A Retrospective Evaluation of Patients Hospitalized in the Internal Medicine Department at the Turkey Recep Tayyip Erdogan Somalia Mogadishu Training and Research Hospital

Sarı, Öznur; Bashir, Ahmed Muhammad

doi:10.46310/tjim.899718

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…When it comes to the type of organ failure, renal failure topped among all, with respiratory failure being second in the rank. This is in consistent with a previous report by Sari and Bashir [ 15 ], about the patients admitted to the medical ward, which showed that 45% of the admissions were due to renal failure. However, it is in contrary to the findings of Sakr et al from Belgium that the cardiovascular failure was the most common type of organ failure [ 16 ].…”

Section: Discussionsupporting

confidence: 93%

ICU-Managed Patients’ Epidemiology, Characteristics, and Outcomes: A Retrospective Single-Center Study

Bashir¹,

Osman

Mohamed³

et al. 2023

Anesthesiology Research and Practice

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Background. Resources are limited, and it is exceedingly difficult to provide intensive care in developing nations. In Somalia, intensive care unit (ICU) care was introduced only a few years ago. Purpose. In this study, we aimed to determine the epidemiology, characteristics, and outcome of ICU-managed patients in a tertiary hospital in Mogadishu. Methods. We retrospectively evaluated the files of 1082 patients admitted to our ICU during the year 2021. Results. The majority (39.7%) of the patients were adults (aged between 20 and 39 years), and 67.8% were male patients. The median ICU length of stay was three days (IQR = 5 days), and nonsurvivors had shorter stays, one day. The mortality rate was 45.1%. The demand for critical care services in low-income countries is high. Conclusion. The country has a very low ICU bed capacity. Critical care remains a neglected area of health service delivery in this setting, with large numbers of patients with potentially treatable conditions not having access to such services.

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Section: Discussionsupporting

confidence: 93%

ICU-Managed Patients’ Epidemiology, Characteristics, and Outcomes: A Retrospective Single-Center Study

Bashir¹,

Osman

Mohamed³

et al. 2023

Anesthesiology Research and Practice

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“…Somalia has seen an increase in the number of people suffering from kidney disease in recent years, due to changes in diet, diabetes mellitus, and blood pressure that are not treated properly. A study by Sarı Ö and Bashir (12) found that 44.2% of patients admitted to the Mogadishu Somali Turkey Training and Research Hospital's internal medicine department had acute or chronic kidney disease.…”

Section: Introductionmentioning

confidence: 99%

Secondary Hyperparathyroidism in Adult Chronic Hemodialysis Patients-Prevalence and Clinical Aspect

Bashir¹,

Alıcı²,

Wabari³

et al. 2022

Preprint

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Background Secondary hyperparathyroidism (SHPT) is a common complication of chronic kidney disease (CKD). Aim The exact prevalence of secondary hyperparathyroidism in chronic hemodialysis patients in Somalia is unknown. In this study, we aim to determine the prevalence of SHPT in chronic hemodialysis patients in Mogadishu, Somalia. Method This retrospective analysis was done at Mogadishu Somali Turkey training and research hospital, Somalia's largest dialysis center. All > 18-year-old hemodialysis patients from the last year were included. The research excluded parathyroidectomy and steroid, phenytoin, and phenobarbitone individuals. This analysis covered 195 patients. Calcium, phosphate, albumin, vitamin D, urea, creatinine, and other electrolytes were also tested. Results Our study included 195 patients who met the inclusion criteria. The mean age was 56.0 ± 17.4 with 49.2% men and 50.88% females. End-stage kidney disease (ESKD) was caused by hypertension in 64.1% of patients and diabetes in 30.8%. The mean hemodialysis time was 7.8 ± 1.3 hours per week and for duration 39.6 ± 15 months. The mean iPTH concentration was 458.59 ± 636.96 pg/mL, phosphate was 4.24 ± 2.15 mg/dL, corrected calcium was 8.70 ± 0.97 mg/dL, and calcium phosphate product was 36.60 ± 19.78 mg/dL. The mean vitamin D concentration was 33.53 ± 19.70. we found that the prevalence of secondary hyperparathyroidism is 65.6%. Conclusion We conclude that there is high prevalence of secondary hyperparathyroidism in chronic hemodialysis patients in Somalia and that measures that predict vitamin D response, including sestamibi parathyroid scan and gland volume, should be studied further to prevent this high prevalence.

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Demographic Characteristics and Risk Factors Affecting the Development of Postpartum Acute Kidney Injury in Somalia: Single-Center Experience

Omar¹,

Osman²,

Hilowle³

et al. 2022

IJWH

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Background and Aim Although postpartum acute kidney injury (PPAKI) is declining in developing countries, it is still a leading cause of maternal and fetal morbidity and mortality. The study aimed to determine the causes, risk factors, and the outcomes of patients with postpartum acute kidney injury managed at Mogadishu Somali Turkey Training and Research Hospital, in Mogadishu, Somalia over a two years period. Methods This study was conducted retrospectively at Mogadishu Somali-Turkey Training and Research Hospital, Somalia’s largest teaching and referral hospital. During a two-year period (January 2020 to December 2021), we evaluated women who had acute kidney injury during the postpartum period and were hospitalized in our hospital. The data was also evaluated for postpartum admission day and hospital stay. The requirement for dialysis and the results were documented. Maternal outcomes are categorized as follows: Complete recovery after discharge/follow-up, chronic dependence on hemodialysis and death during admission. Results We studied 79 postpartum AKI patients. The mean age of the participants was 28.67 ± 6.14. Most patients (51%) were aged 20–30, followed by 30–40 (29%). According to self-reported comorbidities, most individuals had no history of chronic diseases, 8 (10.1%) had hypertension and 3 (3.8%) had heart failure, and DM and HTN 2(2.5%). The most common causes of PPAKI were eclampsia (24.1%), hemorrhagic shock, intrauterine mortality (16.5%), placenta abruptio and uterine rupture (8.9%). Hemorrhage (5.1%) and placenta previa (2.5%). The patient’s outcome was associated with age (p=0.04), platelet (p=0.024), and hospital stay (p=0.009). Conclusion Postpartum acute kidney injury is very common in underdeveloped nations. Preeclampsia/Eclampsia, obstetric bleeding, and intrauterine death are the leading causes of postpartum acute kidney injury in Somalia. This tragic scenario may be avoided by providing appropriate antenatal care and raising awareness among Somali women about the benefits of antenatal care provided by public institutions.

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A Retrospective Evaluation of Patients Hospitalized in the Internal Medicine Department at the Turkey Recep Tayyip Erdogan Somalia Mogadishu Training and Research Hospital

Cited by 4 publications

References 42 publications

ICU-Managed Patients’ Epidemiology, Characteristics, and Outcomes: A Retrospective Single-Center Study

ICU-Managed Patients’ Epidemiology, Characteristics, and Outcomes: A Retrospective Single-Center Study

Secondary Hyperparathyroidism in Adult Chronic Hemodialysis Patients-Prevalence and Clinical Aspect

Demographic Characteristics and Risk Factors Affecting the Development of Postpartum Acute Kidney Injury in Somalia: Single-Center Experience

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