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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Clinical audit of adherence to hypertension treatment guideline and control rates in hospitals of different sizes in Thailand
Journal of Clinical Hypertension, Volume 23, No. 4, Year 2021
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Description
A clinical audit of hospitals in Thailand was conducted to assess compliance with the national hypertension treatment guidelines and determine hypertension control rates across facilities of different sizes. Stratified random sampling was used to select sixteen hospitals of different sizes from four provinces. These included community (<90 beds), large (90–120 beds), and provincial (>120 beds) hospitals. Among new cases, the audit determined whether (i) the recommended baseline laboratory assessment was completed, (ii) the initial choice of medication was appropriate based on the patient's cardiovascular risk, and (iii) patients received medication adjustments when indicated. The hypertension control rates at six months and at the last visit were recorded. Among the 1406 patients, about 75% had their baseline glucose and kidney function assessed. Nearly 30% (n = 425/1406) of patients were indicated for dual therapy but only 43% of them (n = 182/425) received this. During treatment, 28% (198/1406) required adjustments in medication but this was not done. The control of hypertension at six months after treatment initiation was 53% varying between 51% in community and 56% in large hospitals (p <.01). The hypertension control rate at last visit was 64% but varied between 59% in community hospitals and 71% in large hospitals (p <.01). Failure to adjust medication when required was associated with 30% decrease in the odds of hypertension control (OR 0.69, 95% CI 0. 50 to 0.90). Failure to comply with the treatment guidelines regarding adjustment of medication and lost to follow-up are possible target areas to improve hypertension control in Thailand. © 2020 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC8678746/bin/JCH-23-702-s001.tif
https://efashare.b-cdn.net/share/pmc/articles/PMC8678746/bin/JCH-23-702-s002.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC8678746/bin/JCH-23-702-s003.docx
Authors & Co-Authors
Angkurawaranon, Chaisiri
Thailand, Chaing Mai
Chiang Mai University
Pinyopornpanish, Kanokporn
Thailand, Chaing Mai
Chiang Mai University
Srivanichakorn, Supattra
Thailand, Nontaburi
Community Based Health Research and Development Foundation
Sanchaisuriya, Pattara
Thailand, Khon Kaen
Khon Kaen University
Thepthien, Bang On
Thailand, Nakhon Pathom
Asean Institute for Health Development
Tooprakai, Dusida
Thailand, Lampang
Lampang Hospital
Ngetich, Elisha
United Kingdom, Oxford
University of Oxford
Damasceno, A. Antonio Moura
United Kingdom, London
The Lancet
Mozambique, Maputo
Universidade Eduardo Mondlane
Olsen, Michael Hecht
United Kingdom, London
The Lancet
Denmark, Holbak
Holbæk Sygehus
Denmark, Odense
Syddansk Universitet
Sharman, James E.
United Kingdom, London
The Lancet
Australia, Hobart
University of Tasmania
Garg, Renu Madanlal
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 4
Authors: 11
Affiliations: 12
Identifiers
Doi:
10.1111/jch.14193
ISSN:
15246175
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study