scholarly journals Period prevalence of hypertension and risk factors in an urban slum of Maharashtra

2019 ◽  
Vol 6 (7) ◽  
pp. 3123
Author(s):  
Ajinkya J. J. Niwal ◽  
Muralidhar P. Tambe ◽  
S. P. Rao ◽  
Malangori A. Parande
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
High Blood Pressure ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Urban Slum ◽  
Behavioral Risk ◽  
Care Hospital ◽  
Hypertensive Patients ◽  
Cooked Food

Background: One in three adults worldwide has high blood pressure and proportion increases with age. Detecting high blood pressure is easy. Hence a study for prevalence of hypertension was conducted in an urban slum of Pune, Maharashtra.Methods: The study was conducted in an urban slum field practice area exclusively under the community medicine department of a tertiary care hospital during the period of February 2014- July 2014. Overall 1043 people fulfilling the inclusion and exclusion criteria were interviewed, and anthropometric measurements were taken, followed by blood pressure readings and awareness of own hypertensive status. Data was compiled, edited, classified, and analyzed. The prevalence of hypertensive patients was obtained and physical and behavioral risk factors were analyzed for association.Results: The prevalence of hypertension in adults above 18 years of age was 25.6% with mean age of hypertensive patients was 48.58±15.75 yrs. Hypertension was significantly associated with age, habit of adding extra salt to cooked food, family history, BMI and consumption of smokeless form of tobacco among the study participants. Hypertension was not significantly associated with gender and religion of the participants. Of the 267 hypertensives, 40.82% were aware of their hypertensive status and amongst those aware 61.46% were on anti-hypertensives.Conclusions: Hypertension is a public health problem affecting slum population as well. It is significantly associated with risk factors, which are modifiable. The awareness of hypertensive status is low, the under treatment is lower. The population in slum, with its poor literacy, low awareness and income levels provides an opportunity to make an intervention necessary as well as challenging.

Awareness of Risk factor and Warning symptoms of Stroke among patients with hypertension at Tertiary care hospital of South India

2021 ◽  
pp. 5769-5774
Author(s):  
K. Sathiya ◽  
P. Vijayasamudeeswari ◽  
R. Poongodi
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Blood Pressure ◽  
Risk Factor ◽  
High Blood Pressure ◽  
Good Knowledge ◽  
Care Hospital ◽  
Poor Knowledge ◽  
Hypertensive Patients ◽  
Structured Questionnaire

Introduction: High blood pressure, also termed as hypertension is a condition that afflicts almost 1 billion people worldwide and is a leading cause of mortality and morbidity. Therefore, this disease is often referred as a “Silent Killer.” In most of the instances, this disease remains asymptomatic until severe to express as one of the following outcomes: stroke, myocardial infarction, renal dysfunction, visual problems and others. Thus, hypertension is affirmed as the major risk factor for stroke, coronary artery disease and myocardial infarction. High blood pressure is one of the most common causes of stroke as it strains blood vessel walls causing them to thicken and deteriorate. Aim: To Assess the awareness of risk factors, symptoms of stroke among hypertensive patients and associate the awareness of risk factors and symptoms stroke with selected variables. Methods: a non-experimental descriptive research design was used in this study. the study was conducted among 300 samples of all the hypertensive patients admitted in Sri Ramachandra hospital and the patients who come for OPD during the study period. Purposive sampling technique is used for the study. The instrument used for this study has 3 components demographic data, self structured questionnaire on risk factors of stroke and self structured questionnaire on symptoms of stroke. Data were collected and analyzed using descriptive and inferential statistics. Findings: With related symptoms severity reveals that majority of the sample 220(73.3%) had poor knowledge and 58(19.3%) had moderate knowledge and 4(1.3%) had good knowledge risk factors Reveals that majority of the sample 156 (52.0%) had poor knowledge and 109(36.3%) had poor knowledge 109 (36.3%) had moderate knowledge and 10(3.3%) had good knowledge. The mean and standard deviation of awareness of risk factors and symptoms of stroke among patient with hypertension was and there was no significant association between any patient with hypertension and selected demographic variables. Conclusion: The study concluded that majority of the samples had poor knowledge on risk factors and symptoms of stoke among hypertensive patients. Here the health care team members need create awareness among public in order reduce the morbidity and mortality rate of stroke.

scholarly journals 398. Risk Factors Associated with Requiring Invasive Mechanical Ventilation in Patients with SARS-CoV-2 Infection: Experience in a Tertiary Care Hospital in Mexico City

