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. 2017:2017:6537956.
doi: 10.1155/2017/6537956. Epub 2017 Dec 5.

Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study

Kenneth Nuamah  1 , Harriet Affran Bonful  2 , Joseph Danso Yeboah  3 , Ebenezer Antwi Amankwaah  1 , Daniel Boakye  1 , Samuel Kwame Owusu  1 , Adwoa Aduako Owusu  4 , Freddie Amponsah  5 , Fred Adomako-Boateng  1 , Alexis Nang-Beifubah  1 , Margaret Gyapong  6   7 , Anthony Ofosu  5 , Bertha Garshong  6 , Evelyn K Ansah  6   7
Affiliations

Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study

Kenneth Nuamah et al. Int J Hypertens. 2017.

Abstract

Background: Hypertension remains a cause of morbidity and mortality in the Ashanti Region of Ghana. It has been featured in the top ten causes of OPD attendance, admissions, and deaths since 2012. We investigated the sociodemographic characteristics and spatial distribution of inpatient hypertensives and factors associated with their admission outcomes.

Methods: A 2014 line list of 1715 inpatient HPT cases aged ≥25 years was used for the cross-sectional analytic study. Accounting for clustering, all analyses were performed using the "svy" command in Stata. Frequencies, Chi-square test, and logistic regression analysis were used in the analysis. Arc view Geographic Information System (ArcGIS) was used to map the density of cases by place of residence and reporting hospital.

Results: Mean age of cases was 58 (S.D 0.0068). Females constituted 67.6% of the cases. Age, gender, and NHIS status were significantly associated with admission outcomes. Cases were clustered in the regional capital and bordering districts. However, low case densities were recorded in the latter.

Conclusion: Increasing NHIS access can potentially impact positively on hypertension admission outcomes. Health educational campaigns targeting men are recommended to address hypertension-related issues.

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Figures

Figure 1
Figure 1
Case density of the hypertension admissions by clients place of residents, Ashanti Region, 2014.
Figure 2
Figure 2
Case density of hypertension admission as reported by hospital, Ashanti, 2014.
See this image and copyright information in PMC

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