What is the clinical evidence from this study?

Study design: Observational. Population: Hypertension (n=741). Intervention: Antihypertensive therapy. Primary outcome: Blood pressure control (<140/90 mmHg).

November 17, 2016BMC Research NotesOpen Access

Hypertension control and care at Mulago Hospital ambulatory clinic, Kampala-Uganda

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Key result

Blood pressure control (<140/90 mmHg) was achieved in only 26.7% of patients attending a tertiary hypertension clinic in Uganda, highlighting suboptimal management despite the frequent use of multidrug regimens.

Population

741 patients attending a hypertension clinic at Mulago National Referral Hospital in Kampala, Uganda, median…

Design

Cross-sectional

Authors

ISIsaac SsinabulyaUganda Management Institute YNYvonne NabunnyaMakerere University BKBrian KiggunduUganda Management Institute

Discussion

Member takes

Implication

Suboptimal BP control signals urgent need for protocol-driven quality improvement; leaves open the effectiveness of targeted interventions in similar LMIC settings.

Study Design

Type

Observational (n=741)

Multicenter

Structured PICO

Population

741 predominantly female patients (86.6%) with a median age of 60 years attending a tertiary hypertension clinic in Uganda, evaluated retrospectively for blood pressure control and care practices.

Outcome

Blood pressure control defined as BP lowering to at least 140/90 mmHgsurrogate

Blood pressure control and documentation of routine investigations are highly suboptimal in a tertiary ambulatory clinic in Uganda, highlighting a critical need for protocol-guided care.

Limitations

Retrospective chart review design limits the ability to ascertain reasons for low blood pressure control.
Reliance on documentation means some tests or biophysical measurements may have been performed but not recorded.
Highly selected clinic population may not represent the general community, as symptomatic patients are more likely to attend.
Possibility of white coat effect contributing to elevated clinic blood pressure readings.
Retrospective chart review study; could not ascertain why control is low
Cannot conclude that tests were not done since the study relied only on what was documented

Cite This Study

Ssinabulya et al. (2016) conducted an observational in Hypertension (n=741). Antihypertensive therapy was evaluated on Blood pressure control (<140/90 mmHg). Blood pressure control (<140/90 mmHg) was achieved in only 26.7% of patients attending a tertiary hypertension clinic in Uganda, highlighting suboptimal management despite the frequent use of multidrug regimens.

synapsesocial.com/papers/6a219a57582b7ad9ebabd89b https://doi.org/10.1186/s13104-016-2293-y

Topics

Hypertension management Echocardiography

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November 17, 2016BMC Research NotesOpen Access

Hypertension control and care at Mulago Hospital ambulatory clinic, Kampala-Uganda

View Full Paper

Ask AI

Bookmark

Key result

Population

741 patients attending a hypertension clinic at Mulago National Referral Hospital in Kampala, Uganda, median…

Design

Cross-sectional

Authors

ISIsaac SsinabulyaUganda Management Institute YNYvonne NabunnyaMakerere University BKBrian KiggunduUganda Management Institute

Discussion

Member takes

Implication

Suboptimal BP control signals urgent need for protocol-driven quality improvement; leaves open the effectiveness of targeted interventions in similar LMIC settings.

Study Design

Type

Observational (n=741)

Multicenter

Structured PICO

Population

741 predominantly female patients (86.6%) with a median age of 60 years attending a tertiary hypertension clinic in Uganda, evaluated retrospectively for blood pressure control and care practices.

Outcome

Blood pressure control defined as BP lowering to at least 140/90 mmHgsurrogate

Blood pressure control and documentation of routine investigations are highly suboptimal in a tertiary ambulatory clinic in Uganda, highlighting a critical need for protocol-guided care.

Limitations

Retrospective chart review design limits the ability to ascertain reasons for low blood pressure control.
Reliance on documentation means some tests or biophysical measurements may have been performed but not recorded.
Highly selected clinic population may not represent the general community, as symptomatic patients are more likely to attend.
Possibility of white coat effect contributing to elevated clinic blood pressure readings.
Retrospective chart review study; could not ascertain why control is low
Cannot conclude that tests were not done since the study relied only on what was documented

Cite This Study

synapsesocial.com/papers/6a219a57582b7ad9ebabd89b https://doi.org/10.1186/s13104-016-2293-y

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

Topics

Hypertension management Echocardiography

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