What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hypertension (n=297). Primary outcome: Optimally controlled blood pressure.

What does this research mean for the field?

Non-adherence to medication and lack of physical exercise are significant determinants of uncontrolled blood pressure among adult hypertensive patients, with 63.6% of patients achieving optimal control. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

April 1, 2020Open Access

Magnitude and Determinants of Uncontrolled Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Nekemte Referral Hospital, Western Ethiopia

Key Result

Non-adherence (AOR 3.14) and lack of physical exercise (AOR 2.8) were significantly associated with uncontrolled blood pressure, while 63.6% of patients achieved optimal blood pressure control.

Study Design

Type

Cross-Sectional (n=297)

Multicenter

Structured PICO

What are the magnitude and determinants of uncontrolled blood pressure among adult hypertensive patients on follow-up?

Population

297 adult hypertensive patients on follow-up at Nekemte referral hospital, mean age 59.4 ±10.4 years, 60.9% female.

Outcome

Blood pressure control status (determined by average consecutive BP recordings across 3 months) and its determinantssurrogate

In this Ethiopian cohort, nearly two-thirds of hypertensive patients achieved optimal blood pressure control, though non-adherence, lack of exercise, and longer disease duration were significant risk factors for uncontrolled BP.

Abstract

BACKGROUND: Hypertension is the leading cause of morbidity and mortality among non-communicable diseases. The rate of blood pressure (BP) control among hypertensive patients is poor and the reasons for poor control of BP remain poorly understood globally. Therefore, this study aimed to assess the magnitude and determinants of uncontrolled blood pressure among adult hypertensive patients on follow-up at Nekemte referral hospital (NRH). METHODS: A hospital-based cross-sectional study was conducted from February to April 2018 at NRH. BP control status was determined by the average consecutive BP recordings across the 3 months. The data was entered and analyzed using SPSS version 20.0 and p-value 10 years (AOR= 2.01, 95% CI: 1.04-16.11), non-adherence (AOR= 3.14, 95% CI: 1.35-10.76) and lack of physical exercise (AOR= 2.8, 95% CI: 1.16-6.74) were positively associated with uncontrolled BP status. Whereas age older than 55 years (AOR= 0.38, 95% CI: 0.11-0.92) was negatively associated with uncontrolled BP. CONCLUSION: BP control was relatively achieved in about two-third of pharmacologically treated patients. We recommend better health education and care of patients to improve the rate of BP control status.

AI에게 질문

Bookmark

View Full Paper