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Study of cases of hypertension admitted at Nepal Medical College Teaching Hospital

Sanjib Dhungel1, Ananta Shrestha, Prabeen Bhattarai

  • 1Department of Medicine, Nepal Medical College Teaching Hospital, Kathmandu, Nepal.

Nepal Medical College Journal : NMCJ
|September 29, 2004
PubMed

Insights

This study of 100 hypertension patients found high rates of diabetes and COPD comorbidities. Most patients had uncontrolled hypertension, indicating a significant public health challenge.

Area of Science:

  • Internal Medicine
  • Cardiology
  • Pulmonology

Background:

  • Hypertension is a prevalent condition with significant associated comorbidities.
  • Understanding the burden of hypertension and its complications in a specific hospital setting is crucial for public health.
  • Nepal Medical College and Teaching Hospital serves a diverse patient population.

Purpose of the Study:

  • To analyze the characteristics of hypertensive patients admitted to a medical ward.
  • To determine the prevalence of comorbidities such as diabetes and Chronic Obstructive Airway Disease (COAD) in hypertensive patients.
  • To assess the control status of hypertension and identify common complications.

Main Methods:

  • A retrospective analysis of 100 hypertensive patients admitted to the medical ward.
  • Data collection on patient demographics, comorbidities, and hypertension-related complications.
  • Evaluation of blood pressure control status.

Main Results:

  • Hypertensive patients constituted 9.4% of total medical ward admissions.
  • Comorbidities were frequent: 32% had diabetes, 22% had Chronic Obstructive Airway Disease (COAD).
  • Only 19% of patients achieved controlled blood pressure; the majority had uncontrolled hypertension.

Conclusions:

  • Hypertension is a common reason for admission, often associated with significant comorbidities like diabetes and COAD.
  • A high proportion of hypertensive patients in this cohort had uncontrolled blood pressure, highlighting a need for improved management strategies.
  • Effective management of hypertension and its complications is essential to reduce patient morbidity.

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