Geriatric in Patient Profile at the Department of Internal Medicine at Niamey National Hospital, Niger

Abstract

Abstract:Background: The ageing population in developing countries has brought a demographic and an epidemiological transition, with the impact of chronic diseases resulting from life style changes on the health status of the population. Objective: To describ a profile geriatrics patient, specifically to identify epidemiologic, clinical, etiologic and outcome of this group at the department of internal medicine to NNH Patients and method: Medical records of all geriatric patients aged ≥65 years admitted at the department of NNH Between January 2012 and December 2015 were retrieved and reviewed retrospectively. Results: A total of 6074 admissions at the internal medicine department of NNH over three years were reported and 1130 (18, 6%) were geriatrics patients, the average age was 75, 95 years and more than half were men (50,7%). 80 % of patients were in the young old group (65-74 years), 13% in the old group (75-84 years) and 7% in the oldest old group (≥85 years). High blood pressure was the frequent comorbidity (12, 3%) and the most symptoms caused hospitalization were stroke (17, 6%), fevers (16, 5%) and worst health (13, 1%). Frequent illnesses were cardiovascular diseases (38.4%), infections, (19.2%) and endocrine diseases (11%). The average length of hospital stays was 8, 7 days. The mortality rate was 18, 2% and the worst outcomes factors were female sex, frail elderly group in 75 to 84 years and high blood pressure. Conclusion: Chronic diseases were responsible of morbidity and mortality for the majority elderly's patient.

Prevalence of malnutrition among old age people in Africa

“…Old age people in the community were more susceptible to malnutrition when using MNA compared to hospitals and longterm care centers. The prevalence ranged from 5.7% in Niger (Andia et al, 2019) to 56% in Egypt (Esmayel et al, 2013) and 18% in Egypt (Esmayel et al, 2013) to 58.5% in Niger (Andia et al, 2019), respectively. While 2.24% (Adebusoye et al, 2018) to 40.46% (Abd-el-gawad et al, 2014) and 11.8% (Adebusoye et al, 2012) to 52.7% (Abd-el-gawad et al, 2014) of old age people all from the Nigerian hospitals were malnourished and at risk of malnutrition, respectively.…”

“…Based on the quality assessment checklist, studies were either in moderate (6-8 points) (Ijarotimi and Keshinro, 2008;Khater and Abouelezz, 2011;Mahfouz et al, 2013;Abd-el-gawad et al, 2014;Alao et al, 2015;OC et al, 2015;El-desouky and Abed, 2017;Adebusoye et al, 2018;Adebusoye et al, 2019;Andia et al, 2019;Faten et al, 2019;Allah et al, 2020) or high-quality groups (9 or 10 points) (Nyaruhucha et al, 2001;Olasunbo and Olubode, 2006;Marais et al, 2007;Adebusoye et al, 2012;Cheserek et al, 2012;Andre et al, 2013;Esmayel et al, 2013;Mkhize et al, 2013;Rouvray et al, 2014;Tessfamichael et al, 2014;Aganiba et al, 2015;Naidoo et al, 2015;Pilleron et al, 2015;El-sherbiny et al, 2016;Hailemariam et al, 2016;Robb et al, 2017;Agbozo et al, 2018;Diendéré et al, 2018;Abdu et al, 2019;Adhana et al, 2019;Apprey et al, 2019;Legesse et al, 2019;Abate et al, 2020). Study bias was mostly exacerbated as a result of convenience sampling and a low response rate among study participants.…”

Prevalence of Malnutrition and Morbidity Pattern among Neglected Geriatric Population in Rural Area of Ondo State, Southwest, Nigeria

“…This suggests that metabolic changes are a universal feature of aging. Loss of strength, functional decline, and poor endurance may make this more obvious [12].…”

“…Several studies have shown the prevalence of 24% malnutrition and 46% malnutrition risk in community and hospitalized older adults [12]. In 2021, Olawumi et al, found a 25.3% of malnutrition and over 56.6% at risk of malnutrition among older population in northwest, Nigeria.…”

Stroke about very elderly patients in West African Country (Niger): Prognosis risk factors

“…Stroke is the second leading cause of death in developing countries, behind cardiovascular disease [1]. In West Africa, the hospital frequency about stroke in young seniors was 18% in Niamey, 30% in Dakar, 29% in Ouagadougou and 28.5% in Gabon [2,3,4,5]. Literature about very elderly stroke is not frequent in sub-Saharan Africa while there is even the problem of early management in a neurovascular unit which undoubtedly improves the prognosis at all ages.…”