Level of blood pressure control among hypertensive patients on follow-up in a Regional Referral Hospital in Central Kenya

The Pan African Medical Journal

Beth Mbuthia¹  Nelly Muiruri¹  Moses Mwangi Gitonga²  Ernest Muthami Mutua²  Joyce Jebet Cheptum²  Thomas Maing³ 

[1] Nyeri Provincial General Hospital, Nyeri, Kenya;School of Health Sciences, Dedan Kimathi University of Technology, Nyeri, Kenya;School of Health Sciences, Kenyatta University, Nairobi, Kenya;

关键词: hypertension;    blood pressure;    diabetes;    antihypertensive;    kenya;   

DOI  :  10.11604/pamj.2014.18.278.4308

来源: DOAJ

【 摘 要 】

INTRODUCTION: Uncontrolled hypertension is a leading modifiable risk factor for cardiovascular disease morbidity and mortality. Data on adequacy of blood pressure control in Kenya is scarce. This study aimed at assessing the level of blood pressure control among hypertensive patients on follow-up in a regional referral hospital. METHODS: Data regarding blood pressure, antihypertensive medication use, and comorbidities was abstracted from medical records of 452 hypertensive patients seen in Nyeri Provincial General Hospital between January and March 2013. Adequate blood pressure control was defined as a systolic pressure140 mmHg (= 130 mmHg for diabetic hypertensive patients) and a diastolic pressure less than90 mmHg (=80 mmHg for diabetic hypertensive patients). Data was entered and analyzed using STATA 9 (StataCorp, Inc, Texas, USA). RESULTS: Only 33.4% of patients had a blood pressure within the recommended limits. In multivariate analysis, using a calcium channel blocker was significantly associated with good blood pressure control (OR, 2.1; 95% CI, 1.4, 3.3). On the other hand, old age (e" 60 years), being diabetic, and the use of three or more antihypertensive drugs were associated with reduced odds of good blood pressure control (OR, 0.64; 95% CI, 0.43; OR, 0.54; 95% CI, 0.36, 0.81; and OR, 0.41; 95% CI, 0.26, 0.64, respectively). CONCLUSION: Poorly controlled blood pressure is an important public health concern among hypertensive patients in this region. Elderly patients, those with diabetes, and those on multidrug regimens are at higher risk for poor blood pressure control and warrant closer attention.

【 授权许可】

Unknown