Comparison of Two Diagnosis Standards for Evaluating Hypertension in 18 Years Old Students in Yunnan China

Yunjuan YANG; Yuanyi ZHA; Tunan LI

doi:10.12259/j.issn.2095-610X.S20230324

Volume 44 Issue 3

Mar. 2023

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Yunjuan YANG, Yuanyi ZHA, Tunan LI. Comparison of Two Diagnosis Standards for Evaluating Hypertension in 18 Years Old Students in Yunnan China[J]. Journal of Kunming Medical University, 2023, 44(3): 44-48. doi: 10.12259/j.issn.2095-610X.S20230324

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Yunjuan YANG, Yuanyi ZHA, Tunan LI. Comparison of Two Diagnosis Standards for Evaluating Hypertension in 18 Years Old Students in Yunnan China[J]. Journal of Kunming Medical University, 2023, 44(3): 44-48. doi: 10.12259/j.issn.2095-610X.S20230324

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Comparison of Two Diagnosis Standards for Evaluating Hypertension in 18 Years Old Students in Yunnan China

doi: 10.12259/j.issn.2095-610X.S20230324

Yunjuan YANG^{1, 2, 3, 4},
Yuanyi ZHA⁵,
Tunan LI³

1.
Xi’an Jiaotong University，Shanxi Xi’an 710061
2.
School Health Department，Yunnan Centers for Disease Control and Prevention，Kunming Yunnan 650022
3.
School of Publc Health，Kunming University of Medical，Kunming Yunnan 650500
4.
School of Publc Health，Dali University，Dali Yunnan 671003
5.
Graduate School，Kunming University of Medical， Kunming Yunnan 650500，China

Received Date: 2022-11-28
Available Online: 2023-03-02
Publish Date: 2023-03-25

Abstract

Abstract

Objective By taking the “Guidelines for the Prevention and Treatment of Hypertension in China” （2022 revised edition） as the gold standard, and “Clinical Practice Guidelines for Hypertension in China” （November 2022 edition） as the test standard, to compare and analyze the epidemic trend and distribution characteristics of hypertension in 18-year-old students in Yunnan Province, and evaluate the scientifically and rationality of the new guidelines for diagnosing hypertension in 18-year-old students in Yunnan Province were explored, so as to improve the scientific basis for formulating the criteria for determining abnormal blood pressure in students in the future. Methods The survey of blood pressure among 18-year-old students investigated in 16 prefectures （cities）, 32 counties （districts） and 61 schools in Yunnan in 2021 were used Kappa for comparative analysis. A total of 3175 people were surveyed in this study. Results The diagnostic assessment of the new guideline is ≥130 mmHg/80 mmHg, which is lower than the gold standard （≥140 mmHg/90 mmHg）. To diagnose with the gold standard, t he prevalence of hypertension among 18-year-old students in Yunnan was 2.93%. The diagnostic criteria of the New Guidelines were 16.13%. The diagnostic value of the new guideline with hypertension was significantly lower than the gold standard, resulting in the prevalence level being significantly higher than the gold standard （χ² = 498.31, P < 0.01）. The Kappa value was 0.27 （P < 0.01）, which indicated weak consistency with diagnosing in the New Guidelines. The authenticity evaluation was as follows: sensitivity 100%, specificity 86.40%, misdiagnosis rate 13.60%, Jordon index 0.86, positive likelihood ratio 7.35. The reliability evaluation: the compliance rate was 86.80%. Conclusions The diagnostic criteria of the New Guidelines have been lowered. Taking into account the threshold of hypertension prevention and treatment, it is moved forward. However, evidence to downgrade diagnostic criteria may not be sufficient and caution is advised.
- Students,
- Adolescent,
- Hypertension,
- Diagnosis standard,
- Evaluation index

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