Control of hypertension among diabetic patients in a referral hospital in Tanzania: a cross-sectional study
| Autor: | Henry A. Mayala, Daniel W. Gunda, Hollo Dadi, Semvua B. Kilonzo, Fredrick Kalokola, Fatma A. Bakshi |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Cross-sectional study Uncontrolled hypertension diabetes Tanzania Blood Pressure 030204 cardiovascular system & hematology Overweight Logistic regression Tanzania Medication Adherence Diabetes Complications Uncontrolled hypertension diabetes Tanzania 03 medical and health sciences 0302 clinical medicine Risk Factors Diabetes mellitus Internal medicine Diabetes Mellitus Prevalence Humans Medicine Outpatient clinic 030212 general & internal medicine Secondary Care Centers Antihypertensive Agents Retrospective Studies business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease Cross-Sectional Studies Blood pressure Hypertension Physical therapy Population study Original Article Female medicine.symptom business |
| Zdroj: | Ethiopian Journal of Health Sciences Ethiopian Journal of Health Sciences; Vol 27, No 5 (2017); 473-480 |
| ISSN: | 1029-1857 |
| Popis: | Background: Hypertension is common among diabetic patients. The co-existence of two conditions carries an excessive risk of severe complications and mortalities. Limited information exists on the determinants of poor hypertension control among these patients. We aimed at determining the prevalence and factors associated with poor hypertension control in these patients.Methods: Data of diabetic patients who were also hypertensive attending an outpatient clinic from 1 August 2015 to 31 December 2015 at Bugando Medical Centre were retrospectively analyzed. Uncontrolled hypertension was defined as a blood pressure of ≥130mmHg and/or ≥80mmHg systolic and diastolic respectively. A designed questionnaire was used to collect data of patients. Continuous variables were summarized by median and interquartile ranges (IQR) and categorical variables were summarized by frequency and percentage. Logistic regression was used to find the predictors of uncontrolled hypertension.Results: The majority of our study population were females, 161/295 (54.6%), and the median age was 57 years (IQR 50-64). The prevalence of hypertension was 206/295 (69.8%). A total of 174/206 (84.5%) patients had uncontrolled hypertension. This poor control was significantly associated with poor adherence to anti-hypertensives (OR 1.73[1.26-2.38] p=0.002), presence of any long-term complication (OR 3.19 [1.65-6.18] p=0.03) and overweight (BMI>24.9 Vs |
| Databáze: | OpenAIRE |
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