%0 Journal Article
%T Prevalence, patterns and factors associated with hypertensive crises in Mulago hospital emergency department; a cross-sectional study
%A Elly
%A Emmy
%A Irene
%A Jane
%A Kaddumukasa
%A Mark
%A Martha & Katabira
%A Nakalema
%A Nakibuuka
%A Okello
%A Sajatovic
%J African Health Sciences
%D 2019
%X Background: Hypertension is increasing in sub-Saharan Africa (SSA) and it¡¯s the single most important modifiable stroke risk factor, yet it¡¯s control is not routinely emphasized. The prevalence, pattern and factors associated with hypertensive urgencies and emergencies in Uganda is not well established. A cross-sectional study, was conducted between November 2015 and February 2016, using a complete clinical examination and pre-tested standardized questionnaire subjects were enrolled. The prevalence of hypertensive crises and associations of demographic and clinical factors determined using logistic regression. Results: The prevalence of hypertensive crises was 5.1%, (203/4000) of all admissions at the medical section of the accident and emergency ward of Mulago National Referral Hospital. The hypertensive urgencies and emergencies accounted for 32.5% and 67.5% respectively among study subjects with hypertension. Among those with hypertensive crises, 41.1% were aged 45-65 years and half were female. Self-reported compliance was significantly different between those with hypertensive crisis compared to non-hypertensive crisis with OR; (95% CI) 52.4; (24.5 ¨C 111.7), p-value =<0.001. Acute stroke was the commonest hypertensive emergency. Conclusion: Hypertensive emergencies are common and significantly associated with poor compliance to prescribed anti-hypertensive drugs. Acute stroke is the commonest presentation in our setting. DOI: https://dx.doi.org/10.4314/ahs.v19i1.52 Cite as: Nakalema I, Kaddumukasa M, Nakibuuka J, Okello E, Sajatovic M, E K. Prevalence, patterns and factors associated with hypertensive crises in Mulago hospital emergency department; a cross-sectional study. Afri Health Sci. 2019;19(1). 1757-1767. https:// dx.doi. org/10.4314/ ahs. v19i1.5
%U http://www.bioline.org.br/abstract?id=hs19051&lang=en