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Prevalence of uncontrolled hypertension in primary care settings in Al seeb wilayat, oman
Rashid Al-Saadi1, Sulaiman Al-Shukaili, Suleiman Al-Mahrazi
1Ministry of Health, South Batinah Region, Oman;
Insights
Over 60% of Omani hypertensive patients have uncontrolled blood pressure, indicating a need for improved hypertension management and treatment strategies. This study highlights the impact of comorbidities on blood pressure control in Oman.
Area of Science:
- Cardiology
- Public Health
- Internal Medicine
Background:
- Hypertension (HTN) is a significant global health concern.
- Effective management of hypertension is crucial for preventing cardiovascular disease (CVD) and renal complications.
- Understanding the prevalence of uncontrolled HTN and its contributing factors in specific populations is vital for targeted interventions.
Purpose of the Study:
- To determine the prevalence of uncontrolled hypertension among treated Omani patients under primary health care (PHC) in Al Seeb Wilayat.
- To investigate socio-demographic and clinical factors associated with blood pressure (BP) control in this population.
Main Methods:
- A retrospective study was conducted on 411 randomly selected Omani adults with hypertension.
- Data from the last three follow-up visits were analyzed.
- Blood pressure control was assessed using JNC-7 criteria; associations were determined using odds ratios and P values.
Main Results:
- Only 39% of patients achieved adequate BP control.
- Uncontrolled HTN was more prevalent in patients with diabetes (6.4%) and renal disease (18.5%).
- Patients with cardiovascular disease (CVD) showed better control (58%); age and gender had no significant impact.
Conclusions:
- More than 60% of treated hypertensive patients in Oman have inadequate BP control.
- Comorbidities and suboptimal treatment regimens contribute significantly to poor BP control.
- Enhancing the quality of hypertension care and implementing effective strategies are essential to improve BP control rates.
Objectives:
This study aimed to estimate the prevalence of uncontrolled hypertension (HTN) among Omani hypertensive patients, on treatment and under primary health care (PHC) follow-up in Al Seeb Wilayat, Oman. Socio-demographic and clinical factors were explored for possible influence on blood pressure (BP) control.
Methods:
Based on an assumption of 50% prevalence of uncontrolled HTN, a retrospective data collection was conducted on the last three follow-up visits of 411 randomly selected Omani adults (≥18 years) from 3,459 hypertensive patients. Adequate BP control was defined using criteria from 7(th) Report of the Joint National Committee on Prevention Detection Evaluation & Treatment of High Blood Pressure (JNC-7). A P value of <0.05 and odds ratios with 95% confidence interval were used to assess for association.
Results:
The targets for adequate BP control were achieved in 39% of the studied patients (95% confidence interval [CI]: 34-44%). Lower BP control was found among hypertensives with diabetes (6.4%, P = <0.001) and renal disease (18.5%, P = 0.02); those with cardiovascular disease (CVD) showed relatively better control (58%). Age and gender had no impact on BP control. Most patients were only on one (24%) or two (47%) antihypertensive medications, the most frequently used being β-blockers (58.2%) and diuretics (56.3%).
Conclusion:
HTN is not adequately controlled in over 60% of treated patients; the presence of co-morbidity and less than aggressive treatment are significant contributors. Improving the quality of HTN care is a priority; effective efforts should be undertaken to improve BP control.
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