000			03448nam a22003257a 4500
001			CUHAS/MMED/6000236/T/16
003			CUHAS/MMED/6000236/T/16
005			20240419123133.0
008			210821b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_b P. O Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_b Fax: +255 28 298 3386:
028			_bEmail: vc@bugando.ac.tz :
028			_bwww.bugando.ac.tz
035			_aCUHAS/MMED/6000236/T/16
040			_bEnglish _cddc
041			_aEnglish
100			_aRaymond Mgeja Wilson _d[Male] _922769 _eCUHAS/MMED/6000236/T/16
245			_aPrevalence, Associated Factors and Four Month Outcome of Hypetensive Urgency in Adults Attending Bugando Medical Centre Outpatient Medical Clinic.
260			_aMwanza, Tanzania: _bCatholic University of Health and Allied Sciences [CUHAS - Bugando] : _c2019
300			_a v; 49 Pages
300			_aIncludes Index
520			_aAbstract: INTRODUCTION: Hypertension is increasingly common in sub-Saharan Africa and is among the modifiable risk factor for CVDs that causes morbidity and mortality among hypertensive patients. Data regarding the prevalence of hypertensive urgency, the pattern of established cardiovascular diseases among hypertensive patients seen in sub-Saharan Africa and their outcomes are lacking. This information is needed for improving clinician’s awareness, addressing the risk factors to the community, which will also improve awareness, overall morbidity and mortality among these patients will be reduced. Therefore, there is an essential need to conduct an epidemiological profile on the prevalence, predictors, and outcome of hypertensive urgency in Tanzania. The general objective of this study was to determine the prevalence of hypertensive urgency, the pattern of established cardiovascular diseases, associated factors and the 120-days outcomes for adults with hypertensive urgency attending MOPD at Bugando Medical Centre. METHODOLOGY: A cross-sectional study with a follow-up component was conducted at medical clinics among hypertensive patients who were interviewed through a designed modified WHO STEPS questionnaire. BP measured, a Retinal photograph was taken, and a resting 12 lead electrocardiograms, serum creatinine, FBG/RBG and urine for dipstick were done. Then they were followed for four months after that through a phone call. RESULTS: The prevalence of hypertensive urgency was found to be 150/7600 (2.0%); 29 (19.3%) were admitted or died at four months and 21/29 (72.4%) of them had moderated to poor adherence and baseline (OR 76.2, [14.20-409.12], p <0.001. Higher systolic blood pressure per milliliter was strongly associated with admission or death (OR 1.09, [1.05-1.14], p <0.001, as well as having a flush toilet versus pit latrine (OR 40.0, [2.39-668.66], p-value 0.01. There is a high proportional of established cardiovascular disease among these patients. This is a referral hospital-based study it is unlikely to tell us the actual burden of hypertensive urgency; however it will improve clinician’s awareness and improve on prompt diagnosis and management to decrease morbidity and mortality.
654			_xInternal Medicine
700			_aPeck, Robert _919791
700			_aKalokola, Fredrick _920958
700			_aKidenya, Benson _919763
942			_2ddc _cMP
999			_c18473 _d18473