How to help patients to control their blood pressure? Blood pressure control and its predictor

• Main Authors: Al-Worafi, Y.M.A (Author), Aziz, N.A (Author), Elgasim, I. (Author), Hassan, Y. (Author), Kassab, Y.W (Author), Ming, L.C (Author), Shaharuddin, S. (Author), Zulkifly, H.H (Author)
• Format: Article
• Language: English
• Published: Archives of Global Professionals 2014
• Subjects: adult; aged; antihypertensive agent; antihypertensive therapy; Article; beta adrenergic receptor blocking agent; blood pressure measurement; Blood pressure monitoring and measurement; blood pressure regulation; Cardiovascular disease; cardiovascular risk; cerebrovascular disease; chronic kidney disease; cohort analysis; comorbidity; congestive heart failure; controlled study; demography; Diabetes complications; diabetes mellitus; diabetic nephropathy; diuretic agent; dyslipidemia; female; follow up; heart left ventricle hypertrophy; hospital admission; hospital discharge; human; hydroxymethylglutaryl coenzyme A reductase inhibitor; hypertension; ischemic heart disease; major clinical study; Malaysia; male; medical record; middle aged; predictor variable; prospective study; public hospital; scientist; social aspect; target organ; tertiary care center; very elderly
• Online Access: View Fulltext in Publisher; View in Scopus

 Introduction: Good blood pressure (BP) control is one of the aims of hypertension disease management. Consistently achieving the targeted BP could reduce patient's risk of developing the complication of hypertension. Materials and Methods: This study is a prospective cohort study aimed to investigate the blood pressure reading among in patients in a public tertiary hospital in northern Malaysia and to determine predictor of good BP control among patients. Patients were followed from their admission day until discharge. Data were collected by the researcher from the medical records. Information collected were BP reading on admission, day 1 and discharge. Other information includes demographic data, social factors, medication name and number, co-morbidities, target organ damage, cardiovascular risk factors. Descriptive analysis was done to determine the characteristic of patients and logistic regression was done to identify factors associated with BP control. Results: A total of 400 patients were followed up from admission till discharge. BP was controlled in 24% on admission and in 54% of patients on discharge. Multivariate analysis on admission revealed that the predictors of BP control were the use of diuretics and statin. Factors identified to be associated with poor BP control were diabetes mellitus, cerebrovascular disease and retinopathy. Multivariate analysis on discharge showed that the predictors of good BP control were diuretics and beta-blockers and the predictors of poor BP control were diabetes, chronic kidney disease, diabetic nephropathy, cerebrovascular disease and number of comorbidity. Conclusion: These results demonstrated that hypertension was poorly controlled among in-patients and that BP control was better on discharge than on admission. Patients with diabetes mellitus, renal disease and cerebrovascular disease were more likely to have poor hypertension control.