Abstract
Abstract Objective: The neglect of hypertension and hyperlipemia is a further question while their awareness rates are increasing. Our observation is to estimate the neglect rate of hypertension and hyperlipemia for diagnosed patients during outpatient service. Design and method: In 2019, from May 06th to Nov 19th, we collected medical history inquiry information during outpatients service in cardiovascular department in our hospital. Patients inclusion criteria: those for symptoms or diseases. Patients exclusion criteria: those only for routine prescription. Initiative-providing-hypertension-history patients (IPHH) were defined as initiatively providing hypertension history during disease history inquiry. Passive-providing-hypertension-history patients (PPHH) were defined as providing antihypertension therapy during medication history inquiry without providing hypertension history. Initiative-providing-hyperlipemia-history patients (IPLH) were defined as initiatively providing hyperlipemia history during disease history inquiry. Passive-providing-hyperlipemia-history patients (PPLH) were defined as providing lipid-lowering therapy during medication history inquiry without providing hyperlipemia history. (see Table) Results: 1. There were 459 hypertension patients among total 883 patients. IPHH patients were 412 and the complaints of 198 patients among them were hypertension unrelated. All the complaints of 47 PPHH patients were hypertension unrelated. The percentage of PPHH patients among hypertension patients without hypertension related complaints was 19.18%. 2. There were 245 hyperlipemia patients among total 883 patients. IPLH patients were 122 and the complaints of 92 patients among them were hyperlipemia unrelated. All the complaints of 123 PPLH patients were hyperlipemia unrelated. The percentage of PPLH patients among hyperlipemia patients without hyperlipemia related complaints was 57.21%. 3. The percentage of PPLH patients among hypertension patients without hyperlipemia related complaints was 19.73% (89/451). 4. The age of PPHH patients was significantly younger than that of IPHH patients without hypertension complaints (p = 0.023322). 5. PPHH patients had a higher female percentage than IPHH without hypertension complaints, but there was no statistical significance (p = 0.05365). (see Table) Conclusions: We need pay more attention to medication history inquiry to avoid omitting hypertension and hyperlipemia history. Particularly for application in artificial intelligence, man-machine conversation in the area of medicine should design the feedback from medication history inquiry to disease history inquiry.
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