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S268-S268
Author(s):  
Brian Ricardo Garibay-Vega ◽  
Paulo F Castañeda-Mendez ◽  
José Luis Castillo-Álvarez ◽  
Armando Barragán-Reyes ◽  
Daniela Bay-Sansores ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Mechanical Ventilation ◽  
High Blood Pressure ◽  
Invasive Mechanical Ventilation ◽  
Tertiary Care ◽  
Care Hospital ◽  
Laboratory Studies ◽  
Obesity Hypertension ◽  
D Dimer

Abstract Background The clinical presentation of SARS-CoV-2 disease ranges from asymptomatic respiratory infection to acute respiratory distress syndrome. Risk factors upon hospital admission associated with the need for invasive mechanical ventilation are not well documented. Methods 185 hospitalized patients with confirmed COVID-19 were enrolled in this study, and they were classified as patients who required invasive mechanical ventilation and patients who did not require it. Comorbidities such as diabetes, high blood pressure, obesity, chronic lung disease and immunodeficiency were recorded. Laboratory studies were requested upon admission such as C-reactive protein, leukocyte and lymphocyte levels, D-dimer, troponin, serum ferritin and procalcitonin. Results Of the patients who entered the study, 65 patients (35%) required invasive mechanical ventilation (IMV), while 120 (65%) did not require advanced airway management. Of the patients with invasive mechanical ventilation, age > 65 years, male sex, obesity (BMI > 30) and high blood pressure were the most frequent characteristics, presenting the latter two in 26% and 27% respectively. Regarding laboratory studies, the parameters most associated with the requirement for mechanical ventilation were a D-dimer (> 1000) and troponin (> 1), with 26% and 18%, respectively. Conclusion This study showed the high proportion of obesity, hypertension and advanced age among patients who required invasive mechanical ventilation associated with SARS-CoV2 infection. The presence of elevated D-dimer and troponin on admission are associated with more severe presentations and a requirement for invasive mechanical ventilation. Disclosures All Authors: No reported disclosures

Analysis and identification of symptoms and risk factors in a cohort of chronic hypertensive patients in a tertiary care hospital in Sri Lanka

2018 ◽  
Vol 41 (5) ◽  
pp. 409-413 ◽  
Author(s):  
Udaya Ralapanawa ◽  
Nuwan Nanayakkara ◽  
Kushalee Poornima Jayawickreme ◽  
Noorika Wickramasurendra ◽  
Sampath Tennakoon
Keyword(s):  
Risk Factors ◽  
Sri Lanka ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Hypertensive Patients

scholarly journals ASSESSMENT OF AWARNESS, KNOWLEDGE AND RISK FACTORS OF CHRONIC KIDNEY DISEASE AMONG DIABETES MELLITUS AND HYPERTENSIVE PATIENTS AT A TERTIARY CARE HOSPITAL

2020 ◽  
pp. 1-3
Author(s):  
K. Jesindha Beyatricks ◽  
Deepa shruthi G ◽  
Fizia Mohammadi ◽  
Feba Thomas ◽  
Omid Reza
Keyword(s):  
Risk Factors ◽  
Positive Attitude ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Negative Attitude ◽  
Good Knowledge ◽  
Care Hospital ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Hypertensive Patients

A prospective cross sectional study on the awareness, knowledge and risk factors of CKD among Diabetic and Hypertensive patients was conducted in the outpatient and inpatient wards of a tertiary care hospital in Bengaluru. A total number of 100 patients were included in the study. The results indicated that, out of 100 patients, 38% was having knowledge and 62% were without knowledge. 43% were having positive attitude and 57% with a negative attitude. It was found that majority of the people were without knowledge, that is 62% and negative attitude 57%. The study revealed that among educated people, 55.55% was having poor knowledge and 44.44% was having good knowledge. Among uneducated people, 64.86 % was having poor knowledge and 35.13 % was having good knowledge. Among 100 participants, 43% has positive attitude and 57% has negative attitude.

scholarly journals PREVALENCE OF HYPERTENSION AND DETERMINATION OF ITS RISK FACTORS IN KORANGRAPADY, UDUPI DISTRICT, COASTAL KARNATAKA, INDIA

2018 ◽  
Vol 11 (6) ◽  
pp. 517
Author(s):  
Steffi Veientlena ◽  
Prabu P
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
High Blood Pressure ◽  
Prevalence Rate ◽  
Public Health Problem ◽  
Binary Logistic Regression ◽  
Developed Countries ◽  
Potential Hazard ◽  
Global Public Health ◽  
Anthropometric Measures

