Investigating outcomes in the management of hypertension by specialists in a University Hospital


  • Daprim Ogaji University of Port Harcourt, Port Harcourt
  • Promise Yiganubari Naa-ere Department of Community Medicine, University of Port Harcourt, Port Harcourt,
  • E Okumoko Department of Community Medicine, University of Port Harcourt, Port Harcourt,
  • C Ekejiuba Department of Community Medicine, University of Port Harcourt, Port Harcourt
  • Magaret Mezie-Okoye Department of Community Medicine, University of Port Harcourt, Port Harcourt,


Clinical audit, Outcome, Hypertension management, Specialist clinic, UPTH, Nigeria.


Background: Hypertension is an acknowledged risk factor for cardiovascular diseases and this risk is heightened with co-existence of other risk factors and long-term co-morbidities. This study reviewed outcomes in the management of hypertension at the medical outpatient clinic of the University of Port Harcourt Teaching Hospital, Nigeria.

Method: Cross-sectional survey using interviewer-administered questionnaires and review of records of 182 randomly selected regular patients at the medical out-patients’ clinic. Outcomes measured were patients’ adherence to treatment, prevailing/persistent risk factors, co-morbidities, trend in patients’ blood pressure and cholesterol levels over last three consecutive visits. Data were analysis using (SPSS) version 20.0.

Results: Of the 182 patients studied, 37.4% were males and 62.6% females. About half (45.0%) reported adherence to the treatment protocol. The main persisting risk factors were overweight (73.1%) and high low density lipoprotein cholesterol (81.0%) while the commonest co-morbidity was diabetes (26.9%). Proportion of clients with uncontrolled BP progressively declined over the last 3 visits (63.7 à 60.4à 54.4%) though not statistically significant (state p-value). Poor adherence was significantly associated with uncontrolled hypertension (p = 0.004).

Conclusion: Poor adherence with management plan was a significant hindrance to BP control. Findings also suggest benefits in regular follow-up of hypertensive patients. There is need for lifestyle and behavioural modifications in managing hypertension.

Author Biography

Daprim Ogaji, University of Port Harcourt, Port Harcourt

Senior Lecturer and Consultant in Public Health, College of Health Sciences and Teaching Hospital, University of Port Harcourt


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How to Cite

Ogaji, D., Naa-ere, P. Y., Okumoko, E., Ekejiuba, C., & Mezie-Okoye, M. (2016). Investigating outcomes in the management of hypertension by specialists in a University Hospital. The Nigerian Health Journal, 16(2), 76. Retrieved from

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