Document Detail


Clinical profile of hypertension at a University Teaching Hospital in Nigeria.
MedLine Citation:
PMID:  20730067     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Hypertension in Nigeria is a widespread problem of immense social and economic importance because of its high prevalence and the severity of its complications.
AIM: To define the morbidity and mortality pattern of hypertension at the University of Port Harcourt Teaching Hospital (UPTH).
METHOD: Records of all patients admitted to the medical wards of the UPTH over a 5-year period with essential hypertension or any of its complications were retrieved from the ward and medical records and reviewed.
RESULT: A total of 780 hypertensive patients were reviewed, constituting 28.2% of all medical admissions. Only 424 (15.2%) had complete records and were analyzed. Record keeping was poor. There were 173 (41%) males and 251 (59%) females with a male to female ratio of 1:1.5. The ages ranged from 18 years to 100 years with a mean of 56.5 +/- 16.2. Stroke was responsible for 169 (39.9%) hypertensive complications. Heart failure occurred in 97 (22%) cases while renal failure and encephalopathy accounted for 40 (9.4%) and 7 (1.7%) hypertensive complications respectively. There were 99 deaths out of which 51 (51.5%) were due to stroke, 14 (14.12%) were due to heart failure, and 12 (12.1%) were due to renal failure.
CONCLUSION: The contribution of systemic hypertension to the morbidity and mortality of adults at UPTH is quite significant.
Authors:
Arthur C Onwuchekwa; Sunday Chinenye
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Publication Detail:
Type:  Journal Article     Date:  2010-08-09
Journal Detail:
Title:  Vascular health and risk management     Volume:  6     ISSN:  1178-2048     ISO Abbreviation:  Vasc Health Risk Manag     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-23     Completed Date:  2010-12-03     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101273479     Medline TA:  Vasc Health Risk Manag     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  511-6     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria. ac_onwuchekwa@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Female
Heart Failure / etiology
Hospitals, Teaching / statistics & numerical data
Hospitals, University / statistics & numerical data
Humans
Hypertension / complications,  epidemiology*,  mortality
Male
Middle Aged
Nigeria / epidemiology
Renal Insufficiency / etiology
Retrospective Studies
Socioeconomic Factors
Stroke / etiology
Young Adult
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