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Authors studied the completeness of an examination and representativeness of clinical signs obtained according to the data of out-patient clinics’ cards of patients with arterial hypertension. 12,604 cards of patients with arterial hypertension from 13 regions of Russia were analyzed. Several indices were studied: the structure according to the sex and age, risk factors, laboratory tests, the presence of associated clinical states and disorders of target organs. The information on diagnostical studies is out-patient clinic’s cards was not sufficient compared to that ones in clinical recommendations for arterial hypertension treatment. Statistic dispersion of systolic blood pressure, common cholesterol and creatinine values were different from normal ones, and it makes the use of median values not reasonable. The absence of representativeness of creatinine values in relation to the whole population of patients with arterial hypertension is shown. Incompleteness and insignificance of data on patient’s clinical status presented in out-patient clinic’s cards made the interpretation of population estimation of health difficult.
Posnenkova OM, Kiselyov AR, Gridnev VI, Dovgalevskiy PYa. Peculiariries of clinical signs in patients with arterial hypertension. The results of primary medical documentation analysis. Health Care Standardization Problems 2011; (1-2): 35-42.