Background: Heart and urological health are closely linked in many ways and in some ways, researchers don’t even fully understand yet. Many heart conditions are tied to some urological diseases. Low blood pressure, obesity, diabetes, high cholesterol and heart diseases tends to correlate with common urological issues such as overactive bladder, incontinence, kidney stones as well as cancers of kidney, bladder and prostate. Determination of the risk for developing cardiovascular diseases among patients attending urology clinic at Bugando medical centre is crucial in guiding management and primary prevention tailor made for these patients to present complications.
Objective: To assess and quantify the risk for developing cardio-vascular disease among patients attending urology clinic at Bugando medical centre Teaching and Consultant Hospital.
Methods: A cross sectional hospital-based study among 380 male patients above 30 years of age. A convenient sampling was carried out among patients attending clinic 1st time without prior history of CVD until a required sample size was obtained. Collected data were analysed by SPSS version 13. Univariate and multi-variate analysis were conducted to determine risk for developing cardiovascular disease (CVD) among patients attending urology clinic at Bugando medical centre. Cardiovascular scoring risk was computed via Jakarta Cardiovascular Score and regional AFRIE WHO’S score (Without / with cholesterol) respectively.
Results: Among the study participants 42% were hypertensive. 77.1% had hyperlipidemia were as 20% were obese and 63% were overweight. 53.7% didn’t perform in any form of physical activities, 30.3% had end stage kidney disease with glomerular filtration less than 15ml/min/1.73m2 Jakarta Cardiovascular score performed best as it could identify the highest number of patients (71.1%) to be at high CVD risk while region WHO score AFRIE with cholesterol performed intermediate followed by region WHO AFRIE without cholesterol performed worst (only 56.9% and 3.1%) patients respectively were stratified into high CVD risk. A slight agreement was shown between Jakarta Cardiovascular score and regional AFRIE score cholesterol incorporated by k value of 0.227 (95% CI 1.26-2.45). 53% reported living a sedentary life. 62% had a very high cholesterol.
Conclusion: Majority of the study participants were at high risk for attaining fatal or non-fatal cardiovascular accidents in ten-year time. Therefore, proper screening for health risk i.e. regular pressure monitoring, cholesterol measurement should be done routinely and regularly among elderly male patients attending urology clinic at Bugando medical centre (BMC). Also an advice on proactive lifestyle involvement should be incorporated as majority of the study participants are living sedentary life hence reducing modifiable risk factors for cardiovascular (CVD) accidents.
Keywords: Bugando medical centre, Cardiovascular, Diseases, Adult Mortality Project, Urology, Accidents.
Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tz