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    Hypertension in Harare hospital out-patients: drugs prescribed, drugs taken and control achieved.

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    Kitai_Hypertension_in_Harare_Hospital.pdf (326.1Kb)
    Date
    1986
    Author
    Kitai, I.C.
    Matchaba, R.
    Mushayandebvu, I.
    Mbayiwa, M.
    Matenga, J.
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    Abstract
    Patient-retained records supplemented by patieni interviews were used to evaluate hypertension management at Harare Hospital. One hundred and one successive hypertensive out-patients were studied. In over a third of patients diagnosis had been established during medical examination fa an unrelated problem. Only one third of 431 recorded 'on treatment' diastolic blood pressures were less than 100 mm Hg, and one fifth were greater than 119 mm Hg. Thiazides, Methl-dopa and Reserpine were the most commonly prescribed antihypertensives. A step-wise approach to management was evident where two drugs were used, but the choice of a third a fourth drug showed great variation. Thirty percent of patients identified a daily regimen that was different from their recorded prescription. Identification of dosage lower than that prescribed correlated with poor control. Better practitioner-patient interaction and stricter adherence to defined regimens are needed to improve blood pressure control. Patient-retained records can provide useful information for health service evaluation in developing countries.
    URI
    http://hdl.handle.net/10646/2817
    Additional Citation Information
    Kitai, I. C., Matchaba, R., Mushayandebvu, I., Mbayiwa, M. and Matenga, J. (1986). Hypertension in Harare hospital out-patients: drugs prescribed, drugs taken and control achieved. Central African Journal of Medicine, 32 (11). 262-268.
    Publisher
    University of Zimbabwe,College of Health Sciences
    Subject
    hypertension
    out- patients
    Blood pressure
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    • Department of Opthamology Staff Publications [1]

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