Non-apparent treatment-resistant hypertensive patients had significantly better knowledge scores (mean 8.38 vs 4.96, p < 0.001), attitude scores (mean 3.88 vs 2.28, p < 0.001), and practice scores (mean 10.88 vs 9.72, p < 0.001) compared to apparent treatment-resistant hypertensive patients.
Case-Control (n=100)
No
Do apparent treatment-resistant hypertensive patients have different knowledge, attitude, and practices regarding hypertension management compared to non-apparent treatment-resistant hypertensive patients?
Patients with apparent treatment-resistant hypertension have significantly poorer knowledge, attitude, and practices regarding hypertension management compared to those with controlled hypertension.
Effect estimate: p < 0.001
Absolute Event Rate: 4.96% vs 8.38%
p-value: p=<0.001
Objectives Apparent treatment-resistant hypertension (aTRH) is defined as uncontrolled hypertension (HTN) despite the use of three or more antihypertensive medication classes or controlled HTN after treatment with four or more antihypertensive medication classes. The increasing prevalence of HTN as well as aTRH is mainly due to a lack of understanding about the disease, insufficient patient education programs, low economic status, etc., which might even lead to medication non-adherence. Assessing HTN knowledge, attitude, and practice (KAP) is crucial for controlling HTN. There is a paucity of information about KAP among aTRH patients in India. Therefore, this area has been targeted for specific assessment and interventions. The objective of the study is to evaluate KAP among aTRH patients. Material and Methods A total of 100 patients were recruited for this study, 50 patients aged ≥18 years with aTRH as cases and 50 patients aged ≥18 years with non-aTRH as controls. All participants were interviewed using a validated questionnaire, which had information regarding demographic profile, knowledge, attitude, and practices in management of HTN, and was administered by the investigator to the participants in the language understood by them. Results We observed that diabetes (26%) was the most common co-morbidity, followed by chronic kidney disease (CKD) (22%), obesity (22%), coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD), and depression in the aTRH group. The total number of co-morbidities was higher in the aTRH group as compared to the non-aTRH. We found that the non-aTRH group had statistically significant better KAP mean score compared to aTRH patients (p <0.001). Conclusion We found that the KAP scores of the non-aTRH group were better than aTRH group, which explains their good blood pressure control. Hence, educating about HTN and its related attitudes and practices should be our primary goal to decrease the prevalence of aTRH and its related morbidities and mortalities.
Aggarwal et al. (Tue,) conducted a case-control in Hypertension (apparent treatment-resistant hypertension vs non-apparent treatment-resistant hypertension) (n=100). Comparison of knowledge, attitude, and practice among aTRH vs non-aTRH patients vs. Non-apparent treatment-resistant hypertensive patients was evaluated on Knowledge, Attitude, and Practice (KAP) scores regarding hypertension management (p < 0.001, p=<0.001). Non-apparent treatment-resistant hypertensive patients had significantly better knowledge scores (mean 8.38 vs 4.96, p < 0.001), attitude scores (mean 3.88 vs 2.28, p < 0.001), and practice scores (mean 10.88 vs 9.72, p < 0.001) compared to apparent treatment-resistant hypertensive patients.