Evidence map›Paper›PMID 23777761›Full record

Observational studyJournal of hypertension2013

Hypertension-related diseases as a common cause of hospital mortality in Tanzania: a 3-year prospective study.

Robert N Peck, Ethan Green, Jacob Mtabaji, Charles Majinge, Luke R Smart, Jennifer A Downs, Daniel W Fitzgerald

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of hypertension, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Estimating drowning mortality in Tanzania: a systematic review and meta-analysis of existing data sources.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2019
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  19. An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

Robert N PeckaDepartment of Medicine, Bugando Medical Centre, Mwanza bDepartment of Medicine, Weill Bugando School of Medicine, Mwanza, Tanzania cCenter for Global Health, Weill Cornell Medical College, New York dCornell University, Ithaca, New York, USA eDepartment of Physiology, Weill Bugando School of Medicine fDirector General, Bugando Medical Centre, Mwanza, Tanzania.
Ethan Green
Jacob Mtabaji
Charles Majinge
Luke R Smart
Jennifer A Downs
Daniel W Fitzgerald
Bugando Medical Centre · TZ

Funding

TUBERCULOSIS INTERNATIONAL TRAINING AND RESEARCH PROGRAMD43TW000018 · FIC · WEILL MEDICAL COLL OF CORNELL UNIV · PI JOHNSON, WARREN DOUGLAS · 1988 to 2012
$16.1M
Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (VECDor)R25TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMBURGER, DOUGLAS CORBETT, VERMUND, STEN H. · 2012 to 2016
$6.3M
Global Health Research Training in HIV and TuberculosisK24AI098627 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI FITZGERALD, DANIEL W · 2012 to 2022
$1.8M
FIC NIH HHS D43 TW000018FIC NIH HHS R25 TW009337FIC NIH HHS TW 00018NIAID NIH HHS K24 AI098627
6 · The paper itself

Abstract

objectiveHypertension is believed to be an increasingly common driver of the epidemic of noncommunicable diseases (NCDs) in sub-Saharan Africa, but prospective data are scarce. The objective of this prospective study was to determine the contribution of hypertension to deaths, admissions, and hospital days at a Tanzanian zonal hospital.

methodsBetween 2009 and 2011, diagnoses were recorded for all medical admissions together with age, sex, length of hospitalization and in-hospital mortality.

resultsAmong 11045 consecutive admissions, NCDs accounted for nearly half of all deaths, admissions, and hospital days. Among NCDs, hypertension-related diseases were the most common and accounted for 314 (33.9%) of the total NCD deaths, 1611 (29.9%) of the NCD admissions, and 12837 (27.8%) NCD hospital days. Stroke (167 deaths) was the leading cause of hypertension-related death. Hypertension was the leading cause of death in patients over the age of 50 years and 57% of hypertension-related deaths occurred in patients less than 65 years old.

conclusionNCDs account for half of all deaths, admissions and hospital days at our Tanzanian hospital and hypertension-related diseases were the most common NCD. Hypertension accounted for 34% of NCD deaths and 15% of all deaths. Hypertension was the second most common cause of death overall and the leading cause of death in patients more than 50 years old. More than half of hypertension-related deaths occurred before retirement age. These findings have important implications for public health and medical education in sub-Saharan Africa, wherein hypertension and related diseases have not traditionally been given a high priority.

Indexed as

Hospital MortalityAdultAgedBlood PressureCause of DeathFemaleHospitalizationHumansHypertensionKidney DiseasesLength of StayMaleMiddle AgedProspective StudiesSex FactorsStroke

Identifiers

PMID23777761
PMCPMC4005815
OpenAlexW2025000683

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.