Bachelor of Science

URI for this collectionhttps://rps.wku.edu.et/handle/987654321/112

Browse

Has files: YesSubject: search.filters.subject.hypertensive emergency,

Search Results

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    PREVALENCE OF HYPERTENSIVE CRISIS AND ASSOCIATED FACTORS AMONG HYPERTENSIVES PATIENTS IN GURAGE ZONE SELECTED PUBLIC HOSPITAL, ETHOPIA, A CROSS SECTIONAL STUDY, 2015E.C
    (WOLKITE UNIVERSITY, 2023-08) EYOAS TEHERKU; FIKIRU GIRMA; ATITEGEB ENDAL
    Background: Hypertension is one of the major health problems that can cause significant morbidity and mortality in the world. Since HTN is a silent killer for which the majority of hypertensive patients are unaware of their symptoms. It affects about 1.13 billion world population. 1-2% of this population have hypertensive crisis. Hypertensive crisis is becoming the main health issue in both high and low-income level countries. However, studies are scarce in developing countries such as Ethiopia. Objective of the study: To assess the prevalence of hypertensive crisis and associated factors among hypertensive patients who visit gurage zone public hospitals. Method: An institution-based cross-sectional study design was conduct in gurage zone during data collection period from May1/6/2015 to Jun1/9/2015e.c using structure and pretested questionnaire by reviewing of data and face to face interview. Additionally, weight, height, and blood pressure of participants were measured following standard procedures. Systematic Random sampling technique was used to select a total number of 422 participants. Data was entered in to Epi data version 4.6 and exported to SPSS version 26 for analysis. All variables in the multi-variable logistic analysis were candidate with a bi-variable at p < 0.25. The multi variable logistic regressions was performed to determine the predictors of hypertensive crisis,and the significance level was established with p <0.05.Result: The prevalence of hypertension crisis in gurage zone selected public hospitals was 22.7% (95% CI: 1.73-1.81). Male prevalence of HTN crisis were 12.7% (53) and female prevalence of HTN crisis were 10% (42). The mean (1.74) and range of ages of the participants were 24-80 year. Age categories from 45-65 years olds were high prevalence of HTN crisis; it accounts 9.2% (39). From all respondents 45.7% (193) participants have comorbid among those 107 were males and 86 were females. The highest prevalence of participant comorbid was DM 22.3% (94). Participants who drink alcohol were 56.4% (240) from this percent participant develop HTN crisis were 9.2% (39) (AOR=2.109, 95% CI: 1.303-3.415), participants who have family history were 51.2% (216) from this percent participant develop HTN crisis were 8.5% (36) (AOR=1.649, 95% CI: 1.010-2.693) were significantly associated with hypertensive crisis.ivConclusion: The prevalence of HTN crisis was significant proportion for this study. Hence, hypertensive patients should be strictly managed accordingly, and promoting screening programs could reduce the risk of target organ damage. According to this study although hypertensive crises affects wider range of population age group about 53.1% are those with the age of 45-65. Majority of patients had already existing hypertension and Diabetes mellitus is the most common co morbid. For our study Participant having family history and drinking alcohol were significantly associated with HTN crisis. There for, there is an urgent need to create healthy awareness, frequent healthy screening and implementation of effective interventions targeting on the hypertensive patients
  • Thumbnail Image
    Item
    CLINICAL PROFILE OF PATIENTS WITH HYPERTENSIVE CRISIS IN WOLKITE UNIVERSITY SPECIALIZED TEACHING HOSPITAL ADULT MEDICAL EMERGENCY FROM AUGUST 2021-AUGUST 2022 WOLKITE ETHIOPIA
    (Wolkite University, 2022-08) MUJIB ABRAR; NATNAEL GETU; NEBIL SHAFI
    Background; Hypertension is an Increasing public health problem in many developing countries including Ethiopia. The Joint National Committee (JNC) on Prevention, Detection, Evaluation, and Treatment of high BP Reported that chronic hypertension is affecting over 2.8 billion Individuals worldwide. Uncontrolled hypertension, may lead to hypertensive crises, consisting of hypertensive Urgencies or Emergencies with or without End organ damage respectively. There is a paucity of data on patients in hypertensive crises presenting to emergency departments in southern Ethiopia including the ED of WUSTH. Objective; to assess the clinical profile of patients presented with Hypertensive Crisis to WUSTH medical emergency From August 2021-August 2022Methodology; an institution based retrospective cross-sectional study was conducted by reviewing records with diagnosis of hypertensive crisis with systolic/diastolic BP raised to >180/110 mmHg admitted to WUSTH from August 2021- August 2022. Patient‟s medical records with complete information wereenrolled consecutively. Socio-demographic, clinical character, and other related variables were collected using a structured checklist. Data was cleaned, entered and analyzed using SPSS version 23. The study findings were summarized using mean, median, frequency and proportions and presented by texts, graphs and tables.Result; A total of 215/2629(8.1%) patient medical records were included in the analysis. The majority were males 116(53.41%). The mean age of the entire patients was 56 ± 16.483. 142(60%) of patients have a documented history of hypertension and on antihypertensive drugs. The majority of cases 117/215(54.4%) were hypertensive urgencies. The most common presenting signs and symptoms at admission were headache (n = 61, 28.4%), extremity weakness (48/215, 22.3%) and change in mentation (27/215, 12.5%). RFT, ECG, CXR and brain CT were commonly requested investigations. Nifedipine (94/215) and Captopril (67/215) were the most commonly prescribed oral drugs; Whereas, IV Lasix (10/215) was the most commonly prescribed IV drug for acute BP control. Eight (3.7%) patients died at ED. Almost all hospital mortality was attributed to hypertensive emergencies, stroke accounting for 60% of cases. Conclusion; in our retrospective study of adult patients with hypertensive crisis hypertensive emergency was related with substantial morbidity and mortality. Hence, hypertensive patients should be strictly managed accordingly, and promoting early screening programs could reduce the risk of TOD .Thus this study recommends further researches to be done to determine the etiology, pathophysiology and the most appropriate strategies for prevention and management of hypertensive crisis.