| Revista: | Revista médica de Chile |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000429470 |
| ISSN: | 0034-9887 |
| Autors: | Hernández Vásquez, Akram1 Rojas Roque, Carlos2 Santero, Marilina3 Ruiz Maza, Juan Carlos4 Casas Bendezú, Mixsi5 Miranda, J. Jaime6 |
| Institucions: | 1Universidad San Ignacio de Loyola, Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Lima. Perú 2Centro de Investigación en Demografía y Salud, León. Nicaragua 3Instituto de Efectividad Clínica y Sanitaria, Buenos Aires. Argentina 4Universidad Nacional Mayor de San Marcos, Lima. Perú 5Instituto Nacional de Estadística e Informática, Lima. Perú 6Universidad Peruana Cayetano Heredia, Centro de Excelencia en Enfermedades Crónicas, Lima. Perú |
| Any: | 2019 |
| Període: | May |
| Volum: | 147 |
| Número: | 5 |
| Paginació: | 545-556 |
| País: | Chile |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | There is little evidence in Latin America about the impact of the ACC/AHA 2017 guideline. Taking as reference the JNC 7 guideline, the objective of our study is to estimate changes in the prevalence of arterial hypertension (HBP) according to socio-demographic characteristics and geographic regions, applying the criteria of the new ACC / AHA guide 2017. Methods: Cross-sectional study of the Demographic and Family Health Survey conducted in Peru in 2017. Standardized weighted hypertension prevalence’s were estimated for the WHO population according to both guidelines, and absolute differences with 95% CI. Results: We included 30,682 people aged 18 years and over, with an average age of 42.3 years, 51.1% women. The standardized prevalence of HBP for 2017 according to JNC 7 was 14.4% (95% CI: 13.8-15.1) and according to ACC / AHA 2017 it was 32.9% (95% CI: 32.0-33.7), so the prevalence increase is 18.5 percentage points, being higher in males than females (24.2 vs 12.9 respectively). In people with obesity and / or who consume tobacco, the increases were higher (24.3 and 24.1 percentage points respectively). In the regions of Tacna, Ica and Metropolitan Lima, the increase, in comparison with the JNC 7 guidelines, overcome the national average (22.4, 20.7 and 20.4, percentage points, respectively). Conclusions: Considering the context of a Latin American country and knowing the epidemiology of hypertension in Peru, the potential adoption of the ACC/AHA 2017 guidelines for the prevention, detection, evaluation, and management of hypertension should be accompanied by an evaluation of the impact at the individual, system and social level |
| Disciplines | Medicina |
| Paraules clau: | Sistema cardiovascular, Diagnóstico, Salud pública, Hipertensión arterial, Guías diagnósticas, Umbral diagnóstico, Epidemiología |
| Keyword: | Cardiovascular system, Diagnosis, Public health, Arterial hypertension, Diagnostic guidelines, Diagnostic threshold, Epidemiology |
| Text complet: | Texto completo (Ver HTML) |
