Volume 23 Issue 5
May  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(5): 746-749
LI liping, ZHAO Yunshan, TIAN Juanjuan, PENG Hong, LIN Senlin, JIA Yingnan, FU Hua, WANG Fei, YE Jinghong. Study on comorbid pattern in hypertension patients managed by Shanghai family doctors based on electronic health records[J]. Chinese Journal of General Practice, 2025, 23(5): 746-749. doi: 10.16766/j.cnki.issn.1674-4152.003992
Citation: LI liping, ZHAO Yunshan, TIAN Juanjuan, PENG Hong, LIN Senlin, JIA Yingnan, FU Hua, WANG Fei, YE Jinghong. Study on comorbid pattern in hypertension patients managed by Shanghai family doctors based on electronic health records[J]. Chinese Journal of General Practice, 2025, 23(5): 746-749. doi: 10.16766/j.cnki.issn.1674-4152.003992
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Study on comorbid pattern in hypertension patients managed by Shanghai family doctors based on electronic health records

doi: 10.16766/j.cnki.issn.1674-4152.003992
  • 1.

    Shanghai Hongkou District Center for Disease Control and Prevention (Shanghai Hongkou District Health Supervision Institute), Shanghai 200082, China

Funds:

 GWVI-11.2-YQ56

 虹卫2301-06

 2024HP44

  • Received Date: 2024-10-23
    Available Online: 2025-08-14
    Abstract
  •   Objective  To analyze the multimorbidity and comorbidity patterns among hypertensive patients managed by family doctors in Shanghai, and to provide a theoretical basis for the precise management of hypertensive patients.  Methods  Based on the chronic disease integration management system, this study included 99 531 hypertensive patients managed by family doctors in Hongkou District, Shanghai, from October 2016 to December 2023. The Apriori algorithm and cluster analysis were used to explore the multimorbidity and comorbidity patterns, while the Web graph was used to visualize the non-random associations among chronic diseases.  Results  The proportion of hypertensive patients managed by family doctors in Shanghai was 93.93% (92 201 cases), with higher rates observed in women and older age groups (P < 0.001). A total of 76.00% (74 602 cases) patients had 2 to 6 comorbid conditions. Association rule mining showed that 12 strong association rules, primarily involving stroke, kidney disease, heart disease, diabetes disease, chronic lung disease, arthritis or rheumatism. There were 51 710 people in the main comorbidity pattern, and the top 3 patterns with higher incidence were: heart disease 50 185 people (97.05%), arthritis or rheumatism 36 250 people (70.10%), and chronic lung disease 31 590 people (61.09%).  Conclusion  The study highlights the importance of strengthening integrated chronic disease management for the community-based hypertension group. The study provides a reference for the improvement of assessment indicators in community management of hypertension, combination treatment of comorbidities and health management of comorbidities.

     

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    • References(16)
  • [1]
    CAMOY D, TRAN J, ZOTTOLI M, et al. Association between cardiometabolic disease multimorbidity and all-cause mortality in 2 million women and men registered in UK general practices[J]. BMC Med, 2021, 19(1): 258. DOI: 10.1186/s12916-021-02126-x.
    [2]
    SKOU S T, MAIR F S, FORTIN M, et al. Multimorbidity[J]. Nat Rev Dis Primers, 2022, 8(1): 48. DOI: 10.1038/s41572-022-00376-4.
    [3]
    姚元龙, 史威力, 冯娴, 等. 老年共病的研究管理策略[J]. 中华全科医学, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574

    YAO Y L, SHI W L, FENG X, et al. Research management strategies for multimorbidity in elderly patients[J]. Chinese Journal of General Practice, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574
    [4]
    HO I S, AZCOAGA_LORENZO A, AKBARI A, et al. Examining variation in the measurement of multimorbidity in research: a systematic review of 566 studies[J]. Lancet Public Health, 2021, 6(8): e587-e597.
    [5]
    郑晓, 田峰, 陈一鸣, 等. 2002—2022年我国多重慢病领域研究热点及演进趋势分析[J]. 中国全科医学, 2023, 26(21): 2567-2573.

