Demographic characteristics and causes of death for persons brought in dead to emergency department of a Tertiary Health Facility in South-West Nigeria

Adegoke, OA; Ajuluchukwu, J N

doi:10.4103/npmj.npmj_170_18

Cited by 9 publications

(7 citation statements)

References 2 publications

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“…Professional caregivers in the clinical settings particularly nurses, take responsibility of caring for patients in varying stages of disease process with the hope of preserving life and functioning ( Shamain, 2014 ). However, death is a reality within the health care setting ( Adegoke & Ajuluchukwu, 2019 ) thus these professionals are prone to witness and experience first-hand, the associated strong emotional experiences and perhaps lead the patient through the experience to attain a peaceful death (Cardoso et al, 2019).…”

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confidence: 99%

“…Many studies have documented that attitudes of nurses are sacrosanct in the management of the dying patient ( Chang & Iskandar, 2018 ; Cheong et al., 2020 ; Tranter et al., 2016 ; Wang et al., 2018 ), however none has been documented about this concept in Nigeria where in-hospital mortality has been documented to be one of the highest in the world ( Adegoke & Ajuluchukwu, 2019 ; Akinmokun et al., 2019 ; Ilesanmi et al., 2019 ; Ilyasu et al., 2010 ). The study therefore examined the sociodemographic determinants of the attitude of nurses working in a Nigerian Teaching Hospitals towards the concept of death as well as caring for dying patients.…”

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confidence: 99%

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Nurses’ Attitude Toward Caring for Dying Patients in a Nigerian Teaching Hospital

et al. 2021

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Introduction Death and the dying experience are common phenomena in all clinical settings. Death and the dying presents physical and emotional strain on the dying patient, his relations and professional caregivers. Objective The study therefore assessed the sociodemographic determinants of nurses’ attitudes towards death and caring for dying patient. Method A cross–sectional design was used to study 213 randomly selected nurses, working in one of the tier one teaching hospital in Nigeria. Attitude towards death and the dying was collected with Frommelt Attitude Care of the Dying and Death Attitude Profit–Revised questionnaire. The data collected was analysed with SPSS version 20 and inferential analyses were considered statistically significant at p < 0.05. Results The study revealed that most of the nurses had negative attitudes toward the concept of death (76.5%) and caring for dying patient (68%). Furthermore, a chi-square test revealed significant associations between the nurses’ years of working experience (χ2 = 24.57, p <.00) and current unit of practice (χ2 = 21.464; p = .002) and their attitude towards caring for the dying patient. Also, nurses’ age (χ2 = 13.77, p = .032), professional qualifications (χ2 = 13.774, p = .008), and current ward of practice (χ2 = 16.505, p = .011) were significantly associated with their attitudes to death. Furthermore, the study observed a significant association between nurses’ attitudes to death and caring for the dying patient (χ2 = 11.26, p < 0.01). Conclusion This study concluded that nurses had negative attitudes towards death and dying and therefore prescribes, as part of continuing professional development strategy, the need for requisite positive value – laden, ethnoreligious specific education regarding end of life care.

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Nurses’ Attitude Toward Caring for Dying Patients in a Nigerian Teaching Hospital

et al. 2021

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“…4 In a report from southwest Nigeria, 11.1% of adult ER mortality over 5 years were BIDs. 5 A much higher prevalence of 31.1% of total ER mortality (across all age groups including infants and the elderly) was reported from a study in Ghana. 1 Yokobori et al 6 reported 1378 and 209 BID cases in adults and children respectively in a tertiary health care facility in Zambia over an 8-month period.…”

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confidence: 90%

Paediatric brought-in-dead at a tertiary health facility in South western Nigeria: Patterns and drivers

Olatunya¹,

Babatola²,

Adeniyi³

et al. 2021

Nig. J. Paed.

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Background: ‘Brought- in-dead’ (BID) refers to the demise of an individual before presentation to a health facility. This study assessed the pattern of paediatric BID cases seen at a tertiary health facility in southwest Nigeria. Method: A cross-sectional, descriptive study was done at the Children Emergency Ward (CEW) of the hospital between January 2014 and December 2018. The patterns of BID cases and presumed causes of death were determined using a standardized checklist adapted from the WHO verbal autopsy instrument. Results: Ninety-eight BID cases were seen during the study, constituting 2.5% of total patients seen during the period. The median (IQR) age of cases was 24.0 (8.75 – 63.0) months and 72.4% were under-fives. Most had symptoms related to the haematologic (36.7%), respiratory (24.5%) or digestive (20.4%) systems. Severe anaemia 31(31.6%), gastroenteritis 19 (19.4) and aspiration 17 (17.3%) were the most common causes of death. The median (IQR) duration of illness before presentation was 3.0 (1.0 – 7.0) days but most presented from 4 – 7 days of illness. A significant relationship was found between the duration of illness and whether or not pre-hospital treatment was received (p < 0.0001). Unprescribed drugs purchased over the counter were the most commonly used treatment in 79.1% of cases (p < 0.0001). Conclusion: This study has highlighted the prevalence and pattern of paediatric BID in a tertiary health facility in southwest Nigeria and the factors that were associated with it. More efforts need to be geared towards community sensitization and pediatric health care to prevent factors drivingits menace.

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“…These patients present either in a critically ill state or as Brought in Dead (BID) [1]. Patients brought in dead (BID) often contribute to the mortality statistics in hospital AEU [2]. And the cause of death at the time of presentation is often unknown.…”

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confidence: 99%

The pattern of Deaths in the Accident and Emergency Units of Ekiti State University Teaching Hospital

Kadiri,

Yusuf,

Alaran

et al. 2023

PAJOLS

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Background: Background: Death is common in accidents and emergency units (AEU), and its causes vary. Some are brought-in-dead (BID) with unknown causes and contribute to hospital mortality statistics. This study aimed to determine the causes and patterns of death in the AEU of the Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria Methods: This was a 5-year retrospective study of all patients who died in the AEU of Ekiti State University Teaching Hospital, including those brought in dead. The information needed was extracted from the case notes and entered into SPSS version 23 for analysis. Results: A total of 7,682 patients were observed during the study period, with 275 deaths repre-senting a mortality rate of 3.6%. One hundred and fifty-six (56.7%) patients were BID. The mean age was 50.8 years. Most deaths (n=233, 84.7%) were from non-traumatic causes, with stroke and heart failure being the most common causes. Head injury (3.3%) was the most common traumatic cause of death. The median interval from presentation to death was 5 hours (IQR 3 – 6). Most patients (n=54, 45.4%) died within the first 8 hours of admission. None of the patients underwent an autopsy. Hypertension and diabetes were the most common co-morbid conditions reported. Conclusion: Brought-in-dead patients were the most commonly recorded death pattern in AEU at the Ekiti State University Teaching Hospital, and the overall mortality rate was 3.6%. Non-traumatic causes are the leading causes of death.

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Demographic characteristics and causes of death for persons brought in dead to emergency department of a Tertiary Health Facility in South-West Nigeria

Cited by 9 publications

References 2 publications

Nurses’ Attitude Toward Caring for Dying Patients in a Nigerian Teaching Hospital

Nurses’ Attitude Toward Caring for Dying Patients in a Nigerian Teaching Hospital

Paediatric brought-in-dead at a tertiary health facility in South western Nigeria: Patterns and drivers

The pattern of Deaths in the Accident and Emergency Units of Ekiti State University Teaching Hospital

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