FREQUENCY, DISTRIBUTION AND DETERMINANTS OF HYPERTENSION IN ADULT STROKE POPULATION OF D.I.KHAN DIVISION, PAKISTAN

Nazafatul Ain; Saira Khan; Muhammad Marwat; Nisar Khan; Iftikhar Ahmad; Farhana Ramzan; Wajeeha Akhtar; Hadia Fakhar; Yabqa Jehan; Azalfa Zeb; Maimoona Kundi; Saima Bibi; Musarat Fatima; Amna Raza

doi:10.46903/gjms/17.03.2076

FREQUENCY, DISTRIBUTION AND DETERMINANTS OF HYPERTENSION IN ADULT STROKE POPULATION OF D.I.KHAN DIVISION, PAKISTAN

Nazafatul Ain, Saira Khan, Muhammad Marwat, Nisar Khan, Iftikhar Ahmad, Farhana Ramzan, Wajeeha Akhtar, Hadia Fakhar, Yabqa Jehan, Azalfa Zeb, Maimoona Kundi, Saima Bibi, Musarat Fatima, Amna Raza

Abstract

Background: Global Health Estimates 2015 has shown the stroke as second leading global cause of death and 3rd leading global cause for DALYs for year 2015. The objectives of this study were to determine the frequency, distribution and determinants of hypertension in adult stroke population of D.I.Khan Division, Pakistan.

Materials & Methods: This cross-sectional study was conducted in Department of Community Medicine, Gomal Medical College, D.I.Khan, Pakistan from February 1, 2017 to April 30, 2017. A sample 217 was selected with margin of error 5.59%, 90%CL and 50% prevalence of hypertension in 200,000 adults at risk of stroke population through consecutive sampling. All indoor adult patients of stroke were eligible. Sex, age groups, and residence and presence of hypertension were variables. Frequency and distribution of hypertension were analyzed by count and percentage. Hypotheses for distribution were substantiated by chi-square goodness-of-fit and of association by chi-square test of association.

Results: Out of 217 patients with stroke, 123 (56.7%) were men and 94 (43.3%) were women, 86 (39.6%) were≤60 years and 131 (60.4%) were>60 years, and 105 (48.4%) were urban and 112 (51.6%) were rural. Frequency of hypertension was 132/217 (60.83%). Out of 132 patients with hypertension, men were 74 (34.10%), women 58 (26.73%), age group≤60 years 46 (21.20%), >60 years 86 (39.63%), urban 72 (33.18%) and rural 60 (27.65%). Presence of hypertension was associated to residence (p=.023) but not to sex (p=.817) and age groups (p=.072).

Conclusion: Frequency of hypertension in adult stroke population of D.I.Khan Division, Pakistan was found to be similar as expected. Frequency was more in men, in older age group (of>60years) and in urban population. The presence of hypertension in adult stroke population of D.I.Khan Division was associated to residence but not to sex and age groups.

Keywords

Stroke; Hypertension; Adult; Men: Women; Global Health; Pakistan; Urban Population; Chi-square Test.

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References

Kalache A, Aboderin I. Stroke: the global burden. Health Policy Plan [serial online] 1995 Mar [cited 2017 May 22];10(1):1-21. https://doi.org/10.1093/heapol/10.1.1

Feigin VL, Krishnamurthi RV, Parmar P, Norrving B, Mensah GA, Bennett DA, et al. Update on the global burden of ischemic and hemorrhagic stroke in 1990-2013: the GBD 2013 study. Neuroepidemiology [serial online] 2015 Oct 28 [cited 2017 May 23]; 45(3):161-76. https://doi.org/10.1159/000441085

Global Health Estimates 2015: Deaths by cause, age, sex, by country and by region, 2000-2015. Geneva, World Health Organization 2016 [cited 2017 May 22]. Available from: http://www.who.int/healthinfo/global_burden_disease/estimates/en/index1.html

Global Health Estimates 2015: Disease burden by cause, age, sex, by country and by region, 2000-2015. Geneva, World Health Organization 2016 [cited 2017 May 22]. Available from:http://www.who.int/healthinfo/global_burden_disease/estimates/en/index2.html

Pakistan Stroke Society. Information about stroke: How many stroke patients are there in Pakistan? Pakistan Stroke Society. Available at: http://www.pakstroke.com/

Kearney PM, Whelton M, Reynolds K, et al. Global burden of hypertension: analysis of worldwide data. Lancet 2005;365(9455):217-23. https://doi.org/10.1016/S0140-6736(05)17741-1

NHSP. Pakistan Medical Research Council, Pakistan National Health Survey 1990-1994. Pakistan Medical Research Council publication ISBN 969-499-000. Islamabad, Pakistan 1990-1994.

