Evidence map›Paper›PMID 31471431›Full record

Observational studyBMJ open2019

Hypertension prevalence alteration in 92 815 nurses based on the new standard by 2017 ACC/AHA hypertension guideline: observational cross-sectional study from China.

Bin Zhao, Jing Li, Jie Liu, Yuming Hao, Yanjie Zhen, Di Feng, Menghui Xu, Ximin Chen, Xiulan Yang, Aifang Zuo and 10 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 14 institutions in 1 country.

Bin ZhaoNursing Department, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Jing LiNursing Department, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Jie LiuNursing Department, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yuming HaoDepartment of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yanjie ZhenDepartment of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Di FengNursing Department, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Menghui XuNursing Department, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Ximin ChenNursing Department, Second Hospital of Baoding, Baoding, China.
Xiulan YangNursing Department, Tangshan Gongren Hospital, Tangshan, China.
Aifang ZuoNursing Department, Handan Central Hospital, Handan, China.
Rufu JiaNeurology Hospital, Cangzhou Central Hospital, Cangzhou, China.
Ruiqin ZhangNursing Department, The Second Affiliated Hospital of Xingtai Medical College, Xingtai, China.
Ailing FanNursing Department, The People's Hospital of Langfang City, Langfang, China.
Yun WangNursing Department, The First Hospital of Qinhuangdao, Qinhuangdao, China.
Meijin YuanNursing Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China.
Li TongNursing Department, Harrison International Peace Hospital, Hengshui, China.
Shuling ChenNursing Department, Chengde Central Hospital, Chengde, China.
Jing CuiNursing Department, Dingzhou Maternal and Child Health Care Hospital, Dingzhou, China.
Meizhu ZhaoNursing Department, The First Hospital of Xinji, Xinji, China.
Wei CuiDepartment of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, China cuiwei21c@163.com.
Second Hospital of Hebei Medical University · CNHebei Medical University · CNBaoding People's Hospital · CNCangzhou Central Hospital · CNChengde Medical University · CNFirst Hospital of Qinhuangdao · CNFirst Hospital of Xi'an · CNHandan College · CNHarrison International Peace Hospital · CNHebei North University · CNJingzhou Maternal and Child Health Hospital · CNLangfang Normal University · CNTangshan Gongren Hospital · CNXingtai Medical College

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to elucidate the status of hypertension and to analyse the hypertension changes in prevalence, awareness, treatment and control rate among the portion of Chinese nursing staff based on the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) High Blood Pressure Guideline and the 2010 Chinese Guideline for the Management of Hypertension.

designCross-sectional study.

setting512 medical institutions in 13 cities in Hebei Province.

participantsThe candidates of registered nurses from 512 medical institutions in 13 cities in Hebei Province (N=143 772) were invited to participate in the survey, and few of them who refused to participate were excluded from the research group based on the reasons that 93 603 incumbent nurses at the age of 18-65 accepted to the survey and submitted questionnaires online. Undoubtedly, a response rate of 65.11% was achieved. After excluding 788 individuals with incomplete information in the questionnaires, 92 815 participants were included in the final analysis.

main outcome measuresThe prevalence, awareness, treatment and control rates of hypertension.

results92 815 participants were included in the final analysis, among which consisted of 3677 men (3.96%) and 89 138 women (96.04%). The mean age of the participants was 31.65 (SD=7.47) years.We demonstrated that 26 875 nursing staff were diagnosed as having hypertension according to the new standard by the 2017 ACC/AHA guideline, more than 20 551 cases compared with the previous threshold on the 2010 Chinese guideline. The prevalence of hypertension among nursing staff was 28.96% in the context of the 2017 ACC/AHA guideline, 3.25 times higher than that (6.81%) evaluated by the criteria of the 2010 Chinese guideline. However, the awareness, treatment and control rate (13.50%, 10.73% and 0.81%) were 3.25, 3.22 and 17.48 times lower than those (57.37%, 45.30% and 14.97%) based on the 2010 Chinese guideline, respectively.

conclusionsThis research illustrated that it was crucial to improve the awareness rate, drug treatment rate and control rate of hypertension for nurses. Meanwhile, according to the 2017 ACC/AHA guideline, the prevalence of hypertension in China will increase significantly, which poses a more severe challenge to the management of hypertension in China.

Indexed as

Nursing Staff, HospitalAdultChinaCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansHypertensionMalePractice Guidelines as TopicPrevalenceguidelinehypertensionnursesprevalence

Identifiers

PMID31471431
PMCPMC6720136
OpenAlexW2971126646

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.