Medical Mortality in the Accident and Emergency Unit of the University Of Port Harcourt Teaching Hospital

Onwuchekwa, Arthur; Asekomeh, EG; Iyagba, AM; Onung, SO

doi:10.4314/njm.v17i2.37380

Cited by 23 publications

(29 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Abengowe et al [95] reported 9.3% in Kaduna in 1980. Recent data from the country indicated a rate of 28% in Port-Harcourt [124] and 21% in Benin City [119] . This is comparable to a rate of 30% from Tanzania [174] .…”

Section: Discussionmentioning

confidence: 99%

“…In another report from the same region, stroke was the commonest cause of death at the medical emergency room of the University of Portharcourt teaching hospital [124] . In a review of 424 hypertension related admissions in the same hospital (173 males and 251 females, aged 18-100 years with a mean of 56.5 ± 16.2); stroke was responsible for 169 (39.9%) hypertensive complications.…”

Section: Hypertension Related Admissions In Nigeriamentioning

confidence: 99%

See 1 more Smart Citation

Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review

Ogah¹,

Okpechi²,

Chukwuonye³

et al. 2012

WJC

217

232

View full text Add to dashboard Cite

To review studies on hypertension in Nigeria over the past five decades in terms of prevalence, awareness and treatment and complications. Following our search on Pubmed, African Journals Online and the World Health Organization Global cardiovascular infobase, 1060 related references were identified out of which 43 were found to be relevant for this review. The overall prevalence of hypertension in Nigeria ranges from 8%-46.4% depending on the study target population, type of measurement and cut-off value used for defining hypertension. The prevalence is similar in men and women (7.9%-50.2% vs 3.5%-68.8%, respectively) and in the urban (8.1%-42.0%) and rural setting (13.5%-46.4%). The pooled prevalence increased from 8.6% from the only study during the period from 1970-1979 to 22.5% (2000-2011). Awareness, treatment and control of hypertension were generally low with attendant high burden of hypertension related complications. In order to improve outcomes of cardiovascular disease in Africans, public health education to improve awareness of hypertension is required. Further epidemiological studies on hypertension are required to adequately understand and characterize the impact of hypertension in society.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Hypertension Related Admissions In Nigeriamentioning

confidence: 99%

Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review

Ogah¹,

Okpechi²,

Chukwuonye³

et al. 2012

WJC

217

232

View full text Add to dashboard Cite

show abstract

“…[5][6][7][8][9] Studies in rural centers in Nigeria have also revealed that most deaths occur in adults in their prime of life. [10,11] The World Health Organization (WHO) predicts that by 2020, the causes of disease and deaths in sub-Saharan Africa would have undergone a significant shift from communicable to noncommunicable diseases (NCDs). [12] This shift will necessitate changes in health policy and deployment of health resources to deal with new challenges.…”

Section: Introductionmentioning

confidence: 99%

Pattern and outcome of admissions in the medical wards of a tertiary health center in a rural community of Ekiti state, Nigeria

Ogunmola

Oladosu

2014

Ann Afr Med

View full text Add to dashboard Cite

show abstract

“…Similar to the previously discussed patterns seen in the new ED, this change may be due to the fact that currently all trauma patients are being stabilized within the ED as opposed to the casualty room era when such patients were sent directly to the nearby Muhimbili Orthopedic Institute or admitted directly to the surgical unit and reviewed there. Furthermore, prior studies have shown that the incidence of trauma-related deaths is increasing, especially in developing countries, as a result of rapid growth of motorized transport and expansion of industrial production without adequate safety precautions [18, 20–23]. Despite the substantial increase in death due to RTA within the new ED, our data showed a decrease in the mortality rate from other clinical etiologies.…”

Section: Discussionmentioning

confidence: 49%

Trends in mortality associated with opening of a full-capacity public emergency department at the main tertiary-level hospital in Tanzania

et al. 2015

View full text Add to dashboard Cite

BackgroundEmergency medicine is an emerging specialty in Sub-Saharan Africa, and most hospitals do not have a fully functional emergency department (ED). We describe the mortality rates of the Muhimbili National Hospital (MNH) in Dar es Salaam, Tanzania before and after the opening of a full-capacity ED.MethodsThis retrospective study investigated ED and hospital mortality rates for patients admitted to MNH from January 2008 to January 2012. This period represents 2 years before and 2 years after the opening of the full-capacity ED in January 2010. Trained abstractors analyzed patient care logbooks, attendance registers, nurse report books, and death certificates. The January 2008 to December 2009 data are from the limited-capacity casualty room (precursor of the ED), and for February 2010 to January 2012, they are from the new ED. Data are presented as proportions or differences with 95 % confidence intervals (CIs).ResultsDuