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Hypertension control and co-morbidities in primary health care centers in Riyadh

Abdulmohsin A Al-Tuwijri1, Mohammed Othman Al-Rukban

  • 1Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Annals of Saudi Medicine
|August 3, 2006
PubMed

Insights

Hypertension management in Riyadh primary healthcare centers shows poor blood pressure control. Improving physician knowledge is recommended to enhance care for hypertensive patients.

Area of Science:

  • Cardiology
  • Public Health
  • Internal Medicine

Background:

  • Limited data exists on hypertension prevalence and control in Saudi Arabia.
  • Hypertension is a significant public health concern requiring effective management strategies.

Purpose of the Study:

  • To assess blood pressure control levels.
  • To determine the prevalence of common comorbidities among hypertensive patients.
  • To evaluate hypertension care in Riyadh's primary healthcare (PHC) centers.

Main Methods:

  • A cross-sectional study analyzed 255 hypertensive patients' medical records from Riyadh PHC centers in May-June 2001.
  • Data was collected via a standardized form by trained nurses.
  • Patient records were selected using stratified randomization.

Main Results:

  • Only 40.4% had controlled systolic and 51.6% had controlled diastolic blood pressure.
  • Diabetes mellitus (38.4%) was the most frequent comorbidity, followed by dyslipidemia (19.6%).
  • Overweight/obesity was prevalent (85.7%), with no significant variation in comorbidities based on demographics, except osteoporosis in females.

Conclusions:

  • The study highlights inadequate blood pressure control within PHC mini-clinics.
  • Recommendations include enhancing PHC physician knowledge and attitudes towards achieving target blood pressure levels.
  • Improving care quality for hypertensive patients is crucial.
Abstract

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