Cochran-Mantel-Haenszel test showed that in the hypertensive patients aged 60‒69， the incidence proportion of complications in females was lower than that in males （χ²=5.937， P<0.05）. However， in those aged above 70， the incidence proportion of complications in females was higher than that in males （χ²=11.619， P<0.05）. ConclusionIn patients with hypertension， the incidence proportions of cardiovascular and cerebrovascular diseases remains relatively high in Minhang district of Shanghai. Additionally， both age and gender have influence on the incidence of complications.
