ArticleAmerican journal of hypertension2020
Hypertensive Urgency in Tanzanian Adults: A 1-Year Prospective Study.
Article in American journal of hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Effect of a one-time financial incentive on linkage to chronic hypertension care in Kenya and Uganda: A randomized controlled trial.PloS one · 2022Trial
- Hypertensive crisis and its predictors in Africa: Systematic review and meta-analysis, 2024.International journal of cardiology. Cardiovascular risk and prevention · 2024Review
- Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults.Cadernos de saude publica · 2024Article
- In-hospital mortality and length of stay of patients with hypertensive crisis treated at public hospitals in Harari Regional State, Eastern Ethiopia.Journal of clinical hypertension (Greenwich, Conn.) · 2023Article
- Peer Counselor Intervention for Reducing Mortality and/or Hospitalization in Adults With Hypertensive Urgency in Tanzania: A Pilot Study.American journal of hypertension · 2023Article
- Understanding barriers and facilitators to clinic attendance and medication adherence among adults with hypertensive urgency in Tanzania.PLOS global public health · 2022Article
- Hypertensive Urgency in Low- and Middle-Income Countries.American journal of hypertension · 2020Article
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7 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundHypertensive urgency is associated with a high risk for cardiovascular events and mortality in the United States and Europe, but data from low-income countries and interventions to improve outcomes are lacking.
methodsWe conducted a 1-year prospective study of the prevalence and outcomes of hypertensive urgency (blood pressure (BP) ≥180 mm Hg/120 mm Hg without end-organ damage) in a busy outpatient clinic in Tanzania.
resultsOf 7,600 consecutive adult outpatients screened with 3 unattended automated BP measurements according to standard protocol, the prevalence of hypertensive crisis was 199/7,600 (2.6%) (BP ≥180 mm Hg/120 mm Hg) and the prevalence of hypertensive urgency was 164/7,600 (2.2%). Among 150 enrolled patients with hypertensive urgency, median age was 62 years (54-68), 101 (67.3%) were women, and 53 (35%) were either hospitalized or died within 1 year. In a multivariate model, the strongest predictor of hospitalization/death was self-reported medication adherence on a 3 question scale (hazard ratio: 0.06, P < 0.001); 90% of participants with poor adherence were hospitalized or died within 1 year.
conclusionsPatients with hypertensive urgency in Africa are at high risk of poor outcomes. Clinicians can identify the patients at highest risk for poor outcomes with simple questions related treatment adherence. New interventions are needed to improve medication adherence in patients with hypertensive urgency.
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