Shah N, Shah Q, Shah AJ. The burden and high prevalence of hypertension in Pakistani adolescents: a meta-analysis of the published studies. Archives Public Health 2018;76:20. https://doi.org/10.1186/s13690-018-0265-5

WHO. Global Health Observatory (GHO) data. Raised blood pressure: situation and trends [Internet]. World Health Organization; Geneva 2017. [cited 2017 May 17]. Available from. http://who.int/gho/ncd/risk_factors/blood_pressure_prevalence_text/en/

Wang Y, Xu J, Zhao X, Wang D, Wang C, Liu L, et al. Association of hypertension with stroke recurrence depends on ischemic stroke subtype. Stroke [serial online] 2013 May 1 [cited 2017 May 9]; 44(5):1232-7.doi: 10.1161/STROKEAHA.111.000302. https://doi.org/10.1161/STROKEAHA.111.000302

Zuhaid M, Salman, Chawla JA, Farooq U, Ahmad A, Khan S, Asfandiyar M. Frequency of modifiable risk factors in stroke patients. J Ayub Med Coll Abbottabad 2014; 26(2): 235-8.

Khan NI, Naz L, Mushtaq S, Rukh L, Ali S, Hussain Z. Ischemic stroke: prevalence of modifiable risk factors in male and female patients in Pakistan. Pak J Pharma Sci 2009 Jan;22 (1): 62-7.

Basharat RA, Yousuf M, Iqbal J, Khan MM. Frequency of known risk factors for stroke in poor patients admitted to Lahore General Hospital in 2000. Pak J Med Sci 2002 Oct-Dec; 18 (4): 280-3.

Masood CT, Hussain M, Rehman AU, Abbasi S. Clinical presentation, risk factors and outcome of stroke at a district level teaching hospital. J Ayub Med Coll Abbottabad 2013; 25 (1-2): 49-51.

Khan J, Attique-ur-Rehman, Shah A A, Jielani A. Frequency of hypertension in stroke patients presenting at Ayub Teaching Hospital. J Ayub Med Coll Abbottabad. 2006 Jan-Mar;18(1):59-61. Available at: http://www.ayubmed.edu.pk/JAMC/PAST/18-1/15Jehangir%20AP.pdf

Shah S, Basharat A, Shah M, Marwat M, Billah M, Ali SM. Frequency, distribution and presentation of hypocalcemia in ß-thalassemia major. Gomal J Med Sci 2018 Jan-Mar;16(1):2-8. https://doi.org/10.46903/gjms/16.01.1446

Shah HU, Gul H, Khan R, Marwat M. Urethrocutaneous fistula following Snodgrass versus two stage Aivar Bracka repair of distal penile hypospadias in male children: a randomized control trial. Gomal J Med Sci 2018 Apr-Jun;16(2):54-8. https://doi.org/10.46903/gjms/16.02.1284

Hatano S. Experience from a multicentre stroke register: a preliminary report. Bull World Health Organ 1976; 54(5): 541-53. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2366492/?page=1

WHO. HIV/AIDS. Definition of key terms [Internet]. World Health Organization; Geneva 2013. [cited 2017 Jan 17]. Available at: http://www.who.int/hiv/pub/guidelines/arv2013/intro/keyterms/en/

Raosoft® online sample size calculator [Internet]. Raosoft Inc., Seattle, Washington 2004. [accessed 2017 Jan 17]. Available from:www.raosoft.com/samplesize.html

Statistics Kingdom. Proportion confidence interval calculator [internet]. Statistics Kingdom; Melbourne, Australia 2007. [accessed 2017 Oct 12]. Available at: http://www.statskingdom.com/41_proportion_confidence_interval.html

Zar JH. Biostatistical Analysis. 5th ed. New York: Prentice-Hall, Inc.

Daniel WW. Biostatistics: A Foundation for Analysis in the Health Sciences. 7th ed. Singapore: John Wily; 2005

Social Science Statistics. Statistical Tests Calculators [Internet]. [accessed 2017 Oct 12]. Available from: http://www.socscistatistics.com/tests/

DOI: https://doi.org/10.46903/gjms/17.03.2076

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Copyright (c) 2020 Nazafatul Ain, Saira Khan, Muhammad Marwat, Nisar Khan, Iftikhar Ahmad, Farhana Ramzan, Wajeeha Akhtar, Hadia Fakhar, Yabqa Jehan, Azalfa Zeb, Maimoona Kundi, Saima Bibi, Musarat Fatima, Amna Raza