Prevalence Of Undiagnosed Hypertension Amongst Patients Attending Goenka Research Institute Of Dental Science, Piplaj Gandhinagar, India- A Cross Sectional Study
Prevalence Of Undiagnosed Hypertension
Keywords:
Body mass index, Cross sectional, Hypertension, Socioeconomic statusAbstract
Background and Aim: Hypertension is one of the medical conditions that are of great importance in the management of dental patients. It may present as an emergency during dental treatment or necessitate a change in patient’s management. Present study was performed with an aim to determine the prevalence of undiagnosed hypertension and how well controlled diagnosed hypertensive patients presenting at a dental out-patient clinic in Goenka research institute of Dental Science, India. Methodology: A cross sectional survey of patients presenting at the Goenka research institute of Dental Science, Piplaj Gandhinagar India between July and October 2015 was undertaken. Consenting patients above 15 years of age had their blood pressure assessed with the aid of a digital sphygmomanometer. The relationship between blood pressure and body mass index, family history of hypertension as well as socioeconomic status were assessed. Statistical significance was set at p < 0.05. Results: A total of 552 subjects were recruited into the study, with 107 (19.4%) of them previously on antihypertensive drugs but only 14 (13.0%) of those on antihypertensive had a normal blood pressure. Forty-one (9.2%) subjects were hypertensive but were not aware of it. There was a statistically significant relationship between positive family history of high blood pressure and high diastolic blood pressure. There was also a statistically significant relationship between blood pressure and age (p< 0.05). Conclusion: The study demonstrated that hypertensive patients constitute an important proportion of dental patients. Thus, the dental profession has a unique role to play in the early detection of hypertension, thus reducing its complications. In addition, it was established that verbal information obtained from patients about their status of hypertension is insufficient for optimal dental management. [Soham P NJIRM 2016; 7(6):20-24]
References
2. Osamor PE, Owumi BE. Factors associated with treatment compliance in hypertension in Southwest Nigeria. J Health Popul Nutr 2011; 29:619-28.
3. Harries TH, Twumasi-Abosi V, Plange-Rhule J, Cappuccio FP. Hypertension management in Kumasi: barriers and prejudice? J Human Hypertension 2005; 19: 975-977.
4. Ulasi II, Ijoma CK, Onwubere BJC, Arodiwe E, Onodugo O, Okafor C. High prevalence and low awareness of hypertension in a market population in Enugu, Nigeria. Int J Hypertension. 2011; 2011:5 pages. Article ID 869675.
5. S. Yadav, R. Boddula, G. Genitta, V. Bhatia, B. Bansal, S. Kongara et al. Prevalence & risk factors of pre-hypertension & hypertension in an affluent north Indian population. Indian J Med Res 2008; 128: 712-720.
6. Cramer JA, Benedict A, Muszbek N, Keskinaslan A, Khan ZM. The significance of compliance and persistence in the treatment of diabetes, hypertension and dyslipidaemia: a review. Int J Clin Pract 2008: 62:76–87.
7. Little JW. The impact on dentistry of recent advances in the management of hypertension. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90:591-599.
8. Singh D, Akingbola O, Yosypiv I, El-Dahr S. Emergency Management of Hypertension in Children. Int J Nephrol. 2012; 2012: 420247. doi: 10.1155/2012/420247.
9. Muzyka BC, Glick M. The hypertensive dental patient. J Am Dent Assoc 1997; 128: 1109-1120.
10. Greenwood M, Lowry RJ. Blood pressure measuring equipment in the dental surgery: use or ornament? Br Dental J 2002; 193:273-275.
11. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA and the National High Blood Pressure Program Coordinating Committee. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood
pressure (JNC 7). Hypertension 2003; 42:1206–1252.
12. BMI Classification. World Health Organization. (http://www.who.int/bmi/index.jsp). accessed on 9/2/2015
13. Oyejide GA. Socioeconomic and cultural back ground of hospitalized children in Ilesha. Nig paed J 1985; 12:111-117.
14. Kellogg SD, Gobetti JP. Hypertension in a dental school patient population. J Dent Educ 2004; 68:956-964.
15. Midha T, Idris MZ, Saran RK, Srivastav AK, Singh SK. Prevalence and determinants of hypertension in the urban and rural population of a north Indian district. East Afr J Public Health 2009; 6: 268-273.
16. Fernández-Feijoo J, Núñez-Orjales J, Limeres-Posse J, Pérez-Serrano E, Tomás-Carmona I. Screening for hypertension in a Primary Care Dental clinic. Med Oral Patol Oral Cir Bucal 2010; 15 (3):e467-472.
17. Heller RF, Rose G, Pedoe HDT, Christie DGS. Blood pressure measurement in the United Kingdom heart disease prevention project. J Epiderm and Comm Health, 1978; 32: 235-238.
18. Hansen ML, Gunn PW, Kaelber DC. Under diagnosis of hypertension in children and adolescents. JAMA 2007; 298(8):874-879.
19. Shapiro DJ, Hersh AL, Cabana MD, Sutherland SM, Patel AI. Hypertension screening during ambulatory pediatric visits in the United States, 2000-2009. Pediatrics 2012; 130(4):604-610.
20. Luma GB, Spiotta RT. Hypertension in Children and Adolescents. Am Fam Physician. 2006; 73(9):1558-1568.
21. Lurbe E, Cifkova R, Cruickshank JK, Dillon MJ, Ferreira I et al. Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. J Hypertension 2009; 27:1719–1742.
22. Myers MG. Compliance in hypertension: Why don’t patients take their pills? JAMC 1999; 160 (1):64-65.
23. Kabir M, Iliyasu Z, Abubakar IS, Jibril M. Compliance to medication among hypertensive patients in Murtala Mohammed Specialist Hospital, Kano, Nigeria. J Comn Med Pri Health Care 2004; 16 (1):16-20.
24. Gascón JJ, Sánchez-Ortuño M, Llor B, Skidmore D, Saturno PJ. Why hypertensive patients do not comply with the treatment. Results from a qualitative study. Family Practice 2004; 21: 125–130.
25. Glen SK, Elliot SL, Curzio JL, et al. White coat hypertension as a cause of cardiovascular dysfunction. Lancet 1996; 348: 654-657.
26. McGrath BP. Is white coat hypertension innocent? (Comment) Lancet 1996; 348: 630.
27. Arigbede AO, Ajayi DM, Adeyemi BF, Kolude B. Dental anxiety among patients visiting a University Dental Centre. Nig Dent J 2011; 19:19-23.
28. De Jongh A, Adair P, Meijerink-Anderson M. Clinical management of dental anxiety: what works for whom? Int Dent J 2005; 55: 73-80.
29. Ojehanon PI, Akhionbare O. Hypertension among dental patients attending tertiary health institution in Edo State, Nigeria. Nig J Clin Pract 2007; 10:220-223.
30. Engström S, Berne C, Gahnberg L, Svärdsudd K. Efficacy of screening for high blood pressure in dental health care. BMC Public Health 2011; 11:194.
31. de Kleijn MJJ, van der Schouw YT, Verbeek ALM, Peeters PHM, Banga J, van der Graaf Y. Endogenous estrogen exposure and cardiovascular mortality risk in postmenopausal women. Am J Epidemiol 2002; 155:339–345.
32. Dubey RK, Oparile S, Imthurn B, Jackson EK. Sex hormones and hypertension. Cardiovascular Research 2002; 53:688–708.
33. Pyle MA, Lalumandier JA, Sawyer DR. Prevalence of elevated blood pressure in students attending a college oral health program. Spec care Dent 2000; 20:234-239.
