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September 21, 2013BMC Research NotesOpen Access

Prevalence and risk factors for resistant hypertension among hypertensive patients from a developing country

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Key result

Resistant hypertension was present in 19.1% of the clinic population and was significantly associated with obesity (OR 1.84) and diabetes mellitus (OR 1.67).

Why the study?

What is the prevalence and what are the risk factors for resistant hypertension in a South Asian hypertensive population?

Population

277 hypertensive patients of South Asian origin attending clinics at the Cardiology Unit, Colombo, mean age…

Design

Cross-sectional

Authors

WKWA Nuwan KumaraTPThisara PereraMDMekhala Dissanayake

Discussion

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Overview

May inform RHT screening in South Asian clinics; leaves open causal links and outcomes for prospective study.

Study Design

Type

Cross-Sectional (n=277)

Multicenter

No

Structured PICO

What is the prevalence and what are the risk factors for resistant hypertension in a South Asian hypertensive population?

P
Population
277 adult hypertensive patients attending a tertiary cardiology clinic in Sri Lanka, evaluated cross-sectionally to determine the prevalence and risk factors of resistant hypertension.
O
Outcome
Prevalence of resistant hypertension (RHT) and associated risk factors

Main Result

Odds Ratio: 1.84 (95% CI 1.04–3.26)

p-value: p=<0.05

Nearly one-fifth of hypertensive patients in a South Asian cohort had resistant hypertension, which was significantly associated with obesity, diabetes, older age, and longer hypertension duration.

Limitations

  • Cross-sectional design limits inference of causality
  • Incomplete documentation on drug-prescribing decisions and hospital admissions
  • Lack of diagnostic laboratory tests may have led to under ascertainment of co-morbidities
  • Mental stress was not evaluated
  • Severity of co-morbidities was not evaluated

Cite This Study

Kumara et al. (2013) conducted a cross-sectional in Hypertension (n=277). Obesity (BMI ≥ 27.5 kg/m2) vs. BMI < 27.5 kg/m2 was evaluated on Resistant hypertension (OR 1.84, 95% CI 1.04-3.26, p=<0.05). Resistant hypertension was present in 19.1% of the clinic population and was significantly associated with obesity (OR 1.84) and diabetes mellitus (OR 1.67).

synapsesocial.com/papers/6a616b33f8eeab9e433f3570https://doi.org/10.1186/1756-0500-6-373
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Also Consider

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