Étude épidémiologique et thérapeutique de l'hypertension artérielle chez le personnel de santé des hôpitaux de référence de Douala / Epidemiology and management of arterial hypertension among health staff in Douala reference Hospitals

ntroduction.La prévalence de l'hypertension artérielle (HTA) est en croissance au Cameroun, seulement il y'a une insuffisance des études en particulier chez le personnel de santé. L'objectif de notre étude était d'étudier le profil épidémiologique et thérapeutique de l'HTA chez le personnel de santé des hôpitaux de référence de Douala.Méthodologie. Il s'agissait d'une étude transversale analytique conduite en 2023. Les participants étaient des personnels de santédes hôpitaux Laquintinie et général de Douala au Cameroun. les tests de chi deux et régression logistique multivariée ont été utilisés pour déterminer les facteurs associés à l'HTA aveccomme seuil de signification de p<0,05. Résultats.Au total 626 participantsont étéinclus dans notre étude avec une prédominance féminine409 (65,3%) pour un âge moyen de 38±9 ans. La prévalence générale de l'HTA était de 122 (19,5%) et parmi les 122 patients hypertendus, 50 (41%) étaient au courant de leur maladie. Dix participants hypertendus connus soit 20% n'étaient pas suivi médicalement et 16 (32%) des participants hypertendus connus n'étaient pas sous traitement antihypertenseur. Dans 18 (82,4%) des cas, les participants n'étaient pas compliants avec leur traitement. Les principaux facteurs de risque de l'HTA étaient le sexe masculin (OR=2,29 ; 1,39-3,78, p=0,001), l'âge [40-49] ans (OR=2,60 ;1,45-4,64 ;p=0,001) et [50-59] ans (OR=3,68;1,73-7,86;p=0,001), le surpoids/obésité (OR=3,49;1,64-7,41;p=0,001) et le diabète (OR=4,33;1,26-14,92;p=0,020).Conclusion.l'HTA est un problème de santé publique chez le personnel de santé dans les hôpitaux de référence de Douala. Les facteurs associés étaient le sexe masculin, l'âge de 40 à 59 ans, le surpoids, l'obésité et le diabète

Introduction.The prevalence of hypertension (HTN) is growing in Cameroon, however there is a lack of studies specifically focusing on healthcare personnel. The objective of our study was to investigate the epidemiological and therapeutic profile of HTN among healthcare personnel in the reference hospitals of Douala. Methodology.This was a cross-sectional analytical study conducted in 2023. Participants were healthcare personnel from Laquintinie Hospital and Douala General Hospital in Cameroon. Chi-square tests and multivariate logistic regression were used to determine factors associated with HTN with a significance level of p<0.05.Results. A total of 626 participants were included in our study with a female predominance of 409 (65.3%) and a mean age of 38±9 years. The overall prevalence of HTN was 122 (19.5%) and among the 122 hypertensive patients, 50 (41%) were aware of their condition. Ten known hypertensive participants, or 20%, were not receiving medical follow-up and 16 (32%) of known hypertensive participants were not on antihypertensive treatment. In 18 (82.4%) of cases, participants were non-compliant with their treatment. The main risk factors for HTN were male gender (OR=2.29; 1.39-3.78, p=0.001), age [40-49] years (OR=2.60; 1.45-4.64; p=0.001) and [50-59] years (OR=3.68; 1.73-7.86; p=0.001), overweight/obesity (OR=3.49; 1.64-7.41; p=0.001) and diabetes (OR=4.33; 1.26-14.92; p=0.020). Conclusion.HTN is a public health problem among healthcare personnel in the reference hospitals of Douala. The factors associated were male gender, age 40 to 59 years, overweight, obesity, and diabetes

Association of acute COVID-19 with 24 hours-pulse wave velocity in cameroonian workers

Introduction. COVID-19appears to have a vascular tropism responsible for diffuse vasculitis-like cell damage. The aim of our study was to evaluate the impact of Sars-Cov-2 infection on arterial stiffness.Material and methods. This was a cross-sectional analytical case-controlstudy with 1:1 matching (1 case to 1 control) over a six-month period from January 1, 2021 to June 30, 2021 at the medical-social centerof the autonomous port of Douala. We measured the pulse wave velocity (PWV) in two groups of patients (group 1: COVID-19and group 2: non-COVID-19) using a MOBIL-O-GRAPH 24h PWA MonitorTM. A p-value < 0.05 was considered significant.Result. A total of 122 patients (61 COVID-19and 61 non-covid) were included in this study, among which 68 (55.7%) male. The mean age was 41±11 years. PWV as well as POV adjusted for age and mean BP were similar in both groups. The mean 24-hour, diurnal and nocturnal PWV were slightly higher in COVID-19patients than in controls by 0.1 m/s (p=0.67), 0.2m/s (p=0.37) and 0.2m/s (p=0.25) respectively. COVID-19infection was not significantly associated with PWV (p=0.082).Conclusion. PWV were slightly higher in COVID-19patients and increased arterial stiffness was not significantly associated with COVID-19status in the acute phase of infection.