Prof.Azazh, AkliluMelaku, BirhanuGezie, Hailemariam2021-11-092023-11-052021-11-092023-11-052021-06http://etd.aau.edu.et/handle/123456789/28564Background: Hypertension is one of the major health problems that can cause significant morbidity and mortality in the world. It affects about 1.13 billion world population. 1-2% of this population have hypertensive crisis. Hypertensive crisis is becoming the main health issue in countries with low-income level. However, limited studies have been conducted in Ethiopia. The aim of this study is to assess determinants of hypertensive crisis among patients visited adult emergency department of selected public hospitals in Addis Ababa, 2021 Method: Hospital based unmatched case-control study was conducted among 85 cases and 170 controls at adult emergency department of selected public hospitals in Addis Ababa from March 15 to May 15 2021. Patients presented with hypertensive crisis were considered as cases and hypertensives but without hypertensive crisis were considered as controls. Data were collected by trained nurses using structured questionnaire and entered to Epi Data version 4.6 and exported into SPSS version 26 for analysis. Descriptive statistics was done and presented using text, frequency tables, charts and graphs. Binary logistic regression was done and variables with p-value less than 0.25 were eligible for the final model. A multivariable logistic regression was also performed. Finally, statistical significant level was declared at a p-value of less than 0.05. Result: The proportion of participants presented with history of previous HTN was higher among cases than controls (82.4% and 64.1%) respectively and the likelihood ratio of hypertensive crisis was 3.6 times (AOR= 3.621: 95% CI 1.634,8.024,P=0.002) higher among participants with history of previous HTN compared to without history of previous HTN. There was also 4 times increased risk of hypertensive crisis among participants presented with diabetes mellitus than participants presented without it (AOR=4.179: 95% CI 2.064, 8.643, P=0.000). Similarly, participants presented with heart failure had 3 times higher odds (AOR= 3.056: 95% CI 1.516, 6.162, P=0.002) compared to participants without heart failure. Conclusion: This study demonstrated statistically significant association of unemployment, diabetes mellitus, stroke, heart failure, history of previous hypertension, family history of hypertension and regular follow up with hypertensive crisis. The government, health facilities and health care workers should give attention for hypertensive crisis and the associated determinants.en-USHypertension, Hypertensive crisis, Determinants, Public hospitals, Addis AbabaThesis