Evidence map›Paper›PMID 42859425›Full record

ArticleMaedica2026

Clinical Characteristics and Factors Associated with Uncontrolled Hypertension among Adult Patients in a Tertiary Care Centre: a Cross-Sectional Study.

Suzanne Melissa Yendluri, Sai Pallavi Madabhushi, Geetika Sura, Santhi Palanivelu, Shyamala Ganesan, Tanvi Padala, Suresh Babu Sayana

Abstract read
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Article in Maedica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Suzanne Melissa YendluriMedical Officer, Department of Interventional Cardiology, Yashoda Hospitals, Hyderabad, Telangana, India.
Sai Pallavi MadabhushiDuty Medical Officer, KIMS Hospitals, Kondapur Village, Hyderabad, Telangana, India.
Geetika SuraResident, Department of Internal Medicine, UCSF Fresno, California, USA.
Santhi PalaniveluProfessor, Department of Community Health Nursing, Vinayaka Mission's College of Nursing, Karaikal, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.
Shyamala GanesanAssociate Professor, Department of Anatomy and Medical Imaging, American University of Antigua College of Medicine, Antigua and Barbuda.
Tanvi PadalaMedical Student, Department of Internal Medicine, R.V.M. Institute of Medical Sciences and Research Centre, Laxmakkapally, Mulugu Mandal, Siddipet, Telangana, India.
Suresh Babu SayanaAssociate Professor and Head, Department of Pharmacology, Government Medical College, Bhadradri Kothagudem, Telangana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Achieving sustained blood-pressure control remains difficult in routine care, particularly in referral settings where patients often have longer di sease duration and multiple comorbidities. Cross-sectional clinical data can identify correlates of poor control, but such associations should not be interpreted as causal effects. Objective: To describe the clinical characteristics of adults with treated hypertension and to examine factors associated with uncontrolled blood pressure in a tertiary-care population. Methods: This cross-sectional observational study included 100 consecutively recruited adults with previously diagnosed hypertension at Government Medical College, Bhadradri Kothagudem, Telangana, India, from February to November 2025. Demographic, clinical, lifestyle, treatment, adherence, follow-up and office blood-pressure data were recorded. Controlled hypertension was defined as office blood pressure <140/90 mm Hg and uncontrolled hypertension as systolic blood pressure ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg. Bivariate associations were summarized with unadjusted odds ratios (ORs) and 95% confidence intervals (CIs), followed by multivariable logistic regression. Results: The mean age was 56.8 ± 11.4 years and 58.0% of participants were men. Uncontrolled hypertension was observed in 62.0% of the cohort. In bivariate analysis, body mass index (BMI) ≥25 kg/m², hypertension duration > five years, diabetes mellitus, high salt intake, physical inactivity, poor medication adherence, and missed follow-up visits were associated with uncontrolled blood pressure. After adjustment, poor medication adherence [adjusted OR (aOR) 6.84, 95% CI 2.02-23.15], BMI ≥25 kg/m² (aOR 3.49, 95% CI 1.11-10.99), physical inactivity (aOR 3.21, 95% CI 1.12-9.18), high salt intake (aOR 2.94, 95% CI 1.05-8.27) and hypertension duration > five years (aOR 2.88, 95% CI 1.02-8.15) remained statistically significant. The wide CIs indicate limited precision. Conclusion: Several behavioural and clinical characteristics were associated with uncontrolled office blood pressure in this tertiary-care sample. Because this was a cross-sectional single-centre study based on a single-visit office assessment, its findings indicate associations rather than causal relationships and should not be extrapolated to the general hypertensive population.

Indexed as

adult hypertensionblood-pressure controlbody mass indexcross-sectional studymedication adherencephysical inactivitysalt intake

Identifiers

PMID42859425
PMCPMC13650643

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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.