Uncontrolled hypertension and associated factors among adult hypertensive patients on follow-up at Jimma University Teaching and Specialized Hospital: cross-sectional study

Tesfaye, Bizuayehu; Haile, Dessalegn; Lake, Benalfew; Belachew, Tefera; Tesfaye, Temamen; Abera, Habtamu

doi:10.2147/rrcc.s132126

Cited by 52 publications

(87 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Compared to another study in Ethiopia, the current study was almost lower than in Jimma specialized hospital in (2016) (17), in Gonder hospital in (2012) (18), and in Adama hospital in (2014) (19) which were 52.7%, 53.4% and 56.4% respectively. This variation might be due to environmental factors and this may overestimate the magnitude.…”

Section: Discussioncontrasting

confidence: 81%

Magnitude of Uncontrolled Hypertension and Associated Factors among Adult Hypertensive Patients in Public Hospitals of Central Zone, Tigray, Ethiopia: A Cross-sectional Study 2018

Negash

Siyoum

Hailemariam

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: - Uncontrolled hypertension is if SBP is ≥140 mm Hg and/or DBP ≥90 mm Hg for general hypertensive population or if SBP ≥130 mm Hg and/or DBP ≥80 mm Hg in patients with established diabetes mellitus or chronic kidney disease based on the average of two or more properly measured, seated, BP readings on each of two or more office visits. The aim of this study was to assess the magnitude of uncontrolled hypertension and associated factors among adult hypertensive patients in public hospitals of central zone, Tigray, Ethiopia, 2018. Methods:- A hospital based cross sectional study design was used. The study population was all sampled adult hypertensive patients who had follow up in public hospitals of central zone, Tigray and the data collection period was from March 01 to April 30, 2018. About 421 study participants were selected using systematic random sampling. Interviewer administered structured questionnaire, chart review checklist and measurements were used. The collected data was checked for its completeness manually and then entered and cleaned in to epi data version 3.1 and exported to Statistical packages for social science version 22 for analysis. Bivariate and multivariable analyses were done to identify factors of uncontrolled hypertension. Then those variables significant at p<0.25 with the outcome variable in bivariate analysis were selected for multivariable analysis and odds ratio with 95% confidence level was computed and p-value < 0.05 was described as a significant association in multivariable analysis. Result: - Among 421 respondents about 177(42%) had uncontrolled hypertension. Co-morbidity [AOR=0.36, (0.205, 0.631)], five to ten years duration of medication taken [AOR=0.398, (0.218, 0.725)], side effect of medication [AOR=0.542, (0.339, 0.866)] and medication adherence [AOR=4.092, (2.419, 6.924)] were significantly associated with uncontrolled hypertension. Conclusion: - In this study the magnitude of uncontrolled hypertension was high. Co-morbidity, antihypertensive medication taken for long duration, side effect of antihypertensive medication and non adherence to antihypertensive medication shows statistical association with uncontrolled hypertension.

show abstract

Section: Discussioncontrasting

confidence: 81%

Magnitude of Uncontrolled Hypertension and Associated Factors among Adult Hypertensive Patients in Public Hospitals of Central Zone, Tigray, Ethiopia: A Cross-sectional Study 2018

Negash

Siyoum

Hailemariam

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…In the current study, the overall prevalence of uncontrolled hypertension was 56.83%. In comparison to other studies conducted in Africa, the figure presented in this study was slightly lower than those reported in Zimbabwe (61.0%) [25] and Nigeria (60.0%) [26], but higher than the 52.7% reported in Ethiopia [27]. In comparison to other studies conducted in different parts of South Africa, the result is lower than the 75.5% that was reported in the rural Eastern Cape province [12]; however, higher than the 13.5% prevalence that was reported in the South African National Health and Nutrition Examination Survey [14].…”

Section: Discussioncontrasting

confidence: 94%

“…In the current study, the presence of obesity was significantly associated with uncontrolled hypertension. These findings are supported by studies conducted in Ethiopia [13,27], China [28] and Zimbabwe [29], where excessive body weight was statistically associated with the incidence of uncontrolled hypertension [28,29]. Moreover, it has been shown that a modest weight-loss will not only decrease blood pressure, but will also have a favourable impact on obesity related risk factors [29,30].…”

Section: Discussionmentioning

confidence: 64%

Cross-sectional study of prevalence and determinants of uncontrolled Hypertension among South African adult residents of Mkhondo municipality

Masilela

Pierce

Adeniyi

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Achieving the blood pressure treatment target in individuals with hypertension is a serious global health challenge. Furthermore, the actual burden of uncontrolled hypertension is poorly understood especially in the developing countries. Therefore, this study comprehensively examined the rate and factors associated with uncontrolled hypertension in individuals receiving care at the primary healthcare facilities in the rural areas of Mkhondo Municipality in the Mpumalanga Province, South Africa.Methods: In this cross-sectional study, individuals attending care for hypertension were recruited from January 2019 to June 2019 at three primary healthcare centres, namely, Piet Retief hospital, Mkhondo town clinic and Thandukukhanya community health centre. Uncontrolled hypertension was defined as systolic blood pressure ≥ 140mmHg and diastolic blood pressure ≥ 90mmHg in accordance with the South African Hypertension Society guideline (2014). Multivariate logistic regression (Forward LR method) analysis was used to identify the significant determinants of uncontrolled hypertension.Results: The majority of the participants were; 55 years old and above (69.0%), Zulus (81.2%), non-smokers (84.19%) and had been diagnosed with hypertension for more than a year prior to the study (72.64%). The overall prevalence of uncontrolled hypertension was 56.83% (n=187) with no significant difference between sexes, 57.38% males versus 56.88% females, respectively. In the multivariate logistic regression model analysis after adjusting for confounding variables, obesity (AOR=2.90; 95% CI 1.66-5.05), physical activity (AOR=4.79; 95% CI 2.15-10.65) and HDL-C (AOR=5.66; 95% CI 3.33-9.60) were the significant and independent determinants of uncontrolled hypertension in the cohort.ConclusionThe high rate of uncontrolled hypertension in the study setting, can be largely attributed to obesity, physical activity and dyslipidaemia. Treatment will require the collaborative efforts of individuals, clinicians and health authorities. All these determinants should be addressed decisively so as to achieve the treatment blood pressure targets in the study population.