Objective: Hypertension is a global public health problem that estimates about 4.5% of overall disease burden. It is a general health challenge in economically developing and developed countries. High blood pressure prevalence is increased from 11.2% to 28% (p<0.001) and 23–42.2% in rural and urban area according to the study done in Delhi for about 20 years. It is one of the important risk factors of cardiovascular disease, which is associated with morbidity and mortality. The aim was to identify the significant correlates of hypertension in a rural village in south India. Methods: Data were collected through a door-to-door survey among the residents of the village. Data collected was related to demographics and anthropometric measures. Blood pressure was measured with the help of the medical supervisor. Data were analyzed using Chi-square test for comparison between attributes. The potential hazard factor of hypertension was found by performing binary logistic regression model.Result: Of 299 participants considered for the study, 50 were hypertensive contributing to the overall prevalence of 16.72% with 95% confidence interval of 0.1292–0.2137, in which females have the prevalence rate of 17.8% and males with the prevalence rate of 15.5%. The study outcome identified education level, occupation, and family history of hypertension is the predicted risk factors.Conclusion: The high blood pressure prevalence is low and comparable with the studies conducted in other rural regions of India. More studies are, however, required to decide the appropriation and determinants of hypertension in different parts of this region.

scholarly journals Clinical Profile of Stroke Patients Presenting to the Emergency Department of a Major Stroke Centre in Oman

2021 ◽  
Author(s):  
Hasina A. Al Harthi ◽  
Ammar Al Kashmiri ◽  
Lubna M. Zakaryia ◽  
Jawad A. Al-Lawati ◽  
Omar M. Najem ◽  
...  
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Large Artery ◽  
Care Hospital ◽  
Stroke Patients ◽  
Vessel Occlusion ◽  
Number Of Patients

Objectives: Stroke is a significant public health problem and one of the important preventable non-communicable diseases. Preventive stroke programs are yet to be properly established in Oman, with a better focus on increasing awareness among those who are currently at risk. This study was conducted to describe the characteristics of stroke presenting to a tertiary care hospital in Oman. Methods: This was a cross-sectional hospital-based study. Included 193 stroke cases which were prospectively recruited from the Emergency Department of a tertiary-level hospital. Data was collected from November 2017 to April 2018. Results: The total number of patients was 193. 82.9% of strokes were ischemic strokes. 58% were male. The mean age of stroke patients was 61.05 years. Risk factors included hypertension (72.5%) and diabetes mellitus (54.4%). Dyslipidemia, atrial fibrillation and ischemic heart diseases were not particularly prevalent in our population. 24.4% of ischemic strokes had large artery atherosclerosis and 21.9% had small vessel occlusion. Significantly more patients had lower Glasgow Coma Scale (GCS), required ICU admission and had in-hospital deaths in hemorrhagic stroke compared to ischemic stroke. Conclusions: This study provides essential stroke characteristics data specific to Oman’s population. Most of the information obtained conforms with that described internationally and similar preventive strategies can be implemented. The information can be utilized by health administrators in planning resource allocation. Further research is needed to explore rehabilitation aspects and long-term outcomes. Keywords: Stroke; Ischemic; Hemorrhagic; Young Stroke; Risk Factors; Thrombolysis; Epidemiology; Oman.

scholarly journals A study to evaluate risk factors and factors associated with non-adherence to the prescribed treatment among essential hypertensive patients attending tertiary care hospital

2020 ◽  
Vol 7 (9) ◽  
pp. 3623
Author(s):  
Venkat Sunil Bommishetty ◽  
Suresh Keshav Kumbhar
Keyword(s):  
Risk Factors ◽  
Medication Adherence ◽  
Life Style ◽  
Tertiary Care ◽  
Positive Family History ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Factors Associated

Background: Prevalence of hypertension is on rising trend with rise in life style and behavioral changes. It is also a major risk factor for most of the dreadful conditions like coronary artery disease, stroke, etc. Medication adherence would help in reducing the chance of occurrence of such complications. Thus objectives of study are 1) to evaluate the risk factors of hypertension among the diagnosed essential hypertensive patients; and 2) to assess the magnitude and the factors associated with non-adherence to the prescribed treatment.Methods: A hospital based cross-sectional study among 71 participants was conducted, using a pre-structured questionnaire and physical examination to assess risk factors of hypertension and CULIG’s 16 questionnaire medication adherence scale to assess the non-adherence. Data analysed with proportions and Chi square test.Results: Out of 71 participants, 60 (84.5%) were found to be non-adherent to their anti-hypertensive medication and factors like being male (p=0.0055), alcohol consumption (p=0.0485) and paid medication (p=0.0091) were found to be significantly affecting the medication non-adherence. Positive family history, sedentary life style, preference of extra salt and smoking/tobacco products usage were the most common risk factors of essential hypertension observed along with others.Conclusions: The participants who experienced the complications/ill effects of hypertension were more adherent as compared to others. Factors which are responsible for non -adherence need to be addressed and appropriate interventions required to improve adherence by educating the people about its importance in prevention of complications.

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