Cardiovascular Disease Risk Factors in Hypertensive Patients: A Case Study of Jimma University Medical Center.

IF 1.5 Q3 HEALTH POLICY & SERVICES

Health Services Research and Managerial Epidemiology Pub Date : 2022-02-14 eCollection Date: 2022-01-01 DOI:10.1177/23333928221078601

Habtamu Ayele, Akalu Banbeta, Abiyot Negash

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引用次数: 1

Abstract

Background: Cardiovascular diseases are a group of disorders of the heart and blood vessels. Globally an estimated 17.9 million people died from cardiovascular diseases, which covers 31% of all global deaths, and the three quarters taking place in developing countries. Hypertension is the major cause of cardiovascular diseases. Its influence is high with other risk factors. This study aimed to determine the major risk factors of cardiovascular disease among hypertensive patients at Jimma University Medical Center.

Methods: Using December to January 2017 hypertension-related report of Jimma University Medical Center (JUMC), a retrospective cohort study type was conducted on purposively selected 343 patients. Three nurses from JUMC participated in the data collection, and the data were fitted using the Cox-Proportional Hazard (Cox-PH) model.

Results: About 138 (40.23%) patients were experienced cardiovascular disease at 28 months median time. From the Cox-PH model, the hazard ratio and 95% CI of age (HR = 1.0495, 95% CI: 1.0250-1.0747), urban (HR = 2.1225, 95% CI: 1.3813-3.2613), diabetes mellitus (HR = 1.702, 95% CI: 1.0082-2.8731), proteinuria (HR = 1.8749, 95% CI: 1.2675-2.7734), two drug users (HR = 0.2533, 95% CI: 0.1376-0.4662), systolic blood pressure (HR = 1.0343, 95% CI: 1.0147-1.0542) and pulse rate (HR = 1.0111, 95% CI: 0.9933-1.0293).

Conclusion: The presence of proteinuria, diabetes mellitus, and being an urban resident had a great impact on the cardiovascular diseases of hypertensive patients.

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高血压患者心血管疾病危险因素:以吉马岛大学医学中心为例。

背景:心血管疾病是一组心脏和血管的疾病。全球估计有1790万人死于心血管疾病，占全球总死亡人数的31%，其中四分之三发生在发展中国家。高血压是引起心血管疾病的主要原因。它的影响与其他风险因素一起很高。本研究旨在探讨吉马大学医学中心高血压患者发生心血管疾病的主要危险因素。方法:利用吉马岛大学医学中心(JUMC) 2017年12月至1月高血压相关报告，采用回顾性队列研究型，有目的选择343例患者。JUMC的3名护士参与数据收集，数据采用Cox-Proportional Hazard (Cox-PH)模型进行拟合。结果:138例(40.23%)患者在中位时间28个月时发生心血管疾病。从Cox-PH模型,年龄的危险比和95%可信区间(HR = 1.0495, 95% CI: 1.0250—-1.0747),城市(HR = 2.1225, 95% CI: 1.3813—-3.2613)、糖尿病(HR = 1.702, 95% CI: 1.0082—-2.8731),蛋白尿(HR = 1.8749, 95% CI: 1.2675—-2.7734),两个吸毒者(HR = 0.2533, 95% CI: 0.1376—-0.4662),收缩压(HR = 1.0343, 95% CI: 1.0147—-1.0542)和脉冲重复频率(HR = 1.0111, 95% CI: 0.9933—-1.0293)。结论:蛋白尿、糖尿病、城市居住对高血压患者心血管疾病有重要影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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