The effectiveness of hypertension screening in the able-bodied population based on data from automated pre-trip medical examinations

Objective. The development of a methodology for the early detection and subsequent treatment of hypertension (HTN) in people of working age using a database of automated pre-shift and pre-trip medical examinations (APTME) indicates the purpose of the article. Design and methods. The study included the results of mandatory daily APTME of 814 male drivers. The average age of the subjects was 46,3 ± 16,6 years. The total number of medical examinations was 107 448. In all subjects the parameters of the medical examination were collected, recorded and remotely transmitted to an automated workplace to a medical worker. Based on the analyzed database of blood pressure (BP) indicators obtained during daily APTME, a risk group for HTN was formed and it comprised 285 people (35 % of the total number of employees). Results. According to the results of the analysis of the database of APTME, the following average BP values were registered in the risk group: systolic — 151 ± 6,27 mmHg, diastolic — 93 ± 3,68 mmHg. HTN of the 1st degree was detected in 82 people (60,3 %), grade 2 — in 48 people (35,3 %), 3 degrees — in 6 people (4,4 %). Only 48 employees (16,8 %) from the risk group with an established diagnosis of HTN (136 people) identified during follow-up had previously been on dispensary registration due to HTN. At the same time, regular indicators of APTME showed that these 48 employees did not achieve target BP figures, despite medical supervision. The analysis of the database of APTME and an organized set of measures made it possible to achieve the target BP in 84,7 % of drivers at risk. Conclusions. The use of APTME contributes to the early detection of elevated BP, timely referral to a doctor, diagnosis of HTN, registration at a dispensary and achievement of target BP in people at risk.