Pattern and outcome of renal admissions at the University of Port Harcourt Teaching Hospital, Nigeria: A 4 years review

Wachukwu, Chinyere Mmanwanyi; Emem-Chioma, Pedro; Wokoma, Friday Samuel; Oko-Jaja, Richard Ishmael

doi:10.4103/1596-3519.172559

Cited by 10 publications

(6 citation statements)

References 26 publications

(31 reference statements)

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“…This single-center, retrospective study found that NCDs account for 66.1% of total admissions and the number of cases of NCDs was two times more compared to CDs (ratio 2:1). A number of studies performed in low and middle income countries have also reported similar findings [7][8][9][10][11] the medical ward of a tertiary center in Nigeria and reported same trend 13 . Again, evidences show that the detection and treatment rate of DM and HTN is inadequate among bangladeshi population .…”

Section: Discussionsupporting

confidence: 52%

Pattern of Non-Communicable Diseases among the Admitted Patients in a District Level Hospital of Bangladesh

Rahman¹,

Kabir²,

Mehjabin³

2019

Bangladesh Heart J

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Background: Non-communicable Diseases (NCD), particularly cardiovascular diseases, cancer, diabetes and chronic respiratory disease, have emerged as the leading threat to mankind worldwide. Likewise in Bangladesh, an increasing trend of incidence of NCDs has been observed and already they have become major public health concern. Hence, we aimed to study the pattern of NCDs among the admitted patients at an Upazila Health Complex (UHC) in Bangladesh. Methods: In this retrospective study, data of in-hospital patients admitted from January 2018 to June 2018 in UHC, Chhagalnaiya, Feni was analyzed. Data on age, gender, occupation, hospital admission/discharge and diagnosis of disease was obtained from the hospital register. Diseases were categorized into NCD or communicable disease using the World Health Organization’s International Classification of Diseases (ICD) coding system. Results: 1,367 adult patients with different diseases were admitted into the medical ward over the study period of six months (mean age 57.4 ± 17.9 years; 61.3% male and 38.7% female). There were 904 cases of various NCDs constituting 66.1% of total admissions. The number of cases of NCDs was two times more compared to CDs (ratio 2:1). In all six months, admissions due to NCDs were significantly higher compared to communicable diseases CDs (p = 0.0001). Among the admissions due to NCDs, more than half (51.3%) were aged between 50 to 69 years. In terms of pattern of disease, cardiovascular diseases were the number one cause for hospital admission followed by endocrine disorders. Conclusion: This study found that the burden of NCDs has increased among the admitted patients in an UHC. These findings could be useful to draw the attention of health authorities to adopt preventive strategies against NCDs even at Upazila level. Bangladesh Heart Journal 2019; 34(2) : 118-121

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Section: Discussionsupporting

confidence: 52%

Pattern of Non-Communicable Diseases among the Admitted Patients in a District Level Hospital of Bangladesh

Rahman¹,

Kabir²,

Mehjabin³

2019

Bangladesh Heart J

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“…Our findings in this study are supported by earlier studies, which reported higher proportions of renal disease death attributable to infectious and cardiac deaths . In a retrospective study conducted to determine pattern and outcome of renal admissions at Port Harcourt Teaching Hospital in Nigeria, hypertensive nephropathy, diabetic nephropathy, chronic glomerulonephritis and HIV‐related renal disease were the common causes of death …”

Section: Discussionsupporting

confidence: 89%

20 year trends in renal disease mortality in Ghana: A review of autopsies

et al. 2019

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We observed marked increase in renal disease mortality rate during the last few years predominantly driven by chronic and infectious related renal diseases as main cause, and hypertensive heart disease and congestive heart failure as main secondary causes. Measures geared towards prevention, treatment and managing such conditions may impact on the reduction of renal disease mortality rate among Ghanaian populations.

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“…Unachukwu et al reported same trend [7]. Work by Wachukwu et al found a renal disease prevalence of 15.4% in tandem with the renal disease prevalence found in this study [11]. Other works in tertiary centres in neighbouring south-east, Nigeria reported cardiovascular diseases as leading causes of medical ward admissions [9,12].…”

Section: Discussionsupporting

confidence: 82%

Non Communicable Disease Admissions in Developing Country as Experienced from the Medical Ward of a Tertiary Centre in Nigeria

Akubudike¹,

Eze²

2018

CAJPH

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Non-Communicable Diseases (NCDs) are chronic medical conditions that are non-infectious. NCDs which include a cluster of illnesses (Diabetes mellitus, Cancers, Chronic respiratory diseases, cardiovascular disease and musculoskeletal disorders) are increasing worldwide due to changing lifestyles and socio-economic status with significant contribution to the global disease burden. It is projected that by 2020, the largest increase in NCD deaths will occur in Africa which currently has a heavy infectious diseases burden. NCDs usually affect adults who are economically productive and bear enormous social responsibilities. The aim of this study is to determine the pattern of non-communicable diseases in the medical wards of the University of Port Harcourt Teaching Hospital (UPTH). It was a retrospective and hospital based study. The admission and discharge registers of the medical wards of UPTH from January 2013 to December 2016 were reviewed and NCD admissions extracted. There were 1096 cases of various NCDs constituting 57.7% of total medical ward admissions of 1898. The male to female ratio was 1:1.2 with a mean age of 54.40±21 years. Subjects ≥50 years of age accounted for 60.5% of total admissions. Diseases of the cardiovascular, endocrine and renal systems were found to be the most prevalent accounting for 46.5%, 18.8% and 12.4% respectively of the NCDs in this study. Hypertension and hypertension-related complications, diabetes mellitus, and chronic renal failure are major and important contributor to NCD admissions in the medical wards of UPTH. Early detection, appropriate management as well as patient education will play significant role in reducing its morbidity and mortality.

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Pattern and outcome of renal admissions at the University of Port Harcourt Teaching Hospital, Nigeria: A 4 years review

Cited by 10 publications

References 26 publications

Pattern of Non-Communicable Diseases among the Admitted Patients in a District Level Hospital of Bangladesh

Pattern of Non-Communicable Diseases among the Admitted Patients in a District Level Hospital of Bangladesh

20 year trends in renal disease mortality in Ghana: A review of autopsies

Non Communicable Disease Admissions in Developing Country as Experienced from the Medical Ward of a Tertiary Centre in Nigeria

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