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May 17, 2023BMC Cardiovascular DisordersOpen Access

Uncontrolled blood pressure and associated factors in adult hypertensive patients undergoing follow-up at public health facility ambulatory clinics in Bishoftu town, Ethiopia: a multi-center study

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Key result

The overall proportion of uncontrolled blood pressure was 58.8%, which was independently associated with salt intake, physical inactivity, habitual coffee consumption, higher BMI, and medication non-adherence.

Why the study?

Uncontrolled blood pressure remains a major problem in Ethiopia, requiring a better understanding of influencing factors to improve hypertension management.

Population

398 adult hypertensive patients on treatment and follow-up in Bishoftu, Ethiopia

Design

Multi-center hospital-based cross-sectional study

Authors

MSMenawork SolomonYNYohannes Mekuria NegussieNBNardos Tilahun Bekele

Discussion

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Overview

High uncontrolled BP rate persists on treatment; hypothesis-generating for salt intake and inactivity associations but should not yet change practice.

Study Design

Type

Cross-Sectional (n=398)

Multicenter

Yes

Structured PICO

P
Population
398 adult hypertensive patients aged 35 to 89 years on follow-up for at least 6 months at public health facility ambulatory clinics in Bishoftu, Ethiopia.
O
Outcome
Uncontrolled blood pressure defined by JNC 8 criteriasurrogate

More than half of adult hypertensive patients in this Ethiopian cohort had uncontrolled blood pressure, which was significantly associated with modifiable lifestyle factors and medication non-adherence.

Limitations

  • Cross-sectional study design makes it impossible to determine temporal or causal relationships.
  • The classes of drugs used and their impact on BP control were not investigated in detail.
  • Potential recall and social desirability biases since behavioral practices were based on self-reports.

Cite This Study

Solomon et al. (2023) conducted a cross-sectional in Hypertension (n=398). Risk factors (salt intake, physical inactivity, habitual coffee consumption, higher BMI, medication non-adherence) vs. Absence of risk factors was evaluated on Uncontrolled blood pressure (95% CI 54-64). The overall proportion of uncontrolled blood pressure was 58.8%, which was independently associated with salt intake, physical inactivity, habitual coffee consumption, higher BMI, and medication non-adherence.

synapsesocial.com/papers/6a631061cd7899abd6b6eadahttps://doi.org/10.1186/s12872-023-03290-z
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Also Consider

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

  1. 1The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure The JNC 7 Report2003 · 25,562 citations
  2. 2Magnitude and Determinants of Uncontrolled Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Nekemte Referral Hospital, Western Ethiopia2020 · 32 citations
  3. 3Blood pressure control status of patients with hypertension on treatment in Dessie City Northeast Ethiopia2022 · 27 citations
  4. 4Level of blood pressure control among hypertensive patients on follow-up in a Regional Referral Hospital in Central Kenya2014 · 56 citations
  5. 5Difficult-to-control hypertension: identification of clinical predictors and use of ICT-based integrated care to facilitate blood pressure control2018 · 31 citations