Abstract
Objectives Survey on blood pressure control at the time of hospital discharge of hypertensive patients with chronic kidney disease inpatient treatment at the Department of Nephrology, Thanh Hoa General Hospital.
Subjects and methods: 440 patients ≥ 18 years old, diagnosed with hypertension and chronic kidney disease were treated as inpatients at Department of Nephrology, Thanh Hoa General Hospital from August 1, 2021 to August 30, 2022. Patients on admission are clinically examined, blood pressure measured, and paraclinical tests done. Before discharge, the patient's blood pressure was measured on the morning of discharge. Patients who were hospitalized for at least 5 days were included in the study.
Results: In 440 patients included in the study, the average age of study patients was: 59.2 ± 14.6 years old, the highest age was 99 years, the lowest age was 18 years old. The blood pressure of hospitalized patients with high blood pressure levels II and III is 67.5%, blood pressure level I is 32.5%; chronic kidney disease stage V is common 75%, stage IV 20.5%. With mean creatinine and urea concentrations: 519.5±276.1µmol/l and 24.5±10.6mmol/l. Drug use: Combination of 2 drug groups in treatment accounted for 53.8%, 3 groups 35.5%, 1 group 6.4%, 4 groups 3.8% and 5 groups 0.5%. The drug used multiple groups of loop diuretics 91.8%, CCB group 81.8%, ACEI group 27.3%, ARB 11.4%. Systolic and diastolic blood pressure when discharged from the hospital decreased significantly compared to when admitted to the hospital (p < 0.05); Blood pressure at discharge: Reached the 65% target, missed the 35% target.
Conclusion: 65% of hypertensive patients with chronic kidney disease were treated inpatient at the internal nephrology department of Thanh Hoa General Hospital when they were discharged from the hospital, reaching the target blood pressure.