title: [Uncontrolled hypertension in chronic kidney disease in patients from black Africa admitted in a renal unit: a retrospective analysis].
abstract: The incidence of uncontrolled hypertension (HTN+) in CKD in nephrology could reflect the quality of the management of the patients in a primary care setting. The aim of the present study was to identify factors associated with HTN+ in CKD in order to elaborate a prevention strategy for the health professionals. A retrospective analysis of 479 incidents patients has been performed from 2012/1st to 2012/12th. Sixty-two percent had CKD HTN+. Eighty percent were at stages 4 and 5. Mean value of SBP was 166.5±32 mmHg and 96±27.3 mmHg for DBP. Mean age was 48.2±14.6 years. Mean GFR was 17.4±17.1 mL/min and no difference found between groups (17.4±17.6 mL/min in CKD HTN+ versus 17.5±16.3 mL/min in CKD HTN-, P < 0.9). Alcohol consumption was more in CKD HTN+ as compared to CKD HTN-, but not different between groups (37.2% in CKD HTN+ versus 27.6% in CKD HTN-; P < 0.09). Patients who were taking antihypertensive drugs were significantly more in the CKD HTN- than CKD HTN+ (22% in CKD HT+ versus 41.1% in CKD HTN-; P < 0.0001). Factors associated with HTN+ in CKD were antihypertensive therapy (OR = 0.39; CI 0.20-0.75; P < 0.005); alcohol (OR = 2.19; CI 1.09-4.37; P < 0.02). BP was similar in HN and non-HN patients (173.0±26.9 mmHg versus 174.7±33.7 mmHg; P = 0.75). But kidney function was a little better in HN (16.9±17.7 mL/min and 20.95±18.5 mL/min; P < 0.1). Factors associated positively with HN/HTN+ were: history of HTN and age. Factors associated negatively with HN/HTN+ were: history of diabetes and CKD stage.
authors.affiliation: Service de néphrologie et hémodialyse, CHU de Yopougon, Boîte postale BP 632 Abidjan 21, Abidjan, Côte d'Ivoire. Electronic address: cnackoundoun66@hotmail.fr.
authors.forename: Kan Clément
authors.initials: KC
authors.lastname: Ackoundou-N'Guessan
authors.affiliation: Service de néphrologie et hémodialyse, CHU de Yopougon, Boîte postale BP 632 Abidjan 21, Abidjan, Côte d'Ivoire.
authors.forename: Sita
authors.initials: S
authors.lastname: N'Zoue
authors.affiliation: Service de néphrologie et hémodialyse, CHU de Yopougon, Boîte postale BP 632 Abidjan 21, Abidjan, Côte d'Ivoire.
authors.forename: Amélie-Delphine
authors.initials: AD
authors.lastname: Lagou
authors.affiliation: Service de néphrologie et hémodialyse, CHU de Yopougon, Boîte postale BP 632 Abidjan 21, Abidjan, Côte d'Ivoire.
authors.forename: Mélanie Weu
authors.initials: MW
authors.lastname: Tia
authors.affiliation: Service de néphrologie et hémodialyse, CHU de Yopougon, Boîte postale BP 632 Abidjan 21, Abidjan, Côte d'Ivoire.
authors.forename: Cyr Monley
authors.initials: CM
authors.lastname: Guei
authors.affiliation: Service de néphrologie et hémodialyse, CHU de Yopougon, Boîte postale BP 632 Abidjan 21, Abidjan, Côte d'Ivoire.
authors.forename: Albert Pessa
authors.initials: AP
authors.lastname: Coulibaly
authors.affiliation: Service de néphrologie et hémodialyse, CHU de Yopougon, Boîte postale BP 632 Abidjan 21, Abidjan, Côte d'Ivoire.
authors.forename: Appolinaire Daze
authors.initials: AD
authors.lastname: Gnionsahe
mesh_terms: D044383:Black People / Q000706:statistics & numerical data; D007560:Cote d'Ivoire / Q000453:epidemiology; D005260:Female; D006757:Hospital Units; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology*; D012189:Retrospective Studies
keywords: Africains noirs; Alcohol consumption; Antihypertensive therapy; Black Africans; Chronic kidney disease; Consommation d’alcool; Hypertension; Hypertension artérielle non contrôlée; Hypertensive nephrosclerosis; Maladie rénale chronique; Néphropathie hypertensive; Traitement antihypertenseur