Hypertensive crises in sub-Saharan Africa: Clinical profile and short-term outcome in the medical emergencies department of a national referral Hospital in Burkina Faso

Mandi, Dakaboué Germain; Yaméogo, Aimé Arsène; Sebgo, C.; Bamouni, Joel; Naïbé, Dangwé Temoua; Kologo, Koudougou Jonas; Millogo, Georges Rosario Christian; Yaméogo, Nobila Valentin; Thiam/Tall, Anna; Samadoulougou, A.K.; Zabsonré, Patrice

doi:10.1016/j.acvdsp.2019.05.049

Cited by 2 publications

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“…11 Many of the previous studies revealed that brain-related events, mainly hemorrhage and ischemic stroke, are the most common complications of HE. 22,26,43,[45][46][47] Similarly, stroke accounted for 18,19 A report from Thailand revealed that hydralazine was a frequently prescribed agent for the management of HE, 50 which is similar to the current finding, where hydralazine was prescribed and used in 33.6% of the patient management. Unlike the current study, a report from Gonder, Ethiopia showed that captopril followed by hydralazine (36%), were the most commonly used agents.…”

Section: Discussionsupporting

confidence: 72%

“…Many of the previous studies revealed that brain‐related events, mainly hemorrhage and ischemic stroke, are the most common complications of HE 22,26,43,45–47 . Similarly, stroke accounted for 48.0% (38.0% hemorrhagic stroke and 10.0% ischemic stroke) of the complications recorded among HE patients in the current study.…”

Section: Discussionsupporting

confidence: 55%

“…4,[18][19][20][21] In Africa, including SSA, data on in-hospital, as well as the longterm, outcomes of HE are limited. 22,23 In Ethiopia, uncontrolled BP is increasing with an estimated pooled prevalence of 48% (95% confidence interval [CI]: 36-61) 24 and it is as high as 57.2% at the Jimma Medical Center (JMC), 25 which increases hypertensive-related organ damages and mortality. 26,27 Despite an increment in the prevalence of uncontrolled BP in Ethiopia, only a few studies reported admission outcomes of HE.…”

Section: Introductionmentioning

confidence: 99%

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In‐hospital outcomes of patients with a hypertensive emergency at a medical center, Ethiopia: A prospective observational study

Yizengaw

Chemeda

Kumela

et al. 2022

Health Science Reports

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Background: Hypertensive emergency is associated with substantial complications and loss of life across the world. Early identification and treatment of hypertensive emergency complications are critical to prevent or avoid any consequences. Despite this, in Ethiopia, studies addressing mortality rate and its predictors as well as complications of hypertensive emergency are limited.Aims: This study aim to evaluate in-hospital mortality of patients admitted with a hypertensive emergency at the emergency ward of Jimma Medical Center.Methods: A consecutive sample of 140 adult (≥18 years of age) patients with a hypertensive emergency were recruited from September 1, 2020 to February 25, 2021 at Jimma Medical Center, Ethiopia and were followed up from admission to discharge/death. Patients who declined to participate and readmitted during the study period were excluded. To assess factors associated with in-hospital mortality, bivariate and multivariate Cox regression analyses were performed. A p value of less than 0.05 was used to declare the statistical significance.Results: Over three-fourths of the study participants, that is, 108 (77.1%), were males with a mean (±standard deviation) age of 52.8 ± 13.6 years. Hemorrhagic stroke, 53 (38.0%), and acute kidney injury, 38 (27.1%), were the most common complications of hypertensive emergency. The average (±standard deviation) length of stay in the hospital was 8.53 ± 3.61 days. During in-hospital follow-up, 16 patients (11.4%, 95% confidence interval: 6.7-17.9) died. Multivariate Cox regression analysis showed that there was a significant relationship between patients not doing regular physical exercise before the current admission (adjusted hazard ratio = 4.629, 95% confidence interval: 1.171-18.294, p = 0.015) and in-hospital mortality.Conclusion: More than one-tenth of patients with hypertensive emergency death was recorded at Jimma Medical Center. The frequent complications of hypertensive emergency were hemorrhagic stroke and acute renal injury. Not doing regular

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