Evaluation of programs for the diagnosis, treatment and follow-up of hypertension in work site population.
Hypertensives screened among a work-site male population were treated either with or without antihypertensive drugs according to WHO stage of hypertension, and followed up by medical teams at the work site. The outcome during 8 years of follow-up was compared between two hypertension cohorts; one (cohort 1) instituted in 1970 included 1,092 hypertensives from 11,860 employees, while the other (cohort 2) made in 1975 contained 1,190 from 10,789 persons. Age-adjusted mortality or morbidity rate from cardiovascular diseases (CVD) was lower in cohort 2 than in cohort 1. Multiple regression analysis was used to adjust inter-cohort differences in factors to influence the prognosis, showed that CVD occurred less frequently in cohort 2 than in cohort 1. The results suggest that this system of controlling blood pressure is useful in preventing CVD in a large population.
Eto
T
T
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Abe
I
I
Tsutsu
N
N
Kumamoto
K
K
Takishita
S
S
Noda
Y
Y
Kobayashi
K
K
Fukiyama
K
K
Omae
T
T
Kojima
K
K
D002318:Cardiovascular Diseases / Q000209:etiology; D015331:Cohort Studies; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D009017:Morbidity; D009026:Mortality; D009786:Occupational Health Services / Q000592:standards*; D011379:Prognosis; D012044:Regression Analysis