Prevalence of uncontrolled hypertension in primary care settings in Al Seeb Wilayat, Oman

Rashid Al-Saadi, Sulaiman Al-Shukaili, Suleiman Al-Mahrazi, Zakiya Al-Busaidi

Research output: Contribution to journalArticle

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Abstract

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.

Original languageEnglish
Pages (from-to)349-356
Number of pages8
JournalSultan Qaboos University Medical Journal
Volume11
Issue number3
Publication statusPublished - Aug 2011

Fingerprint

Oman
Primary Health Care
Blood Pressure
Hypertension
Confidence Intervals
Quality of Health Care
Diuretics
Antihypertensive Agents
Cardiovascular Diseases
Therapeutics
Odds Ratio
Demography
Morbidity
Kidney

Keywords

  • Hypertension
  • Oman
  • Primary care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Prevalence of uncontrolled hypertension in primary care settings in Al Seeb Wilayat, Oman. / Al-Saadi, Rashid; Al-Shukaili, Sulaiman; Al-Mahrazi, Suleiman; Al-Busaidi, Zakiya.

In: Sultan Qaboos University Medical Journal, Vol. 11, No. 3, 08.2011, p. 349-356.

Research output: Contribution to journalArticle

Al-Saadi, Rashid ; Al-Shukaili, Sulaiman ; Al-Mahrazi, Suleiman ; Al-Busaidi, Zakiya. / Prevalence of uncontrolled hypertension in primary care settings in Al Seeb Wilayat, Oman. In: Sultan Qaboos University Medical Journal. 2011 ; Vol. 11, No. 3. pp. 349-356.
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