Event Title

Predictors for control of hypertension in developing country

Location

Auditorium Pond Side

Start Date

26-2-2014 10:30 AM

Abstract

Background: Hypertension in more than 40 to 70% of the patients is poorly controlled in developing countries.

Objective: The aim of this study was to estimate the effect of predictors in controlling hypertension in patients.

Methods: A prospective cohort was conducted at the family medicine outpatient clinics at the Aga Khan Hospital. All the new and follow up patients with hypertension above the age of 40 years were enrolled from July 2011 to July 2012 and were consecutively followed for 6 months. A pretested structured questionnaire was administered by trained medical graduates. Data was analyzed using SPSS version 19 and multivariable logistic regression was used to identify the factors associated with hypertension control.

Results: A total of 174 patients (53.8 % female) were followed over the period of 6 months. About 53.5% of patients had uncontrolled hypertension. Non modifiable predictors included in the multivariate model were age, gender (female, AOR=1.83; 95% C.I: 0.96-3.48), family history, presence of comorbids (AOR=4.22; 95% C.I:3.13-12.18), diagnosis of hypertension for more than 10 years (AOR: 3.10; 95% C.I: 1.71-6.19). Clustering of non-modifiable predictors of more than 3 risk factors was a strong non-modifiable predictor for uncontrolled hypertension (AOR=6.0; 95% C.I: 2.7-13.4). Modifiable predictors included in the final model were current use of anti-hypertensive (AOR= 3.31; 95% CI.1.32-9.67), salt intake, organ meat intake (AOR=2.62; 95% C.I: 1.64-3.24), exercise, currently smoking, intake of vegetable & fruits and BMI (obesity: AOR= 4.63; 95% C.I: 2.44-6.23). Clustering of

modifiable predictors of more than 2 risk factors was a strong modifiable predictor for uncontrolled hypertension (AOR=5.04; 95% C.I: 2.93-6.78).

Conclusion: More the presence of number of predictors higher is the chances of hypertension to be uncontrolled. Along with anti-hypertensive medications stress should be given equally to modifiable risk factors for control.

Keywords: Hypertension, Predictors, Control, Developing country

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Feb 26th, 10:30 AM

Predictors for control of hypertension in developing country

Auditorium Pond Side

Background: Hypertension in more than 40 to 70% of the patients is poorly controlled in developing countries.

Objective: The aim of this study was to estimate the effect of predictors in controlling hypertension in patients.

Methods: A prospective cohort was conducted at the family medicine outpatient clinics at the Aga Khan Hospital. All the new and follow up patients with hypertension above the age of 40 years were enrolled from July 2011 to July 2012 and were consecutively followed for 6 months. A pretested structured questionnaire was administered by trained medical graduates. Data was analyzed using SPSS version 19 and multivariable logistic regression was used to identify the factors associated with hypertension control.

Results: A total of 174 patients (53.8 % female) were followed over the period of 6 months. About 53.5% of patients had uncontrolled hypertension. Non modifiable predictors included in the multivariate model were age, gender (female, AOR=1.83; 95% C.I: 0.96-3.48), family history, presence of comorbids (AOR=4.22; 95% C.I:3.13-12.18), diagnosis of hypertension for more than 10 years (AOR: 3.10; 95% C.I: 1.71-6.19). Clustering of non-modifiable predictors of more than 3 risk factors was a strong non-modifiable predictor for uncontrolled hypertension (AOR=6.0; 95% C.I: 2.7-13.4). Modifiable predictors included in the final model were current use of anti-hypertensive (AOR= 3.31; 95% CI.1.32-9.67), salt intake, organ meat intake (AOR=2.62; 95% C.I: 1.64-3.24), exercise, currently smoking, intake of vegetable & fruits and BMI (obesity: AOR= 4.63; 95% C.I: 2.44-6.23). Clustering of

modifiable predictors of more than 2 risk factors was a strong modifiable predictor for uncontrolled hypertension (AOR=5.04; 95% C.I: 2.93-6.78).

Conclusion: More the presence of number of predictors higher is the chances of hypertension to be uncontrolled. Along with anti-hypertensive medications stress should be given equally to modifiable risk factors for control.

Keywords: Hypertension, Predictors, Control, Developing country