    ZHENG X, TIAN F, CHEN Y M, et al. Research Hotspots and Evolutionary Trends on Multimorbidity in China from 2002 to 2022[J]. Chinese General Practice, 2023, 26(21): 2567-2573.
    [6]
    徐婷玲, 周脉耕, 刘江美, 等. 1990年与2019年中国居民归因于高血压的死亡负担分析[J]. 中国慢性病预防与控制, 2022, 30(5): 327-331, 335.

    XU T L, ZHOU M G, LIU J M, et al. Death burden attributable to hypertension in 1990 and 2019 in China[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2022, 30(5): 327-331, 335.
    [7]
    中国高血压防治指南修订委员会, 高血压联盟(中国), 中国医疗保健国际交流促进会高血压病学分会, 等. 中国高血压防治指南(2024年修订版)[J]. 中华高血压杂志(中英文), 2024, 32(7): 603-700.

    China Hypertension Prevention and Treatment Guidelines Revision Committee, Hypertension Alliance (China), China Association for the Promotion of International Exchanges in Health Care Hypertension Branch, et al. Chinese Guidelines for Prevention and Treatment of hypertension (2024 revision)[J]. Chinese Journal of Hypertension, 2024, 32(7): 603-700.
    [8]
    NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants[J]. Lancet, 2021, 398(10304): 957-980.
    [9]
    陈维尔, 邱艳, 潘晓华, 等. 高血压共病糖尿病患者服药依从性调查及影响因素分析[J]. 中华全科医学, 2024, 22(4): 601-604. doi: 10.16766/j.cnki.issn.1674-4152.003460

    CHEN W E, QIU Y, PAN X H, et al. Analysis of medication adherence and influencing factors in hypertensive patients combined with diabetes mellitus[J]. Chinese Journal of General Practice, 2024, 22(4): 601-604. doi: 10.16766/j.cnki.issn.1674-4152.003460
    [10]
    FAN Z Y, YANG Y, ZHANG C H, et al. Prevalence and patterns of comorbidity among middle-aged and elderly people in China: a cross-sectional study based on CHARLS data[J]. Int J Gen Med, 2021, 14: 1449-1455.
    [11]
    张梦琦. 基于Apriori算法的关联规则分析[D]. 大连: 大连理工大学, 2021.

    ZHANG M Q. Association rule Analysis Based on Apriori Algorithm[D]. Dalian: Dalian University of Technology, 2021.
    [12]
    LAUDER L, MAHFOUD F, AZIZI M, et al. Hypertension management in patients with cardiovascular comorbidities[J]. Eur Heart J, 2023, 44(23): 2066-2077.
    [13]
    崔曼, 王娟, 邓淼, 等. 高血压共病模式和社会参与交互作用对中国中老年人抑郁症状的影响[J]. 卫生研究, 2024, 53(5): 694-700.

    CUI M, WANG J, DENG M, et al. Interaction of hypertensive comorbidity patterns and social participation on depressive symptoms[J]. Journal of Hygiene Research, 2024, 53(5): 694-700.
    [14]
    彭德荣, 陈晨, 喻梦珠, 等. 基于数据挖掘的社区高血压患者共病现状及关联规则分析[J]. 中华全科医学, 2023, 21(6): 907-910. doi: 10.16766/j.cnki.issn.1674-4152.003012

    PENG D R, CHEN C, YU M Z, et al. Data mining-based analysis of comorbidity status and association rules of hypertensive patients in the community[J]. Chinese Journal of General Practice, 2023, 21(6): 907-910. doi: 10.16766/j.cnki.issn.1674-4152.003012
    [15]
    李翔, 严同, 许樟荣. 糖尿病和高血压[J]. 中华糖尿病杂志, 2021, 13(7): 740-745.

    LI X, YAN T, XU Z R. Diabetes and hypertension[J]. Chinese Journal of Diabetes, 2021, 13(7): 740-745.
    [16]
    KUAN V, DENAXAS S, PATALAY P, et al. Identifying and visualising multimorbidity and comorbidity patterns in patients in the English National Health Service: a population-based study[J]. Lancet Digit Health, 2023, 5(1): e16-e27.
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