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Abstract(s)
Introdução: A Hipertensão Arterial (HTA) é o principal fator de risco para carga global de doença. De acordo com vários estudos, estima-se que a nível Europeu, 30-45% da população tem HTA e os estudos realizados em Portugal apontam para valores também entre este intervalo. Estas variações em taxas de prevalência por regiões podem ser atribuídas a diversos fatores, incluindo fatores socioeconómicos, diferenças nos modelos de estudos e metodologias usadas na medição da pressão arterial (PA).
Objetivos: Conduzir uma revisão da literatura sobre estudos de base populacional em Portugal que considerem a prevalência de HTA na população adulta; analisar a metodologia utilizada nestes estudos; refletir sobre as metodologias utilizadas e recomendações para o diagnóstico e avaliação da HTA
Métodos: Condução de uma pesquisa de estudos epidemiológicos na base de dados on-line PubMed e literatura cinzenta, bem como plataformas governamentais (INSA e DGS). Aplicação de critérios de inclusão e exclusão. Análise metodológica dos estudos incluídos.
Resultados: Entre os estudos incluídos 2 tendem a permitir uma comparação de dados com a diferença de uma década. Outro tem em linha de conta um projeto europeu de medição de saúde com exame físico nos diferentes países e o quarto estudo tem uma abordagem metodológica diferente dos restantes onde usa o registo clínico dos pacientes para aferir a prevalência da HTA.
Conclusão: A revisão da literatura e análise feita aos artigos incluídos, bem como de trabalhos internacionais e fundamentos epidemiológicos, levam a concluir que pode ser tomado um de dois possíveis rumos no que toca à avaliação da HTA entre a população habitante em Portugal: análise dos registos clínicos se todos os habitantes de Portugal tivessem inscritos e com os registos feitos de acordo com as Normas de Orientação Clínica; ou estudo epidemiológico observacional e transversal de base-populacional com uma amostra randomizada e representativa da população de Portugal em que fosse possível controlar os vários factores de confusão.
Introduction: Hypertension is the main risk factor for the global burden of disease. According to several studies, it is estimated that in Europe, 30-45% of the population has hypertension and the studies conducted in Portugal point to values also between this interval. These variations in prevalence rates by regions can be attributed to several factors, including socio-economic factors, differences in the models of studies and methodologies used in blood pressure measurement. Objectives: To conduct a literature review on population-based studies in Portugal that consider the prevalence of hypertension in the adult population; Analyze the methodology used in these studies; Reflect on the methodologies used and recommendations for the diagnosis and evaluation of hypertension. Methods: Conducting a research of epidemiological studies in the online database PubMed and gray literature, as well as governmental platforms (INSA and DGS). Application of inclusion and exclusion criteria. Methodological analysis of the included studies. Results: Among the studies included, 2 tend to allow a comparison of data a decade apart. Another one considers a European health measurement project with physical examination in the different countries and the fourth study has a different methodological approach than the rest where it uses the clinical record of patients to assess the prevalence of HTA. Conclusion: The literature review and analysis conducted on the articles included, as well as international papers and epidemiological foundations, lead to the conclusion that one of two possible directions can be taken to evaluate the prevalence of hypertension among the inhabitant population in Portugal: Analysis of clinical records if all inhabitants of Portugal where registered and with records made in accordance with the clinical guidelines; Or a population-based observational and cross-sectional epidemiological study with a randomized and representative sample of the population of Portugal in which it was possible to control the various confounding factors.
Introduction: Hypertension is the main risk factor for the global burden of disease. According to several studies, it is estimated that in Europe, 30-45% of the population has hypertension and the studies conducted in Portugal point to values also between this interval. These variations in prevalence rates by regions can be attributed to several factors, including socio-economic factors, differences in the models of studies and methodologies used in blood pressure measurement. Objectives: To conduct a literature review on population-based studies in Portugal that consider the prevalence of hypertension in the adult population; Analyze the methodology used in these studies; Reflect on the methodologies used and recommendations for the diagnosis and evaluation of hypertension. Methods: Conducting a research of epidemiological studies in the online database PubMed and gray literature, as well as governmental platforms (INSA and DGS). Application of inclusion and exclusion criteria. Methodological analysis of the included studies. Results: Among the studies included, 2 tend to allow a comparison of data a decade apart. Another one considers a European health measurement project with physical examination in the different countries and the fourth study has a different methodological approach than the rest where it uses the clinical record of patients to assess the prevalence of HTA. Conclusion: The literature review and analysis conducted on the articles included, as well as international papers and epidemiological foundations, lead to the conclusion that one of two possible directions can be taken to evaluate the prevalence of hypertension among the inhabitant population in Portugal: Analysis of clinical records if all inhabitants of Portugal where registered and with records made in accordance with the clinical guidelines; Or a population-based observational and cross-sectional epidemiological study with a randomized and representative sample of the population of Portugal in which it was possible to control the various confounding factors.
Description
Keywords
Epidemiologia Hipertensão Metodologia Portugal Prevalência