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Kubo MN, Kayima JK, Were AJ, et al. Factors Associated with Uncontrolled Hypertension among Renal Transplant Recipients Attending Nephrology Clinics in Nairobi, Kenya. J Transplant. 2015;2015:746563doi: 10.1155/2015/746563.
Kubo, M. N., Kayima, J. K., Were, A. J., McLigeyo, S. O., & Ogola, E. N. (2015). Factors Associated with Uncontrolled Hypertension among Renal Transplant Recipients Attending Nephrology Clinics in Nairobi, Kenya. Journal of transplantation, 2015746563. https://doi.org/10.1155/2015/746563
Kubo, Mary N, et al. "Factors Associated with Uncontrolled Hypertension among Renal Transplant Recipients Attending Nephrology Clinics in Nairobi, Kenya." Journal of transplantation vol. 2015 (2015): 746563. doi: https://doi.org/10.1155/2015/746563
Kubo MN, Kayima JK, Were AJ, McLigeyo SO, Ogola EN. Factors Associated with Uncontrolled Hypertension among Renal Transplant Recipients Attending Nephrology Clinics in Nairobi, Kenya. J Transplant. 2015;2015:746563. doi: 10.1155/2015/746563. Epub 2015 Jul 14. PMID: 26257920; PMCID: PMC4518186.
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J Transplant. 2015;2015:746563. doi: 10.1155/2015/746563. Epub 2015 Jul 14.

Factors Associated with Uncontrolled Hypertension among Renal Transplant Recipients Attending Nephrology Clinics in Nairobi, Kenya.

Journal of transplantation

Mary N Kubo, Joshua K Kayima, Anthony J Were, Seth O McLigeyo, Elijah N Ogola

Affiliations

  1. Department of Clinical Medicine and Therapeutics, University of Nairobi (UoN), P.O. Box 60337-00200, Nairobi, Kenya ; Kenyatta National Hospital (KNH), Nairobi, Kenya.

PMID: 26257920 PMCID: PMC4518186 DOI: 10.1155/2015/746563

Abstract

Objective. To determine the factors associated with poor blood pressure control among renal transplant recipients in a resource-limited setting. Methods. A cross-sectional study was carried out on renal transplant recipients at the Kenyatta National Hospital. Sociodemographic details, blood pressure, urine albumin : creatinine ratio, and adherence using the MMAS-8 questionnaire were noted. Independent factors associated with uncontrolled hypertension were determined using logistic regression analysis. Results. 85 subjects were evaluated. Mean age was 42.4 (SD ± 12.2) years, with a male : female ratio of 1.9 : 1. Fifty-five patients (64.7%) had uncontrolled hypertension (BP ≥ 130/80 mmHg). On univariate analysis, male sex (OR 3.7, 95% CI 1.4-9.5, p = 0.006), higher levels of proteinuria (p = 0.042), and nonadherence to antihypertensives (OR 18, 95% CI 5.2-65.7, p < 0.001) were associated with uncontrolled hypertension. On logistic regression analysis, male sex (adjusted OR 4.6, 95% CI 1.1-19.0, p = 0.034) and nonadherence (adjusted OR 33.8, 95% CI 8.6-73.0, p < 0.001) were independently associated with uncontrolled hypertension. Conclusion. Factors associated with poor blood pressure control in this cohort were male sex and nonadherence to antihypertensives. Emphasis on adherence to antihypertensive therapy must be pursued within this population.

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