Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study

Autor: Harriet Affran Bonful, Fred Adomako-Boateng, Alexis Nang-Beifubah, Adwoa Aduako Owusu, Freddie Amponsah, Ebenezer Antwi Amankwaah, Bertha Garshong, Samuel Kwame Owusu, Daniel Boakye, Joseph Danso Yeboah, Anthony Ofosu, Kenneth Nuamah, Evelyn K. Ansah, Margaret Gyapong
Rok vydání: 2017
Předmět:
Zdroj: International Journal of Hypertension
International Journal of Hypertension, Vol 2017 (2017)
ISSN: 2090-0392
2090-0384
DOI: 10.1155/2017/6537956
Popis: Background. Hypertension remains a cause of morbidity and mortality in the Ashanti Region of Ghana. It has been featured in the top ten causes of OPD attendance, admissions, and deaths since 2012. We investigated the sociodemographic characteristics and spatial distribution of inpatient hypertensives and factors associated with their admission outcomes. Methods. A 2014 line list of 1715 inpatient HPT cases aged ≥25 years was used for the cross-sectional analytic study. Accounting for clustering, all analyses were performed using the “svy” command in Stata. Frequencies, Chi-square test, and logistic regression analysis were used in the analysis. Arc view Geographic Information System (ArcGIS) was used to map the density of cases by place of residence and reporting hospital. Results. Mean age of cases was 58 (S.D 0.0068). Females constituted 67.6% of the cases. Age, gender, and NHIS status were significantly associated with admission outcomes. Cases were clustered in the regional capital and bordering districts. However, low case densities were recorded in the latter. Conclusion. Increasing NHIS access can potentially impact positively on hypertension admission outcomes. Health educational campaigns targeting men are recommended to address hypertension-related issues.
Databáze: OpenAIRE
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