25th Anniversary International Scientific Conference-2016
Permanent URI for this collectionhttp://repository.kln.ac.lk/handle/123456789/12769
Plenaries, Symposia and free papers presented at the 25th Anniversary International Scientific Conference, held on 6-8th April 2016, Faculty of Medicine, University of Kelaniya to celebrate the Silver Jubilee Anniversary of Faculty of Medicine
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Item Knowledge on hypertension and consequences of its poor control among hypertensive patients at medical clinics, Teaching Hospital, Batticaloa(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Kisokanth, G.; Ilankoon, I.M.P.S.; Arulanandem, K.; Goonewardena, C.S.E.; Sundaresan, K.T.; Joseph, J.Background: Hypertension is one of the major non communicable diseases worldwide and isa major risk factor for stroke, coronary heart disease and chronic kidney failure/ disease. Lack of knowledge on the benefits of controlling and seriousness of untreated hypertension is the barrier for hypertensive care. Objective: To assess knowledge on hypertension and the consequences of poor control. Methods: A cross-sectional descriptive study was carried out among 424 patients diagnosed with ‘Essential hypertension’ attending medical clinics at Teaching Hospital, Batticaloa. Systematic sampling technique was used with pre-tested interviewer administered questionnaire for data collection and descriptive, inferential statistics were used for analysis. Results: The study consisted of 174 (41%) males and 250 (59%) females. The mean age was 60.4 (SD± 9.6) years. Knowledge score was inadequate (<50%) among 92% (n=391) with mean of 30.8% (SD ± 15.5) ranging from 4.4 – 89.1%. Nearly half of the participants believed that the heart is affected by poor controlled hypertension and about 26% mentioned that kidney, nervous system and eyes could be affected too. A statistical significant relationship was observed between knowledge score and marital status (p = 0.03), family history of chronic disease (P< 0.001), educational level (P<0.001) and monthly income (P<0.001). Conclusions: This study revealed inadequate patient knowledge on hypertension and consequences of poor control. Targeted health education strategies are needed urgently to improve patients’ knowledge level in order to prevent consequences of poorly controlled hypertension.Item Impact of hypertension on mortality: Findings from the Ragama Health Study(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Kasturiratne, A.The relationship of hypertension on mortality is well known. In Sri Lanka this relationship has not been quantified in a comprehensive analysis. The objective of the presentation will be to describe the relationship of incident and prevalent hypertension on the 7-year cardio-vascular and all-cause mortality in the Ragama Health Study (RHS) cohort. RHS is a prospective cohort study that recruited nearly 3000 adults between 35-64 years of age resident in the Ragama Medical Officer of Health area in 2007. The participants were sampled using an age-stratified random sampling technique to represent the three 10-year age groups. Baseline assessment of the cohort included socio-demographic, lifestyle, anthropometric and clinical assessments. The cohort was followed up in 2010 and 2014 to determine incidence of important clinical outcomes. 7-year mortality of the cohort was determined through comprehensive community surveys conducted in 2012 and 2014/15. The RHS cohort comprises 2986 individuals who participated in the baseline survey. By the end of 2014, 107 participants had died. The all-cause mortality was significantly associated with a higher systolic hypertension at baseline after controlling for age and sex. One Hg mm increase in systolic blood pressure was associated with 1.02 times increase in all-cause mortality. This presentation will discuss the anthropometric, lifestyle, bio-chemical and clinical characteristics associated with the prevalence and the incidence of hypertension, and cardio-vascular and all-cause mortality over the seven year follow up period.