Why the study?
Hypertension is a leading modifiable risk factor for cardiovascular disease and death, motivating the study to examine major factors affecting the survival time of hypertensive patients under follow-up.
Advanced hypertension stage, rural residence, and comorbidities like heart disease and stroke significantly increase mortality risk in Ethiopian hypertensive patients.
Identified factors associated with survival in this Ethiopian cohort; hypothesis-generating for interventions, prospective studies needed before practice change.
Hypertension is a major long-term health condition and a leading modifiable risk factor for cardiovascular disease and death. The aim of this study was to examine major factors that affect survival time of hypertension patients under follow-up. We considered a total of 430 random samples of hypertension patients who had been under follow up at Yekatit-12 Hospital in Ethiopia from January 2013 to January 2019. Four parametric accelerated failure time distributions: Exponential, Weibull, Lognormal and loglogistic are used to analyse survival probabilities of the patients. The Kaplan-Meierestimation method and log-rank tests were used to compare the survival experience of patients with respect to different covariates. The Weibull model is selected to best fit to the data sets. The results indicate that the baseline age of the patient, place of residence, family history of hypertension, khat intake, blood cholesterol level of the patient, hypertension disease stage, adherence to the treatment and related disease were significantly associated with survival time of hypertension patients. But factor like gender, tobacco use, alcohol use, diabetes mellitus status and fasting blood sugar were not significantly associated factors. Society and all stakeholders should be aware of the consequences of these factors which can influence the survival time of hypertension patients.
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Ayalew et al. (2019) studied this question.
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