Renal Dysfunction Among Adult Hypertensive Outpatients at Bugando Medical Centre (Record no. 18371)

MARC details
000 -LEADER
fixed length control field 02239nam a22001697a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210820b |||||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Sangare, Anthony
9 (RLIN) 22647
245 ## - TITLE STATEMENT
Title Renal Dysfunction Among Adult Hypertensive Outpatients at Bugando Medical Centre
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences CUHAS - Bugando
Date of publication, distribution, etc. c2013
300 ## - PHYSICAL DESCRIPTION
Extent xii; 41 Pages
Extent Includes References and Appendices
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Background: Hypertension is a known risk factor for the development of renal dysfunction. With the increasing burden of hypertension in our setting especially due to life style modifications, we expect a rise in the development of renal dysfunction. Currently very little is known about the prevalence, pattern and predictors of renal dysfunction among hypertensive patients in our setting.<br/><br/>Methods: This was an analytical cross-sectional study conducted at the Bugando Medical Centre (BMC) outpatient medical clinic from February 2013 to April 2013. The primary end point was the case of renal dysfunction defined by an estimated glomerular filtration rate (eGFR) <90ml/min/1.73m2 (calculated using the Cockroft-Gault equation) and/or the presence of proteinuria (microscopic and /or macroscopic).<br/><br/>Results: The population consisted of slightly more females than males. The majority of the population come from urban areas. The prevalence of renal dysfunction was found to be 53.9%. Older age, female gender, obesity, systolic blood pressure and type of antihypertensive medications were found to be strong predictors for renal dysfunction. <br/><br/>Conclusion and Recommendation: About half of the patients attending the Bugando Medical Centre outpatient medical clinic had renal dysfunction (53.9%). This is slightly higher than what was found in studies which were done previously. We recommend strict blood pressure control, routine measurement of urine for microalbuminuria and the use of angiotensin II receptor blockers and angiotensin II converting enzyme inhibitors for hypertensive patients with protein in their urine.<br/>
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Internal Medicine
9 (RLIN) 15587
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 22760
9 (RLIN) 23057
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type POSTGRADUATE DISSERTATIONS
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