Factors of Uncontrolled Blood Pressure in Hypertensive Patients with Chronic Kidney Disease in the City of Boma

Abstract

Hypertension is a public health problem and represents the main factor of cardiovascular morbidity and mortality worldwide. It is the main modifiable risk factor for stroke, heart and kidney disease (CKD). Kidney disease (CKD) is both a common cause and a sequel to uncontrolled hypertension. This article reviews the main factors in the non-control of hypertension in chronic kidney disease. Methods: Cross-sectional and analytical study including 395 patients admitted to the Internal Medicine department of HGR / Boma from January 1, 2018 to January 2019. Socio-demographic, clinical and biological data were studied. A multivariate logistic regression model identified factors associated with hypertension control at the 0.05 threshold. Results: The frequency of uncontrolled hypertension was 38%. Patients < 60 years of age were more common (80%). Male subjects were more affected. The majority of patients had stage 2 kidney disease according to KDIGO (46.8%). The determinants of non-control of arterial hypertension in multivariate analysis: age > 60 years (p < 0,005), tobacco (p < 0,047) of abdominal obesity (p < 0,008) and hypercholesterolemia (p < 0,014). Conclusion: The prevalence of uncontrolled hypertension in patients with chronic kidney disease is high. It is therefore important to take into account the non-control factors in the management of hypertension.