show abstract

“…Diperkirakan lebih dari 50% pasien hipertensi tidak patuh terhadap obat/rejimen yang ditentukan sebelumnya. 15 Distribusi pasien gagal jantung akut berdasarkan fraksi ejeksi ialah 50-70% pada 35 pasien (39,3%), 40-49% pada 17 pasien (19,1%), dan <40% pada 37 pasien (41,6%). Brigham and Women's Hospital dengan pemeriksaan ekokardiografi melaporkan bahwa dari 908 pasien didapatkan 620 pasien dengan fraksi ejeksi <40 %.…”

Section: Bahasanunclassified

Karakteristik Pasien Gagal Jantung Akut di RSUP Prof Dr. R. D. Kandou Periode Januari-Desember 2018

Donsu¹,

Rampengan²,

Polii³

2020

MSJ

View full text Add to dashboard Cite

Acute heart failure itself is a life-threatening medical condition that needs urgent medical attention. The cases of acute heart failure are expected to rise in the future due to the increase in life expectancy and advancement of therapy of myocardial infarct that causes the improvement of life expectancy among patients with decreased cardiac function. This study was aimed to obtain the characteristics of acute heart failure patients at Prof. Dr. R. D. Kandou from January to December 2018. The results showed a total of 130 patients that had acute heart failure in 2018, however, only 89 patients fulfilled the inclusion criteria consisting of 52 males (58%) and 37 females (42%). The highest percentages among the patients’ character-istics were, as follows: age >60 years (55%), hypertension as the etiology (37%), hemodynamic profile was wet-warm (56.2%), ejection fraction <40% on echocardiography (41.6%), atrial tachycardia/flutter/fibrillation on ECG (39.1%), CTR >50% on X-ray images (98%), and diuretics usage inpatients and outpatients (89% and 82%). In conclusion, the majority of patients with acute heart failure in 2018 were male, age >60 years, had hypertension as the etiology, wet-warm hemodynamic profile, ejection fraction on echocardiogram <40%, atrial tachycardia/flutter/fibrillation on ECG, CTR >50% on X-ray images, and diuretics usage.Keywords: acute heart failure, characteristics of patients Abstrak: Gagal jantung akut merupakan suatu kondisi medis yang mengancam jiwa dan membutuhkan penanganan yang cepat dan tepat. Kejadian gagal jantung diperkirakan akan semakin meningkat di masa depan, karena semakin bertambahnya usia harapan hidup dan berkembangnya terapi penanganan infark miokard yang mengakibatkan perbaikan harapan hidup penderita dengan penurunan fungsi jantung. Penelitian ini bertujuan untuk mendapatkan karakteristik pasien gagal jantung akut di RSUP Prof. Dr. R. D. Kandou periode Januari-Desember 2018. Hasil penelitian mendapatkan total pasien gagal jantung akut sebanyak 130 orang dan yang memenuhi kriteria inklusi sebanyak 89 orang, terdiri dari 52 orang (58%) laki-laki dan 37 orang (42%) perempuan. Persentase tertinggi pada karakteristik pasien ialah usia >60 tahun (55%), etiologi hipertensi (37%), profil hemodinamik wet-warm (56,2%), fraksi ejeksi pada ekokardiogram <40% (41,6%), gambaran EKG atrial takikardia/flutter/fibrilasi (39,1%), CTR >50% pada foto polos dada (98%), dan penggunaan obat diuretik baik selama perawatan dan saat keluar rumah sakit (89% dan 82%). Simpulan penelitian ini ialah mayoritas pasien gagal jantung akut pada tahun 2018 berjenis kelamin laki-laki, usia >60 tahun, etiologi hipertensi, profil hemodinamik wet-warm, fraksi ejeksi pada ekokardiogram <40%, gambaran EKG atrial takikardia/ flutter/fibrilasi, CTR >50% pada foto polos dada, dan penggunaan obat diuretik.Kata kunci: gagal jantung akut, karakteristik pasien

show abstract

Uncontrolled hypertension and associated factors among adult hypertensive patients on follow-up at Jimma University Teaching and Specialized Hospital: cross-sectional study

Cited by 52 publications

References 24 publications

Magnitude of Uncontrolled Hypertension and Associated Factors among Adult Hypertensive Patients in Public Hospitals of Central Zone, Tigray, Ethiopia: A Cross-sectional Study 2018

Magnitude of Uncontrolled Hypertension and Associated Factors among Adult Hypertensive Patients in Public Hospitals of Central Zone, Tigray, Ethiopia: A Cross-sectional Study 2018

Cross-sectional study of prevalence and determinants of uncontrolled Hypertension among South African adult residents of Mkhondo municipality

Karakteristik Pasien Gagal Jantung Akut di RSUP Prof Dr. R. D. Kandou Periode Januari-Desember 2018

Contact Info

Product

Resources

About