Assessment of the Management of Hypertension among Hypertensive Patients on Follow-up at Cardiac Clinic of Zewditu Memorial Hospital, Addis Ababa, Ethiopia
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Date
2017-06
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Addis Ababa University
Abstract
Hypertension is a major global concern and public health problem affecting more than one billion individuals worldwide. It is the number one risk factor for cardiovascular diseases (CVDs). The main objective of this study was to determine the prescription pattern of antihypertensive medications among patients on follow-up at cardiac clinic of Zewditu Memorial Hospital. The study was based on a cross sectional retrospective study design. Data was collected from the patient chart. Out of the 356 patients studied 204 (57.3%) were females with the mean age of 56.2 ± 12.4 years. Among total study participants, 124 (34.8%) had co-morbid conditions. Majority of the patients were on combination therapy 252(70.8%). Angiotensin converting enzyme inhibitor (ACEI), 215 (60.4%) was the most prescribed drug. BP was controlled in 107(30.1%) of patients. About 140(39.3%) and 134 (37.6%) hypertensive patients were appropriately prescribed according to national guideline 2014 and JNC 8 national guideline respectively. The result of the multivariate analysis showed that there was a positive statistical significant association between inappropriate prescription pattern of antihypertensive medications and age ≥60 years (P=0.01) and uncontrolled BP (P=0.001). In conclusion the general use of antihypertensive medications seemed not to be in accordance with the national guideline.
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Antihypertensive medications