Determinants of hypertensive crisis among hypertensive patients at adult emergency departments of public hospitals in Addis Ababa, Ethiopia, 2021: a case–control study
Dublin Core
Title
Determinants of hypertensive crisis among hypertensive patients at adult emergency departments of public hospitals in Addis Ababa, Ethiopia, 2021: a case–control study
Subject
Hypertension, Hypertensive crisis, Public hospitals
Description
Background Hypertension (HTN) is a major global health problem that affects approximately 1.13 billion people
worldwide, and 1–2% of this population has hypertensive crisis. Hypertensive crisis is becoming a major health issue
in low-income countries. However, few studies have been conducted in developing countries such as Ethiopia. This
study aimed to assess the determinants of hypertensive crisis among patients visiting adult emergency departments
of public hospitals in Addis Ababa.
Method A hospital-based unmatched case–control study was conducted among 85 cases with a hypertensive crisis
and 170 controls with hypertension without a hypertensive crisis in the adult emergency departments of public hos-
pitals in Addis Ababa from March 15 to May 15, 2021. Data were collected using a structured questionnaire and ana-
lyzed using SPSS version 26. Binary logistic regression and multivariable logistic regression were performed. Finally,
a statistically significant level was declared at a p value of less than 0.05. The result was summarized and presented
in text, tables, and graph.
Result The odds of having hypertensive crisis were 3.6 times (AOR=3.621) higher among participants with a history
of hypertension compared to those without a history of hypertension. There was also 4 times increased risk of hyper-
tensive crisis among participants who presented with diabetes mellitus than participants who presented without it
(AOR=4.179). Similarly, participants who presented with stroke had 7 times higher odds of having hypertensive crisis
(AOR=7.174) than participants without stroke.
Conclusion This study demonstrated a statistically significant association between unemployment, diabetes mellitus,
stroke, heart failure, history of hypertension, family history of hypertension, and regular follow-up with a hypertensive
crisis. The Ethiopian Ministry of Health, Ababa City Administration Health Bureau, and hospitals shall give due atten-
tion to the HTN crisis. Health care workers, hospital managers, and other stakeholders shall work towards the early
detection and management of HTN-crisis to prevent related morbidity, disability, and mortality.
Keywords Hypertension, Hypertensive crisis, Public hospitals
worldwide, and 1–2% of this population has hypertensive crisis. Hypertensive crisis is becoming a major health issue
in low-income countries. However, few studies have been conducted in developing countries such as Ethiopia. This
study aimed to assess the determinants of hypertensive crisis among patients visiting adult emergency departments
of public hospitals in Addis Ababa.
Method A hospital-based unmatched case–control study was conducted among 85 cases with a hypertensive crisis
and 170 controls with hypertension without a hypertensive crisis in the adult emergency departments of public hos-
pitals in Addis Ababa from March 15 to May 15, 2021. Data were collected using a structured questionnaire and ana-
lyzed using SPSS version 26. Binary logistic regression and multivariable logistic regression were performed. Finally,
a statistically significant level was declared at a p value of less than 0.05. The result was summarized and presented
in text, tables, and graph.
Result The odds of having hypertensive crisis were 3.6 times (AOR=3.621) higher among participants with a history
of hypertension compared to those without a history of hypertension. There was also 4 times increased risk of hyper-
tensive crisis among participants who presented with diabetes mellitus than participants who presented without it
(AOR=4.179). Similarly, participants who presented with stroke had 7 times higher odds of having hypertensive crisis
(AOR=7.174) than participants without stroke.
Conclusion This study demonstrated a statistically significant association between unemployment, diabetes mellitus,
stroke, heart failure, history of hypertension, family history of hypertension, and regular follow-up with a hypertensive
crisis. The Ethiopian Ministry of Health, Ababa City Administration Health Bureau, and hospitals shall give due atten-
tion to the HTN crisis. Health care workers, hospital managers, and other stakeholders shall work towards the early
detection and management of HTN-crisis to prevent related morbidity, disability, and mortality.
Keywords Hypertension, Hypertensive crisis, Public hospitals
Creator
Hailemariam Gezie1*, Aklilu Azazh2
, Birhanu Melaku2 and Habtam Gelaye3
, Birhanu Melaku2 and Habtam Gelaye3
Source
https://doi.org/10.1186/s12245-023-00549-2
Date
2023
Contributor
Peri Irawan
Format
pdf
Language
englsih
Type
text
Files
Collection
Citation
Hailemariam Gezie1*, Aklilu Azazh2
, Birhanu Melaku2 and Habtam Gelaye3, “Determinants of hypertensive crisis among hypertensive patients at adult emergency departments of public hospitals in Addis Ababa, Ethiopia, 2021: a case–control study,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12213.