Research Article
Volume 7 Issue 12 - 2020
Frequency and Causes of Drop Out of Hypertensive Patients from Follow Up
Ratindra Nath Mondal1*, Moni Rani2, Md Mahfuj-Ul-Anwar3, Aklima Sultana4, Md Mokhlesur Rahman Sarker3, ASM Rahenur Mondol3, Sajeda Afrin3, Tanzina Zaman3, Mohammad Nurul Islam Khan3, Shah Md Sarwer Jahan3 and Md Zakir Hossain5
1Society of General Physicians and Daktarkhana (GP Center), Bangladesh
2Rajshahi Medical College, Bangladesh
3Rangpur Medical College, Bangladesh
4Chattagram Maa-O-Shishu Hospital Medical College, Bangladesh
5Shaheed Ziaur Rahman Medical College, Bogra, Bangladesh
*Corresponding Author: Ratindra Nath Mondal, Society of General Physicians and Daktarkhana (GP Center), Bangladesh.
Received: September 22, 2020; Published: November 07, 2020




Abstract

Background: Target organ damage may develop due to uncontrolled blood pressure. Drop out from follow up is one of the causes of uncontrolled hypertension.

Subjects and Methods: This was a cross sectional study, carried out in Hypertension and Research Center Rangpur, Bangladesh. On an average about 30 patients visit Hypertension and Research Center, Rangpur daily. From the daily visited patients every 3rd patient was included in this study. 

Results: In this study, we have studied a total of 384 patients. Mean age of the patients were 55.85 ± 11.109 years. Male were more than female (57.8 years vs 42.2 years). In our study 73.4% patients were drop out from follow up. Factors associated with drop out were- older age 77.4% (60 years and above), male sex (59.6% vs 40.4%), service man 72.5%, monthly income < 5000 BDT 75.9%, illiterate 71.7%, graduate and higher education 70.9% and those with duration of hypertension more than 10 years 71.9%. Drop out was more in smoker 78.6% than nonsmoker 70.9% and in complicated hypertensive patients than uncomplicated patients (84.6% vs 72.6%). Causes of drop out were long distance from the center (24.13%), migration to other divisions 17.24%, combinedly ignorance of the patient and poor motivation 16.09%, lack of faith in the physician/change physician 5.74% and only 1.91% patients told of economical problem. 

Conclusion: In our study 73.4% of the hypertensive patients were drop out from follow up. Drop out was more in male sex, age above 60 years, service man, monthly income below 5000 BDT, illiterate and those with duration of hypertension more than 10 years. Long distance from the centre, migration to other divisions, ignorance of the patient and poor motivation were the main causes of drop out.

Keywords: Drop Out; Hypertension; Follow Up; Rangpur

References

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Citation: Ratindra Nath Mondal., et al. “Frequency and Causes of Drop Out of Hypertensive Patients from Follow Up”. EC Cardiology 7.12 (2020): 01-06.

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