A 6-month review of medical admissions in a nigerian teaching hospital

Akoria, Obehi Aituaje; Unuigbe, EI

doi:10.4314/ijhr.v2i2.55402

Cited by 4 publications

(9 citation statements)

References 2 publications

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“…Different from this study is a report from Benin[2] where HIV/AIDS related disorders were the most common cause of mortality (43.5%) followed by endocrine disease principally DM.…”

Section: Discussioncontrasting

confidence: 76%

“…Case fatality rates for strokes and HIV/AIDS were the highest (27.9% and 25.2% respectively) hence the need for targeted interventions to combat the menace of these disorders in our communities. Different from this study is a report from Benin[ 2 ] where HIV/AIDS related disorders were the most common cause of mortality (43.5%) followed by endocrine disease principally DM.…”

Section: Discussioncontrasting

confidence: 76%

“…The mean ages of admission and male to female ratio in this study were similar to some studies in the country[ 7 11 ] but in others they were different. [ 2 ] The three non-communicable disorders (neurologic, cardiovascular and diabetes mellitus) were the commonest disorders admitted into the medical wards causing 59.6% of admissions and 60.1% of deaths. The admission rate of these disorders increased with age, and peaked at 6 th and 7 th decades.…”

Section: Discussionmentioning

confidence: 99%

“…Surveys of medical admissions into various Nigerian health institutions indicate the rising burden of non-communicable diseases in our communities. [ 2 3 4 5 6 7 8 ] The rising prevalence of non-communicable diseases and the emergence of Human immunodeficiency virus (HIV) support the above theory (HIV may be regarded as man-made disease due to breakdown in social norms because of increasing urbanization and westernization of the Nigerian communities). This study aims to determine the profile and pattern of medical cases admitted and their mortality at the Enugu State University of Science and Technology Teaching Hospital in South East Nigeria…”

Section: Introductionmentioning

confidence: 99%

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Pattern of medical admissions at Enugu State University of Science and Technology Teaching Hospital: A 5 year review

Ezeala-Adikaibe

Aneke

Orjioke

et al. 2014

Ann Med Health Sci Res

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Background:Rapid urbanization and changing lifestyle have modified the profile and pattern of various medical disorders in many Nigerian communities. Surveys of medical admissions into various Nigerian health institutions show an increasing burden of non-communicable diseases in our communities.Aim:To determine the profile and pattern of medical cases admitted and their outcome in a new tertiary medical institution in South East Nigeria.Materials and Methods:A review of medical admissions into the Enugu State University of Science and Technology Teaching Hospital (ESUTTH), Enugu, Nigeria over 5 years between January 1, 2006 and December 30, 2010 was undertaken. Morbidity and mortality data were obtained from ward registers and subsequently medical record registers. Classifications of medical disorders were grouped using ICD 10 coding system.Results:A total of 3,865 case records were analyzed. Males were 2,312/3,865 (59.6%) and females 1,660/3,865 (40.2%). The age range was 14-105 years with a mean age of 54.3 (18.1) years. The 4 commonest causes of medical ward admissions were neurological disorders-850/3,865 (22%), endocrine disorders-735/3,865 (19.1%), cardiovascular disorders-718/3,865 (18.5%) and infectious diseases-604/3,865 (15.6%). The diseases encountered most were diabetes mellitus-735/3,865 (19.1%), hypertension/congestive cardiac failure-703/3,865 (18.2%), strokes-614/3,865 (15.9%) and human immunodeficiency virus (HIV)/AIDS-503 (13.1%). The overall mortality was 766/3,865 (19.8%) men-467/2,312 (20.2%); women-299/2,312 (19.3%). Strokes accounted for most of the deaths-171/766 (22.3%) followed by HIV/AIDS 127/766 (16.6%). Hypertension/cardiac failure and diabetes each accounted for 116/766 (15.1%) of all deaths. Case fatality rates for strokes and HIV/AIDS were the highest (171/614 (27.9%) and 127/503 (25.2%) respectively). Mortality rate was highest in the above 70 years age group.Conclusion:Non-communicable disorders are the commonest causes of medical ward admission in this tertiary institution. Efforts aimed at primary prevention will help to reduce the burden of these disorders in the community.

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“…Different from this study is a report from Benin[2] where HIV/AIDS related disorders were the most common cause of mortality (43.5%) followed by endocrine disease principally DM.…”

Section: Discussioncontrasting

confidence: 76%

Section: Discussioncontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pattern of medical admissions at Enugu State University of Science and Technology Teaching Hospital: A 5 year review

Ezeala-Adikaibe

Aneke

Orjioke

et al. 2014

Ann Med Health Sci Res

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“…Of the 14 studies carried out in university/teaching hospitals nine reported having class III diagnostic facilities (26–28, 30, 42, 43, 47–49). These included more advanced imaging, pathology, and biochemical tests.…”

Section: Resultsmentioning

confidence: 99%

Medical causes of admissions to hospital among adults in Africa: a systematic review

Etyang

Scott

2013

Global Health Action

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BackgroundDespite the publication of several studies on the subject, there is significant uncertainty regarding the burden of disease among adults in sub-Saharan Africa (sSA).ObjectivesTo describe the breadth of available data regarding causes of admission to hospital, to systematically analyze the methodological quality of these studies, and to provide recommendations for future research.DesignWe performed a systematic online and hand-based search for articles describing patterns of medical illnesses in patients admitted to hospitals in sSA between 1950 and 2010. Diseases were grouped into bodily systems using International Classification of Disease (ICD) guidelines. We compared the proportions of admissions and deaths by diagnostic category using χ2.ResultsThirty articles, describing 86,307 admissions and 9,695 deaths, met the inclusion criteria. The leading causes of admission were infectious and parasitic diseases (19.8%, 95% confidence interval [CI] 19.6–20.1), respiratory (16.2%, 95% CI 16.0–16.5) and circulatory (11.3%, 95% CI 11.1–11.5) illnesses. The leading causes of death were infectious and parasitic (17.1%, 95% CI 16.4–17.9), circulatory (16%, 95% CI 15.3–16.8) and digestive (16.2%, 95% CI 15.4–16.9). Circulatory diseases increased from 3.9% of all admissions in 1950–59 to 19.9% in 2000–2010 (RR 5.1, 95% CI 4.5–5.8, test for trend p<0.00005). The most prevalent methodological deficiencies, present in two-thirds of studies, were failures to use standardized case definitions and ICD guidelines for classifying illnesses.ConclusionsCardiovascular and infectious diseases are currently the leading causes of admissions and in-hospital deaths in sSA. Methodological deficiencies have limited the usefulness of previous studies in defining national patterns of disease in adults. As African countries pass through demographic and health transition, they need to significantly invest in clinical research capacity to provide an accurate description of the disease burden among adults for public health policy.

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Morbidity patterns among medical admissions at Niger Delta University Teaching Hospital, Bayelsa State, Nigeria

Egbi

2021

Ann Clin Biomed Res

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Hospital statistics on morbidity and mortality are essential in assessing disease burden, evaluation of health policies and health planning. The study aimed to determine the morbidity pattern and short-term outcome among medical admissions in the Niger Delta University Teaching Hospital (NDUTH), Bayelsa State, Nigeria. This retrospective 7-years disease audit was carried out in the medical wards of NDUTH, Bayelsa State, Nigeria. Information extracted included name and gender of patients, diagnoses and disease outcomes. One thousand, one hundred and twenty five (60.5%) females and seven hundred and thirty three (39.5%) males had complete records and were therefore used for the analysis. The mean age of the patients was 50.14±16.66 years with males being older (p<0.001). Non-Communicable Diseases (NCDs) accounted for a majority of cases (1270; 68.4%) while 588 (31.6%) were Communicable Diseases (CDs) NCDs were more prevalent among males and older individuals (p<0.03; p<0.001) and showed a rising trend over the years. CDs were however the leading cause of morbidities among females. The commonest diagnoses among males were retroviral disease, stroke, heart failure, pulmonary tuberculosis, diabetes and renal disease with women showing a similar trend except that heart failure replaced stroke as the second commonest morbidity while stroke came third, followed by diabetes, renal disease and hypertension. The all-cause mortality rates were 10.6% and 15.9% for females and males respectively. The major causes of mortality were infectious diseases and circulatory disorders for both genders. About 6.4% males and 3.8% females Left Against Medical Advice (LAMA). The pattern shows a rising prevalence of NCDs. Although CDs witnessed some decline, it however remained prevalent. The mortality rate was high while a good proportion LAMA. There is a need for strategic health programs to address this increasing tide of NCDs in our society, control CDs, and improve patient care while reducing mortality.

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A 6-month review of medical admissions in a nigerian teaching hospital

Cited by 4 publications

References 2 publications

Pattern of medical admissions at Enugu State University of Science and Technology Teaching Hospital: A 5 year review

Pattern of medical admissions at Enugu State University of Science and Technology Teaching Hospital: A 5 year review

Medical causes of admissions to hospital among adults in Africa: a systematic review

Morbidity patterns among medical admissions at Niger Delta University Teaching Hospital, Bayelsa State, Nigeria

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