Detection and Routing of Individuals with Arterial Hypertension Based on Pre-Trip Medical Examination Data: A 3-Year Monitoring Study

Introduction: The widespread adoption of automated pre-trip medical examination systems for drivers helps accumulate large blood pressure datasets, enabling new approaches to hypertension screening. Objective: To evaluate the impact of an original automated examination-based workflow on the detection and routing of individuals with arterial hypertension. Materials and Methods: The retrospective cohort study analyzed data collected from January 1, 2023, through December 31, 2025, across three motor transport companies in the Republic of Bashkortostan, Russian Federa-tion. The sample comprised 440 individuals aged 20.3 to 68.0 years. Group 1 included participants who sought medical care following implementation of the workflow (73, 16.6 %); Group 2 included those who did not (367, 83.4 %). The workflow comprised routine automated examinations, automated data analysis with risk stratification, and patient routing. Statistical analyses included descriptive metrics and a linear mixed-effects model for repeated measures. Results: Across the sample, both systolic and diastolic blood pressure increased significantly with age (p < 0.001). Owing to the introduction of the original automated examination-based workflow, Group 1 participants sought medical care. This group demonstrated a statistically significant attenuation in the rate of systolic (β = −0.0007; p = 0.002) and diastolic (β = −0.0008; p < 0.001) blood pressure elevation over time. Conclusions: This workflow enables effective identification, triage, and referral of individuals with signs of arterial hypertension to outpatient facilities for medical care.