Prevalence and Associated Factors of Uncontrolled Hypertension among Hypertensive Patients
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Abstract
Objective To determine the prevalence of uncontrolled blood pressure and its associated factors in hypertensive patients. Method This study collected the data of hypertensive patients attending medication refill clinic and general clinic with diagnostic codes I10-I15 the electronic database of a 500 bed general hospital from February 1, 2018 to January 31, 2020. Factors hypothesized to have an association with uncontrolled blood pressure included socio-demographic factors, health and medications factors. Result A total of 7,849 patients participated in the study, with 94 in medication refill clinic and 7,755 in general clinical. The prevalence of uncontrolled blood pressure 79.40%. 73.40% of those in medication refill clinic and 79.5% of those in general clinical could not control their blood pressure. From the data on blood pressure measured from February 1, 2018 to January 31, 2020, four factors were significantly associated with uncontrolled blood pressure. Male, a larger body mass index (BMI), and the higher number of antihypertensive medications were associated with an increased risk of uncontrolled blood pressure. Having cardiovascular disease as comorbidities was associated with a decreased risk of uncontrolled blood pressure. Conclusion: Male patients, those with BMI greater than 18.4 kg/m2, and those receiving more than one antihypertensive medicine should be carefully scrutinized before referring them to medication refill clinic because these groups of patients are at risk of uncontrolled blood pressure.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
References
International Society of Hypertension. Background information on high blood pressure [online]. 2017 [cited Jun 15, 2019]. Available from: ish-world.com/ back ground-information/.
World Health Organization. A global brief on hyper- tension silent killer, global public health crisis. Switzerland: World Health Organization; 2013.
Centers for Disease Control and Prevention. National vital statistics system, mortality 2018-2021 on CDC WONDER online database [online]. 2021 [cited May 21, 2023]. Available from: wonder.cdc.gov/ucd-icd 10-expanded.html.
Division of Non-communicable Diseases. World hypertension day campaign issues 2018 [online]. 2018 [cited Apr 15, 2019]. Available from: www.thai ncd.com › info › non-communicable-disease.
Aekplakorn W, Puckcharern H, Satheannoppakao W. Thai National Health Examination Survey, NHES VI. Bangkok: Aksorn Graphic and Design; 2021.
Sirichayanukul T. Pharmacy and therapeutics com- mittee meeting minutes Phrae hospital. Phrae: Phare Hospital; 2018.
Billups SJ, Delate T, Newlon C, Schwiesow S, Jahnke R, Nadrash A. Outcomes of a pharmacist-managed medication refill program. J Am Pharm Assoc 2013; 53: 505-12. doi: 10.1331/JAPhA.2013.13008.
Sumpanprateep S. Evaluation the effectiveness of “Termya Termsuk” (Fill Pills Fill Happiness) project. Medical Journal 2016; 2: 59 – 68.
Lertsinudom S, Tawinkan N, Hansuri N, Nasatid A. Outcomes of family pharmacist network services in Universal Health Care Coverage. Thai Journal of Pharmacy Practice 2018; 10: 382-91.
Ratanakul W. Refill clinic: Emerging trend in pharmacy practice. Hospital Pharmacy Newsletter 2008; 1: 7.
Strategy and Planning Division, Office of the Perma- nent Secretary, Ministry of Public Health. Data collection and recording standards in healthcare facilities 2007. Bangkok: The War Veterans Organization of Thailand; 2016.
Strategy and Planning Division, Office of the Perma- nent Secretary, Ministry of Public Health. Data quality monitoring and control in the health service system recording information on service users and giving ICD codes. Bangkok: Printing House of Sam Charoen Panich; 2015.
Sakboonyarat B, Rangsin R, Kantiwong A, Mungthin M. Prevalence and associated factors of uncontrolled hypertension among hypertensive patients: a nation-wide survey in Thailand. BMC Res Notes 2019; 12: 380. doi: 10.1186/s13104-019-4417-7.
Roba HS, Beyene AS, Mengesha MM, Ayele BH. Prevalence of hypertension and associated factors in Dire Dawa city, Eastern Ethiopia: A community-based cross-sectional study. Int J Hypertens 2019: 9878437. doi: 10.1155/2019/9878437.
