Prevalence of uncontrolled hypertension in primary care settings in Al seeb wilayat, oman.
| Autor: | Al-Saadi R; Ministry of Health, South Batinah Region, Oman;, Al-Shukaili S, Al-Mahrazi S, Al-Busaidi Z |
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| Jazyk: | angličtina |
| Zdroj: | Sultan Qaboos University medical journal [Sultan Qaboos Univ Med J] 2011 Aug; Vol. 11 (3), pp. 349-56. Date of Electronic Publication: 2011 Aug 15. |
| Abstrakt: | Objectives: This study aimed to estimate the prevalence of uncontrolled hypertension (HTN) among Omani hypertensive patients, on treatment and under primary health care (PHC) follow-up in Al Seeb Wilayat, Oman. Socio-demographic and clinical factors were explored for possible influence on blood pressure (BP) control. Methods: Based on an assumption of 50% prevalence of uncontrolled HTN, a retrospective data collection was conducted on the last three follow-up visits of 411 randomly selected Omani adults (≥18 years) from 3,459 hypertensive patients. Adequate BP control was defined using criteria from 7(th) Report of the Joint National Committee on Prevention Detection Evaluation & Treatment of High Blood Pressure (JNC-7). A P value of <0.05 and odds ratios with 95% confidence interval were used to assess for association. Results: The targets for adequate BP control were achieved in 39% of the studied patients (95% confidence interval [CI]: 34-44%). Lower BP control was found among hypertensives with diabetes (6.4%, P = <0.001) and renal disease (18.5%, P = 0.02); those with cardiovascular disease (CVD) showed relatively better control (58%). Age and gender had no impact on BP control. Most patients were only on one (24%) or two (47%) antihypertensive medications, the most frequently used being β-blockers (58.2%) and diuretics (56.3%). Conclusion: HTN is not adequately controlled in over 60% of treated patients; the presence of co-morbidity and less than aggressive treatment are significant contributors. Improving the quality of HTN care is a priority; effective efforts should be undertaken to improve BP control. |
| Databáze: | MEDLINE |
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