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J Occup Environ Med ; 57(6): 682-6, 2015 Jun.
Article in English | MEDLINE | ID: mdl-26053367

ABSTRACT

OBJECTIVE: To evaluate the effectiveness of workplace screenings on identification, subsequent follow-up, and treatment of patients with undiagnosed hypertension. METHODS: Claims data and screening values for 31,281 individuals from 21 self-insured employer groups were combined with zip code-level information and analyzed using multilevel logit models. RESULTS: Up to 17.6% of individuals without a previous indication of hypertension in the administrative data exhibited high blood pressure (140/90 or greater) at screening. In the month following workplace screening, significant increases were noted, using administrative claims, in the number of new diagnoses for hypertension (odds ratio: 1.81; P < 0.0001) and new prescriptions for antihypertensive drugs (odds ratio: 2.27; P < 0.0001), primarily among individuals with high blood pressure at screening. CONCLUSIONS: Workplace screening programs offer a potential approach to identify undiagnosed hypertension in employees and ensuing therapeutic management.


Subject(s)
Hypertension/diagnosis , Mass Screening , Occupational Health , Adolescent , Adult , Aged , Asymptomatic Diseases , Female , Humans , Male , Middle Aged , Multivariate Analysis , Workplace , Young Adult
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