Observance thérapeutique de l’hypertension artérielle et ses facteurs dans le service de cardiologie du CHU Tokoin de Lomé

Pio, Machihudé; Baragou, S; Afassinou, Yaovi; Pessinaba, S.; Atta, Borgatia; Ehlan, Koffi; Goeh-Akué, E; Zoméni, Folly; Damorou, Jean-Marie

doi:10.11604/pamj.2013.14.48.1973

Cited by 12 publications

(21 citation statements)

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“…The economic burden of these two diseases is difficult to determine but it appears that controlling them would be a good way to slow the onset of kidney failure in the population with heart failure [12]. Indeed, among our patients, the risk of developing renal failure was high with diabetes (RCa = 2.67) and much greater with hypertension [21]. These main etiologies also appear to be the main determinants of renal failure.…”

Section: Discussionmentioning

confidence: 77%

Determinants and Risks Factors of Renal Failure in Patients with Heart Failure in Cardiology Department of CHU Sylvanus Olympio of Lomé (Togo)

Sabi¹,

Amekoudi²,

Baragou³

et al. 2019

OJNeph

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Introduction: The morbidity and mortality of patients with heart failure are known to increase rapidly in the presence of renal insufficiency, which is usually the cause but may be a consequence. To organize better prevention of renal failure, we undertook this study to identify the determinants of renal failure in the population of patients with heart failure. Methodology: This was a retrospective descriptive and analytical study of heart failure (HF) cases hospitalized from January 1st to December 31st, 2016, over a period for twelve (12) months at CHU Sylvanus Olympio. Patients who performed cardiac Doppler ultrasound were included in our study. Renal failure was defined as eGFR (estimated glomerular filtration rate) less than 60 ml/min/1.73m 2 . Multivariate logistic regression was performed to investigate associated factors. The dependent variable was DFG status: coded 1 if the GFR is less than 60 ml/min and 0 if not. Results: A total of 216 patients were included. The majority were female (54.17%). The median age of patients was 53 years [IQI = 32 -61 years] with extremes of 15 and 96 years. 16.49% of patients had a GFR of less than 60 ml/min. In multivariate analysis the average standard of living (OR = 2.40, p = 0.0456), diabetes (OR = 2.67, p = 0.0300), hypertension (OR = 5.66, p = 0.0399), alcoholism (OR = 4.00, p = 0.0063) were the main factors in the development of an RF/HF. Conclusion: The average standard of living, diabetes, hypertension, and chronic alcoholism are the determinants of renal failure in HF.

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Section: Discussionmentioning

confidence: 77%

Determinants and Risks Factors of Renal Failure in Patients with Heart Failure in Cardiology Department of CHU Sylvanus Olympio of Lomé (Togo)

Sabi¹,

Amekoudi²,

Baragou³

et al. 2019

OJNeph

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“…According to Girerd X, et al [10], combinations of cardiovascular risk factors require patients to comply with up to ten prescription lines, thus reducing adherence. Machihude Pio, et al [19], found, 94.12% and 67.39% of patients who had respectively three or more tablets per day were poor observers; 76% and 58.16% of those who had three and two shots per day were also poor observers. C Konin, et al [14], found 77.3% of patients with more than three tablets a day and 95.3% of those who had three daily doses are worse observers.…”

Section: Factors Associated With Poor Adherencementioning

confidence: 96%

“…Better education could improve adherence to treatment, including diet and lifestyle measures, and reduce the cost of medical care. Studies have shown that, at different times, a good knowledge of hypertensive disease and medications was predictive of better adherence and better control of blood pressure [22,23]. Comorbidity can have a positive effect on adherence.…”

Section: Factors Associated With Poor Adherencementioning

confidence: 99%

Compliance of hypertensive patients with antihypertensive drug therapy at the Renaissance Hospital of N’Djamena, Chad

Ali¹,

Abderraman²,

Tondi³

et al. 2019

Ann Clin Hypertens

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Introduction:High blood pressure is a major cardiovascular risk factor. In hypertension, noncompliance is frequent. The objective of this work is to evaluate the therapeutic observances and to identify the predictive factors of poor compliances in Chadian hypertensive patients. Patients and Methods:It was a prospective cross-sectional study over a six-month period from January 15 to July 15, 2019. This was performed in the outpatient Cardiology and Nephrology units at the Renaissance Hospital of N'Djamena. We included all follow-up patients who had hypertension who consulted during the study period. However, dialysis patients and children were excluded from this study. The parameters studied were demographic characteristics, economic and therapeutic data and the rate of therapeutic compliance.Results: Eighty-seven patients were included. The average age was 50 years old. The sex ratio was 2.5. Sixty-seven percent (n = 58) of the patients were from urban areas. The predominant cardiovascular risk factors were smoking in 25% (n = 22) and diabetes in 23% (n = 20). Hypertension was uncontrolled in 76% (n = 66) patients. Adherence was poor in 66% (n = 57) of patients. The monthly cost of treatment was respectively 10,000 and 20,000 FCFA in 52% (n = 45) of cases. Combination therapy was observed in 70% of cases (n = 61) and 56% (n = 49) of patients had more than one drug intake. The adherence rate was 93% (n = 28) in the urban population (p < 0.001). All patients (n = 30) who were observing their treatment were educated (p < 0.001). The adherence rate was 20% (n = 6) in patients who had a monthly income less than 100,000 FCFA (p = 0.004). The adherence rate was 60% (n = 18) when the monthly cost was less than FCFA 10,000 (p = 0.003). The adherence rate was 77% (n = 23) in patients receiving monotherapy (p < 0.001). Conclusion:This study showed a low level of adherence in Chadian hypertensive patients. The complexity and cost of antihypertensive therapy, poor knowledge of hypertension, and ignorance of its severity have been the main factors of poor compliance.Compliance of hypertensive patients with antihypertensive drug therapy at the Renaissance Hospital of N'

