Evidence map›Paper›PMID 25489372›Full record

ArticleThe Pan African medical journal2014

Level of blood pressure control among hypertensive patients on follow-up in a regional referral hospital in Central Kenya.

Ernest Muthami Mutua, Moses Mwangi Gitonga, Beth Mbuthia, Nelly Muiruri, Joyce Jebet Cheptum, Thomas Maingi

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Article in The Pan African medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
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30citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ernest Muthami MutuaSchool of Health Sciences, Dedan Kimathi University of Technology, Nyeri, Kenya.
Moses Mwangi GitongaSchool of Health Sciences, Dedan Kimathi University of Technology, Nyeri, Kenya.
Beth MbuthiaNyeri Provincial General Hospital, Nyeri, Kenya.
Nelly MuiruriNyeri Provincial General Hospital, Nyeri, Kenya.
Joyce Jebet CheptumSchool of Health Sciences, Dedan Kimathi University of Technology, Nyeri, Kenya.
Thomas MaingiSchool of Health Sciences, Kenyatta University, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUncontrolled hypertension is a leading modifiable risk factor for cardiovascular disease morbidity and mortality. Data on adequacy of blood pressure control in Kenya is scarce. This study aimed at assessing the level of blood pressure control among hypertensive patients on follow-up in a regional referral hospital.

methodsData regarding blood pressure, antihypertensive medication use, and comorbidities was abstracted from medical records of 452 hypertensive patients seen in Nyeri Provincial General Hospital between January and March 2013. Adequate blood pressure control was defined as a systolic pressure<140 mmHg (<130 mmHg for diabetic hypertensive patients) and a diastolic pressure<90 mmHg (<80 mmHg for diabetic hypertensive patients). Data was entered and analyzed using STATA 9 (StataCorp, Inc, Texas, USA).

resultsOnly 33.4% of patients had a blood pressure within the recommended limits. In multivariate analysis, using a calcium channel blocker was significantly associated with good blood pressure control (OR, 2.1; 95% CI, 1.4, 3.3). On the other hand, old age (≥60 years), being diabetic, and the use of three or more antihypertensive drugs were associated with reduced odds of good blood pressure control (OR, 0.64; 95% CI, 0.43; OR, 0.54; 95% CI, 0.36, 0.81; and OR, 0.41; 95% CI, 0.26, 0.64, respectively).

conclusionPoorly controlled blood pressure is an important public health concern among hypertensive patients in this region. Elderly patients, those with diabetes, and those on multidrug regimens are at higher risk for poor blood pressure control and warrant closer attention.

Indexed as

AgedAged, 80 and overAntihypertensive AgentsBlood PressureCalcium Channel BlockersCross-Sectional StudiesDiabetes ComplicationsDiabetes MellitusDrug Therapy, CombinationFemaleHumansHypertensionKenyaMaleMiddle AgedOutpatientsAntihypertensive AgentsCalcium Channel Blockersantihypertensiveblood pressurediabetesHypertensionKenya

Identifiers

PMID25489372
PMCPMC4258197

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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.