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March 10, 2020BMC Cardiovascular DisordersOpen Access

Patient-level factors influencing hypertension control in adults in Accra, Ghana

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Why the study?

Despite evidence on the benefits of hypertension control, rates of control in Ghana remain low.

What patient-level factors influence hypertension control among adults in Accra, Ghana?

Population

360 hypertensive patients from two hospitals in Accra, Ghana

Design

Two-hospital observational study

Authors

DODarlene Esinam OkaiAMAdom ManuEAEmefa Modey Amoah

Discussion

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Member takes

Overview

Patient factors may inform risk stratification in Ghanaian clinics; leaves open whether addressing them improves control in prospective studies.

Structured PICO

What patient-level factors influence hypertension control among adults in Accra, Ghana?

P
Population
360 adult hypertensive patients attending two hospitals in the Greater Accra Region of Ghana, on treatment for at least one year, mean age 61.9, 70.8% female.
O
Outcome
Hypertension control (blood pressure <140/90 mmHg, or <130/80 mmHg for patients with diabetes/CKD)surrogate

Hypertension control rates in Ghana are low (23.3%), with high pill burden and dyslipidemia negatively impacting control, highlighting the potential need for fixed-dose combination therapies to improve adherence.

Limitations

  • Information concerning knowledge and management of hypertension was self-reported lending itself to recall and information bias
  • Does not control for the different treatment types being used by participants on treatment

Cite This Study

Okai et al. (2020) studied this question.

synapsesocial.com/papers/6a7649d0f8a4cd622d087d50https://doi.org/10.1186/s12872-020-01370-y
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Also Consider

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  1. 1Determinants of blood pressure control in rural KwaZulu-Natal, South Africa2014 · 12 citations
  2. 2Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal2017 · 42 citations
  3. 3Barriers to Treatment and Control of Hypertension among Hypertensive Participants: A Community-Based Cross-sectional Mixed Method Study in Municipalities of Kathmandu, Nepal2016 · 67 citations
  4. 4Barriers to Optimal Hypertension Control2008 · 147 citations
  5. 5Patient and Healthcare Provider Barriers to Hypertension Awareness, Treatment and Follow Up: A Systematic Review and Meta-Analysis of Qualitative and Quantitative Studies2014 · 461 citations