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“…Therapeutic data concerned current drugs for heart failure, side effect and compliance. The adherence to treatment was evaluated by Gired questionnaire [10]. Finally, quality of life was assessed by a validated tool: Minnesota Living with Heart Failure (MLHwFQ) which analyzes QOL during the last 4 weeks.…”

Section: Data Collectionmentioning

confidence: 99%

Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa

Boombhi¹,

Kamga²,

Mfeukeu-Kuaté³

et al. 2019

CCR

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Heart Failure (HF) has become one of the most important chronic medical conditions worldwide. It's associated with high morbidity and mortality. Despite improving in patient's management, little works have been done to evaluate the quality of life of patients with heart failure in Sub-Saharan Africa. The objective of this work was to assess the quality of life of patients with Chronic Heart Failure (CHF) followed in three reference hospitals of Cameroon. We carried out a crosssectional study over a period of 04 months, from January to May 2017. The patients were recruited from the cardiology departments of three references Hospitals of Cameroon: Yaoundé Central Hospital (YCH), General Hospital of Yaoundé (GHY) and Yaoundé University Teaching Hospital (YUTH). We included all patients aged 18 years and above followed for CHF and consenting to participate in the study. Patients with other chronic conditions (chronic kidney disease, cancer, schizophrenia) were excluded. The quality of life was assessed using the Minnesota Living with Heart Failure tool (MLwHF). A total of 119 patients were recruited. The mean age was 66 ± 13 years. More than 2/3 (70.6%) of the patients were unemployed. The majority of patients (83.2%) had low monthly income (< 100 000 FCFA). Stage II of heart failure according to New York Heart Association (NYHA) was the most represented (50 %). The median scores for the Minnesota Living with Heart Failure Questionnaire (MLwHFQ) were generally low. The risk factors of poor life quality were: young age (p = 0.039), low educational attainment (p = 0.046), low monthly income (p = 0.024), exposure to tobacco (p = 0.005), low left ventricular ejection fraction (p = 0.003), mental depression (p < 0.001), anxiety (p < 0.001), non-adherence to treatment (p = 0.035). The only factors that remain significant after adjusting for confounders are: mental depression (0, 002) and functional class of NYHA (< 0, 001). In conclusion, Quality of life is slightly affected in patients with chronic heath failure. The few proportion of alter quality of life is explained mostly by psychological and clinical factors. The clinician should pay attention to these factors for the better management of the patients in Sub-Saharan Africa.

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Observance thérapeutique de l’hypertension artérielle et ses facteurs dans le service de cardiologie du CHU Tokoin de Lomé

Cited by 12 publications

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Determinants and Risks Factors of Renal Failure in Patients with Heart Failure in Cardiology Department of CHU Sylvanus Olympio of Lomé (Togo)

Determinants and Risks Factors of Renal Failure in Patients with Heart Failure in Cardiology Department of CHU Sylvanus Olympio of Lomé (Togo)

Compliance of hypertensive patients with antihypertensive drug therapy at the Renaissance Hospital of N’Djamena, Chad

Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa

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Observance thérapeutique de l’hypertension artérielle et ses facteurs dans le service de cardiologie du CHU Tokoin de Lomé

Cited by 12 publications

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Determinants and Risks Factors of Renal Failure in Patients with Heart Failure in Cardiology Department of CHU Sylvanus Olympio of Lom&#233; (Togo)

Determinants and Risks Factors of Renal Failure in Patients with Heart Failure in Cardiology Department of CHU Sylvanus Olympio of Lom&#233; (Togo)

Compliance of hypertensive patients with antihypertensive drug therapy at the Renaissance Hospital of N’Djamena, Chad

Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa

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Determinants and Risks Factors of Renal Failure in Patients with Heart Failure in Cardiology Department of CHU Sylvanus Olympio of Lomé (Togo)

Determinants and Risks Factors of Renal Failure in Patients with Heart Failure in Cardiology Department of CHU Sylvanus Olympio of Lomé (Togo)