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20 CONTROLLED BLOOD PRESSURE ON ADMISSION REDUCES IN-HOSPITAL MORTALITY RATE AMONG HEART FAILURE PATIENTS WITH HYPERTENSION AT SAIFUL ANWAR HOSPITAL

Sitio, Monika1; Rohman, M. Saifur1,2

Journal of Hypertension: July 2018 - Volume 36 - Issue - p e6
doi: 10.1097/01.hjh.0000544385.44077.2c
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Background: Early studies have shown that controlled blood pressure on admission may reduce the risk of heart failure (HF) and in-hospital mortality

Objective: This research was aimed to determine rate of controlled hypertension and clinical outcomes of controlled blood pressure among hospitalized HF patients with hypertension.

Method: A total of 408 patients were attained from HF registry from January to December 2017. Blood pressure among hospitalized HF patients was evaluated and classified into controlled and uncontrolled blood pressure group. Classification of hypertension was reffered to criteria of JNC VII1,2. In-hospital mortality was defined as a statistic measuring or recording the rate of death from any cause in hospitalized populations3.

Result: Prevalence of hypertension among hospitalized HF patients at Saiful Anwar Hopital was 57.35%. Rate of controlled hypertension was 29.5%. No difference was observed between elderly and young hypertension patients in controlled blood pressure rate (46.4% vs 54.6%, p = 0.705). It was interesting that women were poorly controlled as compared to men (30.4% vs 69.6%, p = 0.033). As compared between two groups, no difference in length of stay was observed (7.00 ± 5.247 days vs 7.04 ± 4.469 days, p = 0.957). HF patients with uncontrolled blood pressure on admission was related to increase in-hospital mortality compared to controlled blood pressure patient among hospitalized HF patients (5% vs 4.5 %, p = 0.042).

Conclusion: Controlled blood pressure on admission was significantly related to lower in-hospital mortality rate as compared to uncontrolled blood pressure among hospitalized heart failure patients.

1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Brawijaya University –Saiful Anwar General Hospital, Malang, East Java, Indonesia

2Brawijaya Cardiovascular Research Center, Brawijaya University

Keywords: controlled blood pressure, hypertension, in-hospital mortality, length of stay

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