| Autor: |
Kan Clément, Ackoundou-N'Guessan, Sita, N'Zoue, Amélie-Delphine, Lagou, Mélanie Weu, Tia, Cyr Monley, Guei, Albert Pessa, Coulibaly, Appolinaire Daze, Gnionsahe |
| Jazyk: |
francouzština |
| Rok vydání: |
2013 |
| Předmět: |
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| Zdroj: |
Nephrologietherapeutique. 10(7) |
| ISSN: |
1872-9177 |
| Popis: |
The incidence of uncontrolled hypertension (HTN+) in CKD in nephrology could reflect the quality of the management of the patients in a primary care setting. The aim of the present study was to identify factors associated with HTN+ in CKD in order to elaborate a prevention strategy for the health professionals. A retrospective analysis of 479 incidents patients has been performed from 2012/1st to 2012/12th. Sixty-two percent had CKD HTN+. Eighty percent were at stages 4 and 5. Mean value of SBP was 166.5±32 mmHg and 96±27.3 mmHg for DBP. Mean age was 48.2±14.6 years. Mean GFR was 17.4±17.1 mL/min and no difference found between groups (17.4±17.6 mL/min in CKD HTN+ versus 17.5±16.3 mL/min in CKD HTN-, P0.9). Alcohol consumption was more in CKD HTN+ as compared to CKD HTN-, but not different between groups (37.2% in CKD HTN+ versus 27.6% in CKD HTN-; P0.09). Patients who were taking antihypertensive drugs were significantly more in the CKD HTN- than CKD HTN+ (22% in CKD HT+ versus 41.1% in CKD HTN-; P0.0001). Factors associated with HTN+ in CKD were antihypertensive therapy (OR = 0.39; CI 0.20-0.75; P0.005); alcohol (OR = 2.19; CI 1.09-4.37; P0.02). BP was similar in HN and non-HN patients (173.0±26.9 mmHg versus 174.7±33.7 mmHg; P = 0.75). But kidney function was a little better in HN (16.9±17.7 mL/min and 20.95±18.5 mL/min; P0.1). Factors associated positively with HN/HTN+ were: history of HTN and age. Factors associated negatively with HN/HTN+ were: history of diabetes and CKD stage. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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