Prevalence and pattern of cardiovascular-related causes of out-of-hospital deaths in Lagos, Nigeria

Adegoke, OA; Awolola, N A; Ajuluchukwu, J N A

doi:10.4314/ahs.v18i4.13

Cited by 20 publications

(16 citation statements)

References 29 publications

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“…Nuclear cardiology, in general, notably stress myocardial perfusion using single-photon emission computed tomography (SPECT), is underutilised in many developing countries [ 20 – 22 ]. Myocardial ischaemia appears to be an infrequent cause of hospital deaths in Nigeria despite population-level changes in cardiovascular disease mortality and morbidity [ 23 – 25 ]. The ability to foster the adoption and expansion of nuclear cardiology in developing countries may be blunted by the marked decline of SPECT cardiology imaging globally [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Underutilisation of nuclear medicine scans at a regional hospital in Nigeria: need for implementation research

Orunmuyi¹,

Lawal²,

Omofuma³

et al. 2020

ecancer

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Background: Nuclear medicine needs better integration into the Nigerian health system. To understand the relevant public health initiatives that will be required, this study assessed the pattern of nuclear medicine imaging services at the first nuclear medicine centre in Nigeria from January 2010 to December 2018. Methods: The data of consecutive nuclear medicine (NM) scans performed between 1st January 2010 and 31st December 2018 at the NM department in a tertiary hospital in Nigeria were extracted from patient records and analysed using SAS version 9.4 (SAS Institute, Cary, NC). The National Cancer Institute's Joinpoint software and QCIS (QGIS project) were used to estimate imaging trends and geographical spread of patients. Results: An average of 486 scans per year was performed during the study period. Patients travelled from 32 of Nigeria's 36 states, and the majority (65%) travelled more than 100 km to obtain NM scans. Bone scans accounted for 88.1% of the studies. The remainder were renal scintigraphy (7.3%), thyroid scans (2.5%), whole-body iodine scans (1.7%) and others (0.4%). Conclusions: NM in Nigeria appears underutilised. Furthermore, the studies to characterise the access gaps and implementation needs will contribute to the design of practical strategies to strengthen NM services in Nigeria.

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Section: Discussionmentioning

confidence: 99%

Underutilisation of nuclear medicine scans at a regional hospital in Nigeria: need for implementation research

Orunmuyi¹,

Lawal²,

Omofuma³

et al. 2020

ecancer

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show abstract

“…Other authors from South Africa highlight walking as a feasible means of bringing about changes in blood pressure and anthropometric measurements 9. From Morocco, we have a study on risk factors for tetralogy of Fallot10, while Ghanaian workers report on hypertension11 and those from Nigeria highlight cardiovascular diseases as important causes of out of hospital deaths 12…”

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confidence: 95%

Interface of non-communicable diseases and infections in Africa

Tumwine

2018

Afr H. Sci.

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“…The lack of robust studies in African populations significantly limits the understanding of CAD in Africa. Further, epidemiological models indicate that CVDs, including CAD, will continue to increase in Africa [ 57 , 71 , 72 ]. This increase may be particularly prominent among PWH, given their higher rates of smoking.…”

Section: Introductionmentioning

confidence: 99%

An Emerging Syndemic of Smoking and Cardiopulmonary Diseases in People Living with HIV in Africa

Peprah

Armstrong-Hough

Cook

et al. 2021

IJERPH

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Background: African countries have the highest number of people living with HIV (PWH). The continent is home to 12% of the global population, but accounts for 71% of PWH globally. Antiretroviral therapy has played an important role in the reduction of the morbidity and mortality rates for HIV, which necessitates increased surveillance of the threats from pernicious risks to which PWH who live longer remain exposed. This includes cardiopulmonary comorbidities, which pose significant public health and economic challenges. A significant contributor to the cardiopulmonary comorbidities is tobacco smoking. Indeed, globally, PWH have a 2–4-fold higher utilization of tobacco compared to the general population, leading to endothelial dysfunction and atherogenesis that result in cardiopulmonary diseases, such as chronic obstructive pulmonary disease and coronary artery disease. In the context of PWH, we discuss (1) the current trends in cigarette smoking and (2) the lack of geographically relevant data on the cardiopulmonary conditions associated with smoking; we then review (3) the current evidence on chronic inflammation induced by smoking and the potential pathways for cardiopulmonary disease and (4) the multifactorial nature of the syndemic of smoking, HIV, and cardiopulmonary diseases. This commentary calls for a major, multi-setting cohort study using a syndemics framework to assess cardiopulmonary disease outcomes among PWH who smoke. Conclusion: We call for a parallel program of implementation research to promote the adoption of evidence-based interventions, which could improve health outcomes for PWH with cardiopulmonary diseases and address the health inequities experienced by PWH in African countries.

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Prevalence and pattern of cardiovascular-related causes of out-of-hospital deaths in Lagos, Nigeria

Cited by 20 publications

References 29 publications

Underutilisation of nuclear medicine scans at a regional hospital in Nigeria: need for implementation research

Underutilisation of nuclear medicine scans at a regional hospital in Nigeria: need for implementation research

Interface of non-communicable diseases and infections in Africa

An Emerging Syndemic of Smoking and Cardiopulmonary Diseases in People Living with HIV in Africa

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