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Table 4 Use of antihypertensive medication by class of drugs among CKD patients with hypertension according to level of UACR

From: Prevalence, determinants, and management of chronic kidney disease in Karachi, Pakistan - a community based cross-sectional study

Anti-hypertensive medications

Overall, n (%, 95% CIs)

UACR, mg/mmol, n (%, 95% CIs)

<3.0

≥3.0

≥3.0 and diabetes

n = 267

N = 56

N = 211

N = 107

Antihypertensive medications, mean ± SD

1.4 ± 0.8

1.4 ± 0.7

1.4 ± 0.8

1.5 ± 0.9

ACEI/ARB only

26 (9.7, 6.5 – 13.9)

7 (12.5, 5.2 – 24.1)

19 (9.0, 5.5 – 13.7)

10 (9.3, 4.6 – 16.5)

ACEI/ARB only or in combination with others

45 (16.9, 12.6 – 21.9)

12 (21.4, 11.6 – 34.4)

33 (15.6, 11–21.3)

20 (18.7, 11.8 – 27.4)

Beta blockers only

43 (16.1, 11.9 – 21.1)

9 (16.1, 7.6 – 28.3)

34 (16.1, 11.4 – 21.8)

13 (12.1, 6.6 – 19.9)

Beta blockers only or in combination with others

64 (24.0, 19.0 – 29.6)

15 (26.8, 15.8 – 40.3)

49 (23.2, 17.7 – 29.5)

22 (20.6, 13.4 – 29.5)

Calcium channel blockers only

18 (6.7, 4.0 – 10.4)

4 (7.1, 2.0 – 17.3)

14 (6.6, 3.7 – 10.9)

10 (9.3, 4.6 – 16.5)

Calcium channel blockers only or in combination with others

40 (15.0, 10.9 – 19.8)

9 (16.1, 7.6 – 28.3)

31 (14.7, 10.2 – 20.2)

21 (19.6, 12.6 – 28.4)

Diuretics only

3 (1.1, 0.2 – 3.2)

2 (3.6, 0.4 – 12.3)

1 (0.5, 0.0 – 2.6)

1 (0.9, 0.0 – 5.1)

Diuretics only or in combination with others

19 (7.1, 4.3 – 10.9)

6 (10.7, 4–21.9)

13 (6.2, 3.3 – 10.3)

12 (11.2, 5.9 – 18.8)

Any combinations

36 (13.5, 9.6 – 18.2)

10 (17.9, 8.9 – 30.4)

26 (12.3, 8.2 – 17.5)

18 (16.8, 10.3 – 25.3)

  1. UACR = Urinary Albumin to Creatinine Ratio; ACEI/ARB = Angiotensin converting enzyme inhibitor/Angiotensin receptor blocker.
  2. Combination antihypertensive medications are based on various combinations of 2 or more above-mentioned anti-hypertensive drugs. They are not included in the individual drug categories. Each individual drug refers to monotherapy.
  3. Patients with diabetes mellitus and UACR ≥3 mg/mmol along with CKD and hypertension.