id:"swepub:oai:gup.ub.gu.se/271933"
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- Andersson, HelenGothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine (författare)
The outcome of two-step blood pressure screening in dental healthcare
- Artikel/kapitelEngelska2018
Förlag, utgivningsår, omfång ...
- 2018-03-01
- SAGE Publications,2018
Nummerbeteckningar
- LIBRIS-ID:oai:gup.ub.gu.se/271933
- https://gup.ub.gu.se/publication/271933URI
- https://doi.org/10.1177/1403494818759840DOI
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- Språk:engelska
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- Aim: The purpose of this study was to evaluate a two-step screening method for hypertension in dentistry regarding the number needed to screen (NNS) and positive predictive value (PPV) and to risk-classify those with newly diagnosed hypertension. Methods: In connection with their regular dental care check-up, 2025 subjects aged 40-75 years were screened for high blood pressure. Via a health questionnaire, data were collected concerning risk factors. Blood pressure was screened comprehensively in two steps, which included screening in a dental clinic and home measurements for one week. Recently discovered hypertensive participants were assessed for 10-year risk of cardiovascular mortality according to the guidelines of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC). Results: A total of 170 new hypertensive participants were found (NNS = 12; 95% confidence interval (CI): 11-13). The method yielded a PPV of 0.73 (95% CI: 0.68-0.78) and eliminated 84.8% of the false-positive participants. The results also showed that based on ESH/ESC risk estimation, 76.5% of those newly diagnosed hypertensive participants had a moderate or high risk of cardiovascular mortality within 10 years. Conclusions: The study shows that a two-step method for blood pressure screening in a dental setting including home measurement resulted in a high PPV and eliminated most of those with a false high blood pressure reading. The findings also show that two-step screening for hypertension is feasible in a larger population with more screening providers involved.
Ämnesord och genrebeteckningar
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng
- Hypertension
- blood pressure
- screening
- dental healthcare
- european-society
- hypertension
- home
- metaanalysis
- guidelines
- risk
- age
- Public
- Environmental & Occupational Health
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Bergman, StefanGothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine(Swepub:gu)xberst (författare)
- Bergh, H. (författare)
- Göteborgs universitetInstitutionen för medicin (creator_code:org_t)
Sammanhörande titlar
- Ingår i:Scandinavian Journal of Public Health: SAGE Publications46:6, s. 623-6291403-49481651-1905
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- Scandinavian Journal of Public Health (Sök värdpublikationen i LIBRIS)
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- Andersson, Helen
- Bergman, Stefan
- Bergh, H.
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- MEDICIN OCH HÄLSOVETENSKAP
- MEDICIN OCH HÄLS ...
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