Shen Y, Chang C, Zhang J, Jiang Y, Ni B, Wang Y. Prevalence and risk factors associated with hyper- tension and prehypertension in a working population at high altitude in China: a cross-sectional study. Environ Health Prev Med 2017; 22: 19. doi: 10.1186/ s12199-017-0634-7.
Kitreerawutiwong K, Sanguanwongwijit S, Sanguan wongwijit O, Phongmanee W, Chumee P, Buapra chum A. Actors related to blood pressure control among hypertensive patients in Nongphra Sub-district health promoting hospital, Wangthong District, Phitsanulok Province. Journal of Boromara jonani College of Nursing 2017; 2: 25-35.
Asresahegn H, Tadesse F, Beyene E. Prevalence and associated factors of hypertension among adults in Ethiopia: a community based cross-sectional study. BMC Res Notes 2017; 10: 629. doi: 10.1186/s 13104-017-2966-1
Chitpulkusol P. Factors related to blood pressure controls in patients with hypertension of Thabsakae Hospital. Journal of Health Systems Research 2008; 2: 1336-43.
Ibekwe RU. Modifiable risk factors of hypertension and socio‑demographic profile in Oghara, Delta state; prevalence and correlates. Ann Med Health Sci Res 2015; 5: 71-7. doi: 10.4103/2141-9248.149 793.
Cordero A, Bertomeu-Martinez V, Mazo P, Facila L, Bertomeu-Gonzalez V, Cosin J. Factors associated with uncontrolled hypertension in patients with and without cardiovascular disease. Rev Esp Cardiol 2011; 64: 587–93. doi: 10.1016/j.recesp.2011.03. 008.
Abebe SM, Berhane Y, Worku A, Getachew A. Prevalence and associated factors of hypertension: a crossectional community based study in Northwest Ethiopia. PLoS One 2015; 10: e0125210. doi: 10.13 71/journal.pone.0125210.
Imsombati M. Factors affecting blood pressure in patients with hypertension in Thachang District, Singburi Province. Journal of Health Systems Research 2008; 2: 119-28.
Thai Hypertension Society. Guidelines in the treat- ment of hypertension 2019. Chiang Mai: Trickthink; 2019.
Baray AH, Stanikzai MH, Wafa MH, Akbari K. High prevalence of uncontrolled hypertension among Afghan hypertensive patients: a multicenter cross-sectional study. Integr Blood Press Control. 2023; 16: 23-35. doi: 10.2147/IBPC.S417205.
Aekplakorn W, Sangthong R, Kessomboon P, Putwa tana P, Inthawong R, Taneepanichskul S, et al. National Health Examination Survey IV study group. Changes in prevalence, awareness, treatment and control of hypertension in Thai population, 2004-2009: Thai National Health Examination Survey III-IV. J Hypertens. 2012; 30: 1734-42.
Hnukhum B. Impact of a pharmacist-managed medi- cations refill clinic on quality of hypertensive care [master thesis]. Songkhla: Prince of Songkla Univer- sity; 2003
Nguyen M, Zare M. Impact of a clinical pharmacist-managed medication refill clinic. J Prim Care Community Health 2015; 6: 187-92. doi: 10.1177/21 50131915569068.
Sandberg K, Ji H. Sex differences in primary hyper- tension. Biol Sex Diff. 2012; 3: 7. doi: 10.1186/2042-6410-3-7.
Shariq OA, McKenzie TJ. Obesity-related hyperten- sion: a review of pathophysiology, management, and the role of metabolic surgery. Gland Surg. 2020; 9: 80-93. doi: 10.21037/gs.2019.12.03.
Farhadi F, Aliyari R, Ebrahimi H, Hashemi H, Ema- mian MH, Fotouhi A. Prevalence of uncontrolled hypertension and its associated factors in 50-74 years old Iranian adults: a population-based study. BMC Cardiovasc Disord. 2023; 23: 318. doi: 10.1186 /s12872-023-03357-x.
Sodkomkam N. Factors affecting blood pressure control among patients with primary hypertension, Samutsongkhram province. Journal of Research for Health Improvement and Quality of Life. 2022; 2: 25-36.
Pednekar PP, Ágh T, Malmenäs M, Raval AD, Bennett BM, Borah BJ, et al. Methods for measuring multiple medication adherence: a systematic review-report of the ISPOR medication adherence and persistence special interest group. Value Health 2019; 22: 139-56. doi: 10.1016/j.jval.2018.08.006.
