Key result
Cardiovascular comorbidities, particularly stroke, significantly reduced the overall mean utility score of Nigerian hypertensive patients compared to hypertension alone (0.04 vs 0.57, p<0.001).
Cross-Sectional (n=384)
Yes
Absolute Event Rate: 0.04% vs 0.57%
p-value: p=< 0.001
Hypertension and its complications, particularly stroke, significantly reduce health state utility scores in Nigerian patients.
Stroke comorbidity lowers utility in Nigerian hypertensives; hypothesis-generating and should not yet change practice.
BACKGROUND: Establishment of the health impact of hypertension on quality of life of Nigerians is a step towards controlling the disease. The study aimed to provide a Nigerian specific reference list of utility scores of hypertensive patients with various interacting conditions. FINDINGS: An interviewer-based, cross-sectional study was conducted using hypertensive patients in two purposively selected tertiary hospitals located in South-Eastern Nigeria. Health Utility Index Mark 3 (HUI3) was used.A total of 384 participants with either hypertension alone or with hypertension-associated complications were interviewed in the two tertiary hospitals.The overall mean utility score was 0.35 +/- 0.42. Patients with hypertension alone had the highest overall mean utility score (0.57 +/- 0.29) while hypertensive patients with stroke had the lowest overall mean score (0.04 +/- 0.36). Being a male, increase in age and mean arterial blood pressure, emergency visit and loss of work due to illness were associated with significant decrease in overall utility scores. CONCLUSIONS: This study presented a reference for health state utilities of a population of Nigerian hypertensive patients.
No takes yet. Share an insight, caveat, or question.
Ekwunife et al. (2011) conducted a cross-sectional in Hypertension (n=384). Cardiovascular comorbidities (e.g., stroke) vs. Hypertension alone was evaluated on Overall mean utility score (HUI3) (p=< 0.001). Cardiovascular comorbidities, particularly stroke, significantly reduced the overall mean utility score of Nigerian hypertensive patients compared to hypertension alone (0.04 vs 0.57, p<0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: