ASSOCIATION BETWEEN THE DURATION OF HYPERTENSION AND STROKE AMONG HYPERTENSION PATIENTS IN YANGTALAD DISTRICT, KALASIN PROVINCE.

Abstract

Stroke disease It is a common complication in patients with high blood pressure due to lack of continuous blood pressure control.The efficiency of the arteries is reduced, the risk of stroke. This time, the study was to study the relationship between duration of hypertension and stroke in Yang Talat District, Kalasin Province.The Unmatched Case-Control study used medical records of hypertensive patients from January 1, 2016 to December 31, 2020. The case group consisted of patients with diagnosed hypertension with stroke. The control group consisted of patients with diagnosed hypertension. 111 participants counted for each group. The relationship was analyzed by using Multiple logistic regression statistics. The relationship size was presented by Adjusted Odds Ratio, 95% confidence interval.The results showed that when controlling the variables in the final equation, it was found that the duration of having hypertension was correlated with the incidence of stroke with statistical significance (P<0.05). The patients having hypertension for 5-9 years and 10 years or over were more likely to have stroke 5.14 and 17.18 times of patients having hypertension for less than 5 years (OR_adj=5.14, 95%CI; 1.72 – 15.45), (OR_adj=17.18, 95%CI; 6.45 – 45.8), (P<0.001). Therefore, the health behavior monitoring model of patients with hypertension should be continuously developed, especially among those having hypertension for 5- 10 years or over. The proactive action plan should be developed to control stroke risk factors. The risk of cardiovascular diseases should also be assessed to screen for the risk of stroke.