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Factors of Uncontrolled Blood Pressure in Hypertensive Patients with Chronic Kidney Disease in the City of Boma

Received: 5 August 2021    Accepted: 16 August 2021    Published: 20 January 2022
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Abstract

Hypertension is a public health problem and represents the main factor of cardiovascular morbidity and mortality worldwide. It is the main modifiable risk factor for stroke, heart and kidney disease (CKD). Kidney disease (CKD) is both a common cause and a sequel to uncontrolled hypertension. This article reviews the main factors in the non-control of hypertension in chronic kidney disease. Methods: Cross-sectional and analytical study including 395 patients admitted to the Internal Medicine department of HGR / Boma from January 1, 2018 to January 2019. Socio-demographic, clinical and biological data were studied. A multivariate logistic regression model identified factors associated with hypertension control at the 0.05 threshold. Results: The frequency of uncontrolled hypertension was 38%. Patients < 60 years of age were more common (80%). Male subjects were more affected. The majority of patients had stage 2 kidney disease according to KDIGO (46.8%). The determinants of non-control of arterial hypertension in multivariate analysis: age > 60 years (p < 0,005), tobacco (p < 0,047) of abdominal obesity (p < 0,008) and hypercholesterolemia (p < 0,014). Conclusion: The prevalence of uncontrolled hypertension in patients with chronic kidney disease is high. It is therefore important to take into account the non-control factors in the management of hypertension.

Published in European Journal of Preventive Medicine (Volume 10, Issue 1)
DOI 10.11648/j.ejpm.20221001.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Frequency, Determinants, Controlled Hypertension, MRC, HGR / Boma

References
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Cite This Article
  • APA Style

    Blaise Makoso Nimi, Timothee Mawisa Nkemfuni, Gaston Katomba Zeba, Piroger Phoba Mbadu, Roland Vangu Vangu, et al. (2022). Factors of Uncontrolled Blood Pressure in Hypertensive Patients with Chronic Kidney Disease in the City of Boma. European Journal of Preventive Medicine, 10(1), 1-6. https://doi.org/10.11648/j.ejpm.20221001.11

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    ACS Style

    Blaise Makoso Nimi; Timothee Mawisa Nkemfuni; Gaston Katomba Zeba; Piroger Phoba Mbadu; Roland Vangu Vangu, et al. Factors of Uncontrolled Blood Pressure in Hypertensive Patients with Chronic Kidney Disease in the City of Boma. Eur. J. Prev. Med. 2022, 10(1), 1-6. doi: 10.11648/j.ejpm.20221001.11

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    AMA Style

    Blaise Makoso Nimi, Timothee Mawisa Nkemfuni, Gaston Katomba Zeba, Piroger Phoba Mbadu, Roland Vangu Vangu, et al. Factors of Uncontrolled Blood Pressure in Hypertensive Patients with Chronic Kidney Disease in the City of Boma. Eur J Prev Med. 2022;10(1):1-6. doi: 10.11648/j.ejpm.20221001.11

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  • @article{10.11648/j.ejpm.20221001.11,
      author = {Blaise Makoso Nimi and Timothee Mawisa Nkemfuni and Gaston Katomba Zeba and Piroger Phoba Mbadu and Roland Vangu Vangu and Fabrice Nlandu Thamba and Gédeon Longo Longo and Memoria Makoso Nimi},
      title = {Factors of Uncontrolled Blood Pressure in Hypertensive Patients with Chronic Kidney Disease in the City of Boma},
      journal = {European Journal of Preventive Medicine},
      volume = {10},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ejpm.20221001.11},
      url = {https://doi.org/10.11648/j.ejpm.20221001.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20221001.11},
      abstract = {Hypertension is a public health problem and represents the main factor of cardiovascular morbidity and mortality worldwide. It is the main modifiable risk factor for stroke, heart and kidney disease (CKD). Kidney disease (CKD) is both a common cause and a sequel to uncontrolled hypertension. This article reviews the main factors in the non-control of hypertension in chronic kidney disease. Methods: Cross-sectional and analytical study including 395 patients admitted to the Internal Medicine department of HGR / Boma from January 1, 2018 to January 2019. Socio-demographic, clinical and biological data were studied. A multivariate logistic regression model identified factors associated with hypertension control at the 0.05 threshold. Results: The frequency of uncontrolled hypertension was 38%. Patients  60 years (p < 0,005), tobacco (p < 0,047) of abdominal obesity (p < 0,008) and hypercholesterolemia (p < 0,014). Conclusion: The prevalence of uncontrolled hypertension in patients with chronic kidney disease is high. It is therefore important to take into account the non-control factors in the management of hypertension.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Factors of Uncontrolled Blood Pressure in Hypertensive Patients with Chronic Kidney Disease in the City of Boma
    AU  - Blaise Makoso Nimi
    AU  - Timothee Mawisa Nkemfuni
    AU  - Gaston Katomba Zeba
    AU  - Piroger Phoba Mbadu
    AU  - Roland Vangu Vangu
    AU  - Fabrice Nlandu Thamba
    AU  - Gédeon Longo Longo
    AU  - Memoria Makoso Nimi
    Y1  - 2022/01/20
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ejpm.20221001.11
    DO  - 10.11648/j.ejpm.20221001.11
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 1
    EP  - 6
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20221001.11
    AB  - Hypertension is a public health problem and represents the main factor of cardiovascular morbidity and mortality worldwide. It is the main modifiable risk factor for stroke, heart and kidney disease (CKD). Kidney disease (CKD) is both a common cause and a sequel to uncontrolled hypertension. This article reviews the main factors in the non-control of hypertension in chronic kidney disease. Methods: Cross-sectional and analytical study including 395 patients admitted to the Internal Medicine department of HGR / Boma from January 1, 2018 to January 2019. Socio-demographic, clinical and biological data were studied. A multivariate logistic regression model identified factors associated with hypertension control at the 0.05 threshold. Results: The frequency of uncontrolled hypertension was 38%. Patients  60 years (p < 0,005), tobacco (p < 0,047) of abdominal obesity (p < 0,008) and hypercholesterolemia (p < 0,014). Conclusion: The prevalence of uncontrolled hypertension in patients with chronic kidney disease is high. It is therefore important to take into account the non-control factors in the management of hypertension.
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Anesthesia, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Internal Medicine, University of President Joseph Kasa-Vubu, Boma, Democratic Republic of Congo

  • Department of Internal Medicine, University of President Joseph Kasa-Vubu, Boma, Democratic Republic of Congo

  • Department of Gynecology and Obstetric, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Internal Medicine, University of President Joseph Kasa-Vubu, Boma, Democratic Republic of Congo

  • Department of Internal Medicine, University of President Joseph Kasa-Vubu, Boma, Democratic Republic of Congo

  • Department of Internal Medicine, University of President Joseph Kasa-Vubu, Boma, Democratic Republic of Congo

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