Socio-demographic profile of medical emergencies at the University of Ilorin Teaching Hospital

Afolabi, OA; Adekeye, Kehinde Adesola; Ofoegbu, Chima; Nasir, Abdulrasheed A; Bello, Jubril O; Abdur-Rahman, Lukman O.; Ibraheem, Gbadebo; Solagberu, Babatunde A

doi:10.4103/ajt.ajt_7_18

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…This was not surprising, as hypertension was the most documented comorbid condition recorded in the study, and stroke and heart failure are long-term complications of hypertension. Many studies have also reported non-trauma emergencies as the leading cause of death in the AEU [16,17,19,20,24] with stroke and other cardiovascular diseases being the most common among the non-trauma causes [2,14,16,18,[20][21][22], [25]. In general, most previous studies agree that the death rate from trauma is higher in males than in females [8,[26][27][28][29].…”

Section: Discussionmentioning

confidence: 94%

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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Section: Discussionmentioning

confidence: 94%

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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“…This hospital is a tertiary health facility with a 650-bed capacity and is located in a region with a high transmission of malaria year-round. 17 , 18 A total of 170 children between six months and 14 years of age with clinical and/or laboratory features of severe malaria were included. In each case, the child’s medical history was obtained from the caregiver and a physical examination was conducted to confirm the presence of clinical features of severe malaria.…”

Section: Methodsmentioning

confidence: 99%

Acute Kidney Injuries in Children with Severe Malaria

Afolayan

Adedoyin

Abdulkadir

et al. 2020

Sultan Qaboos Univ Med J

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Objectives: Serum creatinine levels are often used to diagnose acute kidney injury (AKI), but may not necessarily accurately reflect changes in glomerular filtration rate (GFR). This study aimed to compare the prevalence of AKI in children with severe malaria using diagnostic criteria based on creatinine values in contrast to cystatin C. Methods: This prospective cross-sectional study was performed between June 2016 and May 2017 at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. A total of 170 children aged 0.5–14 years old with severe malaria were included. Serum cystatin C levels were determined using a particle-enhanced immunoturbidmetric assay method, while creatinine levels were measured using the Jaffe reaction. Renal function assessed using cystatin C-derived estimated GFR (eGFR) was compared to that measured using three sets of criteria based on creatinine values including the Kidney Disease: Improved Global Outcomes (KDIGO) and World Health Organization (WHO) criteria as well as an absolute creatinine cut-off value of >1.5 mg/dL. Results: Mean serum cystatin C and creatinine levels were 1.77 ± 1.37 mg/L and 1.23 ± 1.80 mg/dL, respectively (P = 0.002). According to the KDIGO, WHO and absolute creatinine criteria, the frequency of AKI was 32.4%, 7.6% and 16.5%, respectively. In contrast, the incidence of AKI based on cystatin C-derived eGFR was 51.8%. Overall, the rate of detection of AKI was significantly higher using cystatin C compared to the KDIGO, WHO and absolute creatinine criteria (P = 0.003, <0.001 and <0.001, respectively). Conclusion: Diagnostic criteria for AKI based on creatinine values may not indicate the actual burden of disease in children with severe malaria. Keywords: Biomarkers; Acute Kidney Injury; Renal Failure; Glomerular Filtration Rate; Cystatin C; Creatinine; Malaria; Nigeria.

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Socio-demographic profile of medical emergencies at the University of Ilorin Teaching Hospital

Cited by 2 publications

References 2 publications

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

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

Acute Kidney Injuries in Children with Severe Malaria

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