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Indexing
Chairman NMA
Dr Umar Muhammad Muktar
Chairman NMA Sokoto
Abstract
| Volume 10 Number 3 - 4 July - December 2022 |
| Chika Animu, Isezuo SA, Etuk EU, Bello SO |
| Purpose: This study is aimed at comparing blood pressure control (BP) of hypertensive patients managed in a tertiary health center and that of their counterparts in secondary health institutions. Methods: One hundred and fourteen outpatients managed for hypertension in a tertiary hospital and 146 patients visiting 2 secondary health care institutions were selected by simple random sampling during their clinic visits. Information such as demographic data, baseline blood pressure, comorbidities and antihypertensive treatment were obtained from case notes. Anthropometric parameters including heights, weights and blood pressures at last clinic visit were measured. BP<140/mmHg was regarded as controlled. Results: Patients managed in the 2 levels of health care were not significantly different in age, Body mass index and baseline BPs. Higher rate of blood pressure control and adherence were found in tertiary than Secondary hospitals (14.7% versus 21.9%, P<0.0001 and 60.5% versus 41.8%, P<0.005), But the variation in the rate of blood pressure control was persistent even among adherent Patients (P<0.01).Stepping down therapy of patients with adequate BP control was Practiced more in the secondary care hospitals (38.7.7%, P=0.001) and such practice was found to be independently associated with poor BP control. Conclusion: Hypertensive patients in hospitals providing generalized care had worse BP control rate and were more likely to experience a step down in therapy after achieving BP control. There is need for continuing education of generalist officers involved in the management of hypertension. |
| 10.47837/cmj.19770126.nma.201311131 |
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