The prevalence of hypertension in patients with chronic kidney disease in christ the king hospital aba, abia state Nigeria

Hypertension (HTN) is very common in patients with chronic kidney disease and its prevalence increases as renal failure progresses. Chronic kidney disease (CKD) is a global public health problem, with a greater burden and prohibitive cost of care. This study determined the prevalence of hypertension in chronic kidney disease and identified its associated risk factors in patients attending Christ the King Specialist Hospital Aba, Abia State Nigeria. A total of 207 patients were examined in the area. Patients’ records over 24 months period were recorded for the following information; Socio-demographic data, mode of presentation, etiology of CKD, blood pressure, Urea and creatinine tests. The common etiologies of CKD in patients were hypertension 70 (33.8%), Chronic glomerulonephritis (CGN) 68 (32.9%), hypertension 68 (32.9%), diabetes mellitus 50 (24.1%), obstructive uropathy 30 (14.4%), herbal nephropathy 27 (13.0%), HIV 5 (7.4%) and others 39 (18.8). High creatinine levels were found in 89 (43.0%) patients their elevated systolic blood pressure (ESBP) of 37 (41.6%) and elevated diastolic blood pressure (EDBP) of 33 (37.1%). High urea levels were found in 77 (37.2%) patients with their ESBP of 34 (44.2%) and EDBP of 28 (36.4%). CKD patients with high creatinine levels and high urea levels without family history of hypertension were 53 (59.5%) and 47 (61.0%) respectively while 16 (18.0%) and 13 (16.9%) do not know of any family history of hypertension. CKD patient’s blood pressure should be adequately controlled, early diagnosis and referral of those patients to a specialized Nephrology Center will reduce the burden of renal disease in the study area.