Clinical profile of hypertension at a University Teaching Hospital in Nigeria

Onwuchekwa, Arthur; Chinenye, S

doi:10.2147/vhrm.s10245

Cited by 18 publications

(25 citation statements)

References 21 publications

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“…The prevalence of high BP in this study was 47%, this is slightly higher than the 42.2% observed among a market population in Enugu in 2006 12 , but obviously very much higher than the 18.4% and 28.2% reported from facility based studies of the prevalence of hypertension among medical admissions at UNTH, Enugu 13 , and UPTH Port Harcourt 14 respectively. Even in a semi-urban community in South -Western zone of the country 15 , a lower prevalence (36.6%) was observed.…”

Section: Prevalence Of High Bpcontrasting

confidence: 74%

High blood pressure in a semi-urban community in south-south Nigeria: a community - based study

Us¹,

Dc²,

CD³

2013

Af Hlth Sci

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Background: Non communicable diseases (NCDs) are taking their toll in most low and middle income countries; incidentally, in the same populations that are struggling to deal with communicable diseases, hence presenting a picture of "double tragedy". Most of the researches conducted on NCDs are facility-based; often in urban locations. Objective: To determine the prevalence of high BP in a semi-urban community in Nigeria. Methods: It was a cross-sectional study, where all the adult residents of the community were enrolled. Data was collected using a multi-section questionnaire, including anthropometric measurements. Data entry and analysis was done using SPSS 17.0 for windows and STATA 10. Results: The results showed that 47.0% of the study population had a raised BP >140/90mmHg. At a univariate level, age, sex, higher income, more people in the household, daily cigarette smoking, daily alcohol intake and BMI, showed increased risk for high BP. However, sleeping for at least 8 hours a day showed protective influence against raised BP among the participants. In the adjusted model, only age, sex and BMI remained statistically significant with Odds Ratio (OR) of 1.04 (95%CI; 1.00, 1.08), 0.45 (95%CI; 0.22, 0.90) and 1.08(95%CI; 1.03, 1.13) respectively. The model had an area under curve of 71.9%, Conclusion: It was concluded that there is a high prevalence of raised BP in this semi-urban community, thus the need for intervention and preventive services to curb the looming epidemic of hypertension in this community in particular, and Nigeria as a whole, cannot be overemphasized.

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Section: Prevalence Of High Bpcontrasting

confidence: 74%

High blood pressure in a semi-urban community in south-south Nigeria: a community - based study

Us¹,

Dc²,

CD³

2013

Af Hlth Sci

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“…"Heart failure occurred in 97 (22%) cases while renal failure and encephalopathy accounted for 40 (9.4%) and 7 (1.7%) hypertensive complications, respectively. There were 99 deaths out of which 51 (51.5%) were due to stroke, 14 (14.12%) were due to heart failure, and 12 (12.1%) were due to renal failure" [125] . During the same period, 191 of the hypertension [125] .…”

Section: Hypertension Related Admissions In Nigeriamentioning

confidence: 99%

“…There were 99 deaths out of which 51 (51.5%) were due to stroke, 14 (14.12%) were due to heart failure, and 12 (12.1%) were due to renal failure" [125] . During the same period, 191 of the hypertension [125] . High blood pressure also contributed to the burden of adult medical admissions in Uyo (Southern Nigeria): hypertension related heart failure, stroke or severe uncontrolled hypertension.…”

Section: Hypertension Related Admissions In Nigeriamentioning

confidence: 99%

Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review

Ogah¹,

Okpechi²,

Chukwuonye³

et al. 2012

WJC

217

232

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To review studies on hypertension in Nigeria over the past five decades in terms of prevalence, awareness and treatment and complications. Following our search on Pubmed, African Journals Online and the World Health Organization Global cardiovascular infobase, 1060 related references were identified out of which 43 were found to be relevant for this review. The overall prevalence of hypertension in Nigeria ranges from 8%-46.4% depending on the study target population, type of measurement and cut-off value used for defining hypertension. The prevalence is similar in men and women (7.9%-50.2% vs 3.5%-68.8%, respectively) and in the urban (8.1%-42.0%) and rural setting (13.5%-46.4%). The pooled prevalence increased from 8.6% from the only study during the period from 1970-1979 to 22.5% (2000-2011). Awareness, treatment and control of hypertension were generally low with attendant high burden of hypertension related complications. In order to improve outcomes of cardiovascular disease in Africans, public health education to improve awareness of hypertension is required. Further epidemiological studies on hypertension are required to adequately understand and characterize the impact of hypertension in society.

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“…[6] Furthermore, Onwuchekwa et al reported that among admitted hypertensives, stroke was responsible for 39.9%, HF for 22% and RF for 9.4% of hypertensive complications, while 51.5% of deaths were due to stroke, 14.1% due to HF, and 12.1% due to RF. [7] The above-mentioned studies were single centre based and of modest sizes; hence not representative. [5][6][7] It is therefore clear that comprehensive information is needed on the burden of morbidities, clinical characteristics and mortality related to systemic hypertension in a multicentre study, which can fill the knowledge gaps on hypertension in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

“…[7] The above-mentioned studies were single centre based and of modest sizes; hence not representative. [5][6][7] It is therefore clear that comprehensive information is needed on the burden of morbidities, clinical characteristics and mortality related to systemic hypertension in a multicentre study, which can fill the knowledge gaps on hypertension in Nigeria. The present study therefore aimed to systematically assess the cardiovascular and other co-morbidities and in-hospital outcomes among hypertensives admitted to Teaching Hospitals in three large metropolitan cities within two geographic zones in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Mortality and Co-morbidities Among Hospitalised Hypertensives in Nigeria

Karaye

Akintunde²,

Olusegun‐Joseph³

et al. 2017

ICFJ

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Background: The present study therefore aimed to systematically assess the co-morbidities and in-hospital outcomes among hypertensives admitted to 3 Teaching Hospitals in Nigeria.Methods: Medical records of all subjects admitted to the medical wards of the study centres with an established diagnosis of hypertension in 2013 were reviewed.Results: 288 hypertensive patients were consecutively admitted in the medical wards of the 3 centres in 2013, of whom 146 (59.8%) were males. 88.4% of males and 87.8% of females had 1 or more co-morbidities at admission, and the commonest among all patients was heart failure (HF) followed by stroke/transient ischemic attack (TIA), in 76 (31.2%) and 69 (28.3%) patients respectively. The most frequent co-morbidity among males was HF in 34.3% of them, while stroke/TIA was more common among female patients, in 34.7% of them. Non-cardiovascular co-morbidities were uncommon, and the most frequent was community acquired pneumonia in 7.4% of all patients. 7.8% of all patients (13 males and 6 females; p=0.427) died in-hospital. The deceased had higher Systolic Blood Pressure than the survivors, and majority of them (52.6%) were not on any antihypertensive medications at admission, which was the only predictor of mortality in the present study, increasing its odds by 7.5 fold (odds ratio=7.5; 95%confidence interval=2.8-20.0; p<0.001).Conclusion: The most frequent co-morbidity among males was HF while stroke and TIA were most common among female patients. The prevalence of in-hospital mortality was relatively low, and not being on antihypertensive treatment at admission increased its odds by 7.5 fold.

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Clinical profile of hypertension at a University Teaching Hospital in Nigeria

Cited by 18 publications

References 21 publications

High blood pressure in a semi-urban community in south-south Nigeria: a community - based study

High blood pressure in a semi-urban community in south-south Nigeria: a community - based study

Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review

Mortality and Co-morbidities Among Hospitalised Hypertensives in Nigeria

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