Integrating hypertension services at an HIV clinic in Port‐au‐Prince, Haiti: a report from the field (Record no. 19942)
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fixed length control field | 02994nam a22003617a 4500 |
003 - CONTROL NUMBER IDENTIFIER | |
control field | OSt |
005 - DATE AND TIME OF LATEST TRANSACTION | |
control field | 20240305193746.0 |
007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION | |
fixed length control field | Research Article |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
fixed length control field | 221206b |||||||| |||| 00| 0 eng d |
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
Source | Phone: +255 28 298 3384 |
Source | Fax: +255 28 298 3386 |
Source | Email: vc@bugando.ac.tz |
Source | Website: www.bugando.ac.tz |
040 ## - CATALOGING SOURCE | |
Language of cataloging | English |
Transcribing agency | DLC |
041 ## - LANGUAGE CODE | |
Language code of text/sound track or separate title | English |
100 ## - MAIN ENTRY--PERSONAL NAME | |
Personal name | Kathleen F Walsh |
9 (RLIN) | 45945 |
245 ## - TITLE STATEMENT | |
Title | Integrating hypertension services at an HIV clinic in Port‐au‐Prince, Haiti: a report from the field |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Place of publication, distribution, etc. | Mwanza, Tanzania: |
Name of publisher, distributor, etc. | The Journal of Clinical Hypertension & |
-- | Catholic University of Health and Allied Sciences [CUHAS – Bugando] |
Date of publication, distribution, etc. | 26 September 2018 |
300 ## - PHYSICAL DESCRIPTION | |
Extent | Pages 1485-1492 |
490 ## - SERIES STATEMENT | |
Volume/sequential designation | The Journal of Clinical Hypertension Volume 20 Issue 10 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | <br/>Summary: HIV-positive adults with hypertension have increased risk of mortality but HIV clinics often do not provide hypertension care. The authors integrated hypertension management into existing HIV services at a large clinic in Haiti. Of 1729 documented HIV-positive adults presenting for care at the GHESKIO HIV clinic between March and July 2016, 551 screened positive for hypertension, with systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. A convenience sample of 100 patients from this group received integrated hypertension and HIV care for 6 months. At time of identification, patients were screened for proteinuria and initiated on antihypertensive medication. Hypertension and HIV visits coincided; medications were free. Outcomes were retention in care and change in blood pressure over 6 months. Average blood pressure over 6 months was described using linear mixed-effects model. Of 100 HIV-positive adults with hypertension referred for integrated care, three were ineligible due to comorbidities. Among 97 participants, 82% (N = 80) remained in care at 6 months from time of positive hypertension identification. 96% (N = 93) were on antiretroviral therapy with median CD4+ count of 442 cells/µL (IQR 257-640). Estimated average blood pressure over 6 months decreased from systolic 160 mmHg (CI 156, 165) to 146 mmHg (CI 141, 150), P-value <0.0001, and diastolic 105 mmHg (CI 102, 108) to 93 mmHg (CI 89, 96), P-value <0.0001. HIV and hypertension management were successfully integrated at a HIV clinic in Haiti. Integrated management is essential to combat the growing burden of cardiovascular disease among HIV-positive adults.<br/> |
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9 (RLIN) | 45972 |
9 (RLIN) | 46614 |
9 (RLIN) | 23036 |
9 (RLIN) | 22982 |
9 (RLIN) | 46777 |
9 (RLIN) | 46778 |
9 (RLIN) | 45156 |
9 (RLIN) | 46779 |
9 (RLIN) | 46780 |
856 ## - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href=" https://doi.org/10.1111/jch.13392"> https://doi.org/10.1111/jch.13392</a> |
942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
Source of classification or shelving scheme | ddc |
Koha item type | RESEARCH ARTICLES |
Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Copy number | Price effective from | Koha item type |
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MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 12/06/2022 | RA1150 | 12/06/2022 | RA1150 | 12/06/2022 | RESEARCH ARTICLES |