Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults

Bibliographic Data

ID5166502
AuthorsVictor Calderon-Ocon (0000-0002-3409-7440, Universidad Científica del Sur), Fiorella Cueva-Peredo (0000-0001-9244-2962, Universidad Científica del Sur), Antonio Bernabe-Ortiz (0000-0002-6834-1376, Universidad Científica del Sur)
Year2024
Volume40
Issue2
Pagese00155123-e00155123
Publication date2024-01-01
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen155123
PMID38381865
OpenAlexW4391927485
SciELOS0102-311X2024000201406
LanguageEN
References cited24

There are few studies focused on the epidemiology of hypertensive crisis at the population level in resource-constrained settings. This study aimed to determine the prevalence and trends over time of hypertensive crisis, as well as the factors associated with this condition among adults. A secondary data analysis was carried out using the Peruvian Demographic and Family Health Survey (ENDES). Hypertensive crisis was defined based on the presence of systolic (≥ 180mmHg) or diastolic (≥ 110mmHg) blood pressure, regardless of previous diagnosis or medication use. The factors associated with our outcome were evaluated using multinomial logistic regression, and the trend of hypertensive crisis was evaluated using the Cochrane-Armitage test. Data from 260,167 participants were analyzed, with a mean age of 44.2 (SD: 16.9) years and 55.5% were women. Hypertension prevalence was 23% (95%CI: 22.7-23.4) and, among them, 5.7% (95%CI: 5.4-5.9) had hypertensive crisis, with an overall prevalence of 1.5% (95%CI: 1.4-1.6). From 2014 to 2022, a significant decrease in the prevalence of hypertensive crisis was observed, from 1.7% in 2014 to 1.4% in 2022 (p = 0.001). In the multivariable model, males, increasing age, living in urban areas, high body mass index, and self-reported type 2 diabetes were positively associated with hypertensive crisis, whereas higher educational level, socioeconomic status, and high altitude were inversely associated. There is a need to improve strategies for the diagnosis, treatment, and control of hypertension, especially hypertensive crisis

Blood pressure · Body mass index · Diabetes mellitus · Environmental health · Logistic regression · Population · Socioeconomic status · Blood Pressure and Hypertension Studies · Cardiac Health and Mental Health · Demography · Endocrinology · Epidemiology · Heart Rate Variability and Autonomic Control · Internal Medicine · Medicine

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