Control and Management of Hypertension at a University Health Centre in Oman
Journal Title: Sultan Qaboos University Medical Journal - Year 2008, Vol 8, Issue 2
Abstract
To evaluate the prevalence of hypertension, its control and management at Sultan Qaboos University (SQU) Health Centre, Oman. Methods: Tis was a retrospective cross-sectional study, in which were enrolled all the subjects (≥8 years), with the diagnosis of essential hypertension, who attended the SQU Health Centre between 998 and 2002. Te systolic and diastolic blood pressure (BP) values of the last three visits were used for analysis. BP control was defined using the Joint National Committee (JNC-7) criteria, <40 mmHg and <90 mmHg for systolic and diastolic BPs, respectively. Analyses were performed using univariate statistics. Results: Among the 7,702 medical records reviewed, the prevalence of hypertension was 2.4% (n = 87). Te overall mean age of the cohort was 55± years, 54% (n = 0) were females, and majority of the subjects were Omanis (n = 23; 66%). Te proportion of subjects who had their BP controlled was 4% (n = 77) with Omanis significantly less likely to have their BP controlled compared to non-Omanis (53% versus 35%; p = 0.07). Te majority of the subjects were on mono (n = 3; 70%) followed by dual (n = 50; 27%) anti-hypertensive therapies. Te most frequent mono anti-hypertensive therapies were B-blockers (n = 64; 34%) and angiotensin-converting enzyme (ACE) inhibitors (n = 47; 25%). Among the dual combination therapies, the most common prescribed regimens were ACE inhibitor plus B-blocker (n = 4; 28%) and B-blocker plus diuretic (n = 2; 24%). Conclusion: Te prevalence of hypertension in this patient population was low compared to the national average. Tis study shows that control of hypertension is not optimal, but higher than those reported elsewhere.
Authors and Affiliations
Abdulaziz Almahrezi| Departments of Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman, Ibrahim Al-Zakwani| Departments of Pharmacy, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman, Ayman Al-Aamri| College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman , Samia Al-Khaldi| College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Nisrin Al-Zadjali| College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Mohammed Al-Hatali| College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman, Abdullah Al-Shukeili| College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
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