[Epidemiology and diagnostic circumstances of arterial hypertension in the hospital environment in Kpalime (second largest city in Togo)].
Arterial hypertension is a real health problem worldwide. The goal of this survey is to evaluate its prevalence and risk in hospital environment. It was a prospective and multi-centred survey which took place in the cardiology department in Kpalimé hospital from the 4th August 2005 to the 4 th July 2006 then a period of almost ten months. Our survey allowed us count 584 people suffering from hypertension out of 2641 patients which makes a prevalence of 22%. Distribution according to the global sample gave a predominance of 56.3 % for women against 43.7% for men. The age of our patients varied between 20 years and 95 years with an average of 53.4 years +/- 15.02. According to the age the group which was more touched was the one between 46 and 69 years. Distribution according to social and professional segments was dominated by the housewives (27.9%), the civil servants (17.8 %) and the trade men (14.0%). Symptomatology is dominated by a dyspnea during an physical effort (28.8%), signs having no relation with AHT (20.2%) and headache (19.5%). Factors for most frequent risk were: obesity (56.8%), consumption of alcohol (22.1%) and dyslipidemia (13.4%). The rate of morbidity is about 59.5% and the mortality is about 11%.


CONCLUSIONS
AHT in Togo is a real problem of public health. It occurs in the poorest social segments, causing a problem of medical care. The prevention remains the most efficient mean to avoid sickness and should be necessarily based on a real change of attitude by the authorities and the medical staff as the sensibilization of the population.
Damorou
F
F
Faculte Mixte De Medecine et Pharmacie, De Lome, Togo. jdamoro@yahoo.fr
Togbossi
E
E
Pessinaba
S
S
Soussou
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology; D015897:Comorbidity; D048909:Diabetes Complications / Q000453:epidemiology; D050171:Dyslipidemias / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006786:Hospitals, Urban / Q000706:statistics & numerical data*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D014037:Togo / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult