Key result
Hypertension affects ~57% of hospitalized patients, with most demonstrating medium medication adherence.
Cross-Sectional (n=500)
No
This study highlights a high prevalence of hypertension and diabetes among patients in a tertiary hospital in India, with most patients showing moderate medication adherence.
High hypertension and diabetes prevalence with medium adherence in Indian inpatients; supports further research on adherence strategies before practice changes.
Background: The study aimed to assess the prevalence of Hypertension (HTN), Diabetes mellitus(DM) and other diseases along with comorbid conditions, disease complications and also to assess medication adherence in a tertiary hospital in Karimnagar, Telangana, India.Methods: A Cross sectional study is performed by analysing a total of 500 patient’s individual case safety reports (ICSR). Prevalence of Hypertension and Diabetes along with most prescribed drugs are analysed. Medication adherence is analysed by using Morisky Medication adherence questionnaire scale (MMAS-4).Results: Patients with past history of DM, HTN and other diseases which was found to be 245 (49%) patients. Patients with highest disease prevalence were found to be with HTN (56.73%), DM (31.83%) followed by other diseases like asthma (8.57%), Cerebrovascular accident (4.89%) etc., Total of 66 Patients were ruled out with comorbid diseases. Patients with HTN+DM (47) were found to be highest followed by DM+HTN+CVA (4). MMAS-4 revealed 208 patients were using medication out of 245 patients with previous history. According to MMAS-4 most of the patients were with medium adherence (76). Prevalent drug used for HTN include Amlodipine and for DM Telmisartan+Hydrochlorthiazide.Conclusions: The study revealed that almost half of the admitted patients were with HTN and DM. The patients were counselled properly to adhere strictly to the prescription. Medication adherence to HTN and DM was found to be good in this study. Since the disease complications were also ruled out, the health care professionals are recommended to spread awareness on DM and HTN and disease management in order to control disease and improve health outcomes.
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Kalyani et al. (2018) conducted a cross-sectional in Hypertension and Diabetes mellitus (n=500). Hypertension and Diabetes mellitus was evaluated on Prevalence of Hypertension and Diabetes mellitus. Among 500 hospitalized patients, the prevalence of hypertension was 56.73% and diabetes mellitus was 31.83%, with the majority of patients demonstrating medium medication adherence.
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