000			02994nam a22003617a 4500
003			OSt
005			20240305193746.0
007			Research Article
008			221206b |||||||| |||| 00| 0 eng d
028			_bPhone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_bEnglish _cDLC
041			_aEnglish
100			_aKathleen F Walsh _945945
245			_aIntegrating hypertension services at an HIV clinic in Port‐au‐Prince, Haiti: a report from the field
260			_aMwanza, Tanzania: _bThe Journal of Clinical Hypertension & _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] _c26 September 2018
300			_aPages 1485-1492
490			_vThe Journal of Clinical Hypertension Volume 20 Issue 10
520			_a 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.
700			_a Margaret McNairy _945972
700			_a Jean William Pape _946614
700			_aDaniel W Fitzgerald _923036
700			_aRobert N Peck _922982
700			_a Myrlene Gustin _946777
700			_a Junon Joseph _946778
700			_a Myung Hee Lee _945156
700			_aShoria Martelly _946779
700			_aMarie Melissa Pierre _946780
856			_u https://doi.org/10.1111/jch.13392
942			_2ddc _cVM
999			_c19942 _d19942