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Prevalence, patterns and factors associated with hypertensive crises in Mulago hospital emergency department; a cross-sectional study.
Afr Health Sci. 2019 Mar; 19(1):1757-1767.AH

Abstract

BACKGROUND

Hypertension is increasing in sub-Saharan Africa (SSA) and it's the single most important modifiable stroke risk factor, yet it's control is not routinely emphasized.The prevalence, pattern and factors associated with hypertensive urgencies and emergencies in Uganda is not well established. A cross-sectional study, was conducted between November 2015 and February 2016, using a complete clinical examination and pre-tested standardized questionnaire subjects were enrolled. The prevalence of hypertensive crises and associations of demographic and clinical factors determined using logistic regression.

RESULTS

The prevalence of hypertensive crises was 5.1%, (203/4000) of all admissions at the medical section of the accident and emergency ward of Mulago National Referral Hospital. The hypertensive urgencies and emergencies accounted for 32.5% and 67.5% respectively among study subjects with hypertension. Among those with hypertensive crises, 41.1% were aged 45-65 years and half were female. Self-reported compliance was significantly different between those with hypertensive crisis compared to non-hypertensive crisis with OR; (95% CI) 52.4; (24.5 - 111.7), p-value =<0.001. Acute stroke was the commonest hypertensive emergency.

CONCLUSION

Hypertensive emergencies are common and significantly associated with poor compliance to prescribed anti-hypertensive drugs. Acute stroke is the commonest presentation in our setting.

Authors+Show Affiliations

Department of Medicine, College of Health Sciences Makerere University, P. O. Box 7072 Kampala, Uganda.Department of Medicine, College of Health Sciences Makerere University, P. O. Box 7072 Kampala, Uganda.Mulago National Referral and Teaching Hospital, P.O Box 7051 Kampala, Uganda.Uganda Heart Institute, Mulago National Referral and Teaching Hospital, P. O. Box 7051 Kampala, Uganda.Neurological and Behavioral Outcome Center, University Hospitals, Case Western Reserve University.Department of Medicine, College of Health Sciences Makerere University, P. O. Box 7072 Kampala, Uganda.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31149006

Citation

Nakalema, Irene, et al. "Prevalence, Patterns and Factors Associated With Hypertensive Crises in Mulago Hospital Emergency Department; a Cross-sectional Study." African Health Sciences, vol. 19, no. 1, 2019, pp. 1757-1767.
Nakalema I, Kaddumukasa M, Nakibuuka J, et al. Prevalence, patterns and factors associated with hypertensive crises in Mulago hospital emergency department; a cross-sectional study. Afr Health Sci. 2019;19(1):1757-1767.
Nakalema, I., Kaddumukasa, M., Nakibuuka, J., Okello, E., Sajatovic, M., & Katabira, E. (2019). Prevalence, patterns and factors associated with hypertensive crises in Mulago hospital emergency department; a cross-sectional study. African Health Sciences, 19(1), 1757-1767. https://doi.org/10.4314/ahs.v19i1.52
Nakalema I, et al. Prevalence, Patterns and Factors Associated With Hypertensive Crises in Mulago Hospital Emergency Department; a Cross-sectional Study. Afr Health Sci. 2019;19(1):1757-1767. PubMed PMID: 31149006.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence, patterns and factors associated with hypertensive crises in Mulago hospital emergency department; a cross-sectional study. AU - Nakalema,Irene, AU - Kaddumukasa,Mark, AU - Nakibuuka,Jane, AU - Okello,Emmy, AU - Sajatovic,Martha, AU - Katabira,Elly, PY - 2019/6/1/entrez PY - 2019/6/1/pubmed PY - 2019/12/18/medline KW - Hypertensive crises KW - factors associated KW - prevalence SP - 1757 EP - 1767 JF - African health sciences JO - Afr Health Sci VL - 19 IS - 1 N2 - BACKGROUND: Hypertension is increasing in sub-Saharan Africa (SSA) and it's the single most important modifiable stroke risk factor, yet it's control is not routinely emphasized.The prevalence, pattern and factors associated with hypertensive urgencies and emergencies in Uganda is not well established. A cross-sectional study, was conducted between November 2015 and February 2016, using a complete clinical examination and pre-tested standardized questionnaire subjects were enrolled. The prevalence of hypertensive crises and associations of demographic and clinical factors determined using logistic regression. RESULTS: The prevalence of hypertensive crises was 5.1%, (203/4000) of all admissions at the medical section of the accident and emergency ward of Mulago National Referral Hospital. The hypertensive urgencies and emergencies accounted for 32.5% and 67.5% respectively among study subjects with hypertension. Among those with hypertensive crises, 41.1% were aged 45-65 years and half were female. Self-reported compliance was significantly different between those with hypertensive crisis compared to non-hypertensive crisis with OR; (95% CI) 52.4; (24.5 - 111.7), p-value =<0.001. Acute stroke was the commonest hypertensive emergency. CONCLUSION: Hypertensive emergencies are common and significantly associated with poor compliance to prescribed anti-hypertensive drugs. Acute stroke is the commonest presentation in our setting. SN - 1729-0503 UR - https://www.unboundmedicine.com/medline/citation/31149006/Prevalence_patterns_and_factors_associated_with_hypertensive_crises_in_Mulago_hospital_emergency_department DB - PRIME DP - Unbound Medicine ER -