Aims and Scope

ReviewerCreditsAdvances in General Practice of Medicine (AGPM) (ISSN:2529-8127) is an open access, continuously published, international, refereed  journal to promote comprehensive, coordinated and continuing care for the community members. This journal encourages submissions of original research, review article, clinical case study, clinical trial, commentary, perspective, opinion in the field addressed.

Topics of interest include, but are not limited to, the following:
• Medical education and training
• Medical management and evaluation
• Clinical research
• Health policy and guideline development
• Whole person care
• Health economics
• International experiences and evolutions
• Family doctor service model
 • Diagnostic and therapeutic
• Basic medicine system
• Health information technologies

Vol 5 No 1 (2023)

Published: 2023-03-02

Abstract views: 279   PDF downloads: 77  
2024-02-22

Page 81-89

Prediction of mortality in adult COVID-19 patients using chest CT severity scoring systems: A comparative analysis of different scores

blankpage Didier Ndyanabo Ndabahweje, Olivier Mukuku, Charles Kangitsi Kahindo, Michel Lelo Tshikwela, Gertrude Luyeye Mvila, Antoine Molua Aundu, Jean Tshibola Mukaya, Stanis Okitotsho Wembonyama, Zacharie Kibendelwa Tsongo

Purpose: To compare the accuracy of mortality prediction of four CT severity scoring systems for COVID-19: CT severity score three levels, CT severity score, Total severity score, and Chest CT score.
Methods: This was a retrospective study of 278 patients hospitalized with COVID-19 confirmed by a positive polymerase chain reaction (PCR) and in whom a CT scan was performed to assess the severity of lung involvement. This assessment was performed using four different scoring systems, including the CT severity score three levels, the CT severity score, the Total severity score, and the Chest CT score.
Results: A total of 278 COVID-19 patients had chest CT scans, of whom 59 (21.22%) died and 219 (78.78%) survived. The ROC curves showed outstanding performance for the four chest CT severity scoring systems: 0.9580 for the CT severity score; 0.9532 for the CT severity score three levels; 0.9474 for the Total severity score; and 0.9327 for the Chest CT score. The comparison of these four ROC curves revealed no statistically significant difference between the four scoring systems (X2 = 3.89; p = 0.2740).
Conclusion: The four chest CT severity scoring systems used predicted mortality in COVID-19 patients with excellent agreement and outstanding performance.

Abstract views: 599   PDF downloads: 413  
2023-03-02

Page 74-80

Prevalence and associated factors of uncontrolled hypertension in hypertensive patients in the city of Goma, DRC

blankpage Herman Ngadjole Chelo, Théophile Kabesha Barhwamire, Patricia Lukusa Mishika, Zacharie Kibendelwa Tsongo, Stanis Okitotsho Wembonyama

Background: The objectives of this study were to determine the proportion of uncontrolled hypertension in hypertensive patients followed up on an outpatient basis and to investigate the factors associated with this poor control.
Methods: This was a cross-sectional analytical study of 167 hypertensive patients followed in eight health facilities in Goma city. Uncontrolled hypertension was defined as systolic blood pressure (SBP) ≥140 mmHg and/or diastolic blood pressure (DBP) ≥90 mmHg.
Results: The proportion of uncontrolled hypertension was 95.2%. In bivariate analysis, no factor was associated with uncontrolled hypertension.
Conclusion: Almost all hypertensive patients in our study were poorly controlled by antihypertensive treatment. These results highlight the need for a cohort study to determine the factors associated with this excessively high prevalence of uncontrolled hypertension in hypertensive patients on antihypertensive drugs, in order to allow targeted actions to try to control hypertension by antihypertensive drugs.

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Pietro Vajro-photo  ISSN: 2529-8127
 Abbreviation: Adv Gen Pract Med
 Editor-in-Chief: Prof. Pietro Vajro (Italy)
 Publishing Frequency: Continuous publication
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 Publishing Model:
Open Access