Level of blood pressure control among hypertensive patients on follow-up in a Regional Referral Hospital in Central Kenya

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dc.contributor.authorMaingi, T.
dc.contributor.authorMutua, E.M.
dc.contributor.authorGitonga, M.M.
dc.contributor.authorMbuthia, B.
dc.contributor.authorMuiruri, N.
dc.contributor.authorCheptum, J.J.
dc.date.accessioned2014-12-10T12:56:33Z
dc.date.available2014-12-10T12:56:33Z
dc.date.issued2014
dc.descriptiondoi:10.11604/pamj.2014.18.278.4308en_US
dc.description.abstractIntroduction: Uncontrolled hypertension is a leading modifiable risk factor for cardiovascular disease morbidity and mortality. Data on adequacy of blood pressure control in Kenya is scarce. This study aimed at assessing the level of blood pressure control among hypertensive patients on follow-up in a regional referral hospital. Methods: Data regarding blood pressure, antihypertensive medication use, and comorbidities was abstracted from medical records of 452 hypertensive patients seen in Nyeri Provincial General Hospital between January and March 2013. Adequate blood pressure control was defined as a systolic pressure < 140 mmHg (< 130 mmHg for diabetic hypertensive patients) and a diastolic pressure < 90 mmHg (< 80 mmHg for diabetic hypertensive patients). Data was entered and analyzed using STATA 9 (StataCorp, Inc, Texas, USA). Results: Only 33.4% of patients had a blood pressure within the recommended limits. In multivariate analysis, using a calcium channel blocker was significantly associated with good blood pressure control (OR, 2.1; 95% CI, 1.4, 3.3). On the other hand, old age (≥ 60 years), being diabetic, and the use of three or more antihypertensive drugs were associated with reduced odds of good blood pressure control (OR, 0.64; 95% CI, 0.43; OR, 0.54; 95% CI, 0.36, 0.81; and OR, 0.41; 95% CI, 0.26, 0.64, respectively). Conclusion: Poorly controlled blood pressure is an important public health concern among hypertensive patients in this region. Elderly patients, those with diabetes, and those on multidrug regimens are at higher risk for poor blood pressure control and warrant closer attention.en_US
dc.identifier.citationThe Pan African Medical Journal. 2014;18:278en_US
dc.identifier.issn1937-8688.
dc.identifier.urihttp://www.panafrican-med-journal.com/content/article/18/278/full
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/11839
dc.language.isoenen_US
dc.publisherthe African Field Epidemiology Network (AFENET)en_US
dc.subjectHypertensionen_US
dc.subjectKenyaen_US
dc.subjectantihypertensiveen_US
dc.subjectblood pressureen_US
dc.subjectdiabetesen_US
dc.titleLevel of blood pressure control among hypertensive patients on follow-up in a Regional Referral Hospital in Central Kenyaen_US
dc.typeArticleen_US
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