A five-year review of the pattern and outcome of cardiovascular diseases admissions at the Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria

Ajayi, Ebenezer Adekunle; Ajayi, Oladimeji A; Adeoti, Olatayo A; Raimi, Taiwo Hussean; Fadare, Joseph; Dada, Samuel Ayokunle; Akolawole, Michael

doi:10.4103/0189-7969.130098

Cited by 1 publication

(4 citation statements)

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“…This is reflected by an increase in both the absolute numbers of CVD admissions and mortality recorded over the period in our current study. These findings are comparable to similar hospital‐based studies conducted in SSA …”

Section: Discussionsupporting

confidence: 90%

“…These findings are comparable to similar hospital-based studies conducted in SSA. 5,6 The upsurge in the burden of cardiac diseases is largely attributable to the phenomenon of globalization, resulting in increased interconnectedness and interdependence of peoples, cultures, and countries. 12 Overall, we observed a nearly equal distribution of CVD admissions by sex; however, HF, the most common cause of CVD admissions, was more preponderant among middle-aged females.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Emerging evidence suggests a rising proportion of CVD admissions with a corresponding increase in CVD mortality. 5 In one study, as much as a 5-fold increase in the proportion of hospital admissions due to CVD was observed between 1950 and 2010 in Africa. 6 There is considerable variation in the spectrum of CVD across different jurisdictions of society.…”

Section: Introductionmentioning

confidence: 97%

“…CVD, as previously reported, constitutes about one‐tenth of all medical admissions in Africa, with heart failure (HF) accounting for the majority of those admissions . Emerging evidence suggests a rising proportion of CVD admissions with a corresponding increase in CVD mortality . In one study, as much as a 5‐fold increase in the proportion of hospital admissions due to CVD was observed between 1950 and 2010 in Africa …”

Section: Introductionmentioning

confidence: 99%

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Current trends in admissions and outcomes of cardiac diseases in Ghana

Appiah

Sarfo

Agyemang

et al. 2017

Clinical Cardiology

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Cardiovascular diseases (CVDs) pose a major burden in Africa, but data on temporal trends in disease burden are lacking. We assessed trends in CVD admissions and outcomes in central Ghana using a retrospective analysis of data from January 2004 to December 2015 among patients admitted to the medical wards of a tertiary medical center in Kumasi, Ghana. Rates of admissions and mortality were expressed as CVD admissions and deaths divided by the total number of medical admissions and deaths, respectively. Case fatality rates per specific cardiac disease diagnosis were also computed. Over the period, there were 4226 CVD admissions, with a male-to-female ratio of 1.1 to 1. There was a progressive increase in percentage of CVD admissions from 4.6% to 8.2%, representing an 78% increase, between 2004 and 2014. Of the 2170 CVD cases whose data were available, the top 3 causes of CVD admissions were heart failure (HF; 88.3%), ischemic heart disease (IHD; 7.2%), and dysrhythmias (1.9%). Of all HF admissions, 52% were associated with hypertension. IHD prevalence rose by 250% between 2005 and 2015. There were 976 deaths (23%), with an increase in percentage of hospital deaths that were cardiovascular in nature from 3.6% to 7.3% between 2004 and 2014, representing a 102% increase. Cardiac disease admissions and mortality have increased progressively over the past decade, with HF as the most common cause of admission. Once rare, IHD is emerging as a significant contributor to the CVD burden in sub-Saharan Africa.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%