Dataset Information

Hypertension treatment practices and its determinants among ambulatory patients: retrospective cohort study in Ethiopia.

ABSTRACT:

Objectives

We examined determinants of achieving blood pressure control in patients with hypertension and of treatment intensification in patients with uncontrolled blood pressure (BP).

Design

A retrospective cohort study in six public hospitals, Ethiopia.

Participants

Adult ambulatory patients with hypertension and with at least one previously prescribed antihypertensive medication in the study hospital.

Outcome

Controlled BP (<140/90?mm Hg) and treatment intensification of patients with uncontrolled BP.

Results

The study population comprised 897 patients. Their mean age was 57 (SD 14) years, 63% were females, and 35% had one or more cardiometabolic comorbidities mainly diabetes mellitus. BP was controlled in 37% of patients. Treatment was intensified for 23% patients with uncontrolled BP. In multivariable (logistic regression) analysis, determinants positively associated with controlled BP were treatment at general hospitals (OR 1.89, 95% CI 1.26 to 2.83) compared with specialised hospitals and longer treatment duration (OR 1.04, 95% CI 1.01 to 1.06). Negatively associated determinants were previously uncontrolled BP (OR 0.30, 95% CI 0.21 to 0.43), treatment regimens with diuretics (OR 0.68, 95% CI 0.50 to 0.94) and age (OR 0.99, 95% CI 0.98 to 1.00). The only significant-positive-determinant for treatment intensification was duration of therapy (OR 1.05, 95% CI 1.02 to 1.09).

Conclusions

The level of controlled BP and treatment intensification practice in this study was low. The findings suggest the need for in-depth understanding and interventions of the identified determinants such as uncontrolled BP on consecutive visits, older age and type of hospital.

SUBMITTER: Berhe DF

PROVIDER: S-EPMC5724212 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Publications

Hypertension treatment practices and its determinants among ambulatory patients: retrospective cohort study in Ethiopia.

Berhe Derbew Fikadu DF Taxis Katja K Haaijer-Ruskamp Flora M FM Mulugeta Afework A Mengistu Yewondwossen Tadesse YT Mol Peter G M PGM

BMJ open 20170803 8

<h4>Objectives</h4>We examined determinants of achieving blood pressure control in patients with hypertension and of treatment intensification in patients with uncontrolled blood pressure (BP).<h4>Design</h4>A retrospective cohort study in six public hospitals, Ethiopia.<h4>Participants</h4>Adult ambulatory patients with hypertension and with at least one previously prescribed antihypertensive medication in the study hospital.<h4>Outcome</h4>Controlled BP (<140/90 mm Hg) and treatment intensific ...[more]

PMID: 28775184

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Dataset Information

Hypertension treatment practices and its determinants among ambulatory patients: retrospective cohort study in Ethiopia.

Objectives

Design

Participants

Outcome

Results

Conclusions

Publications

Hypertension treatment practices and its determinants among ambulatory patients: retrospective cohort study in Ethiopia.

Similar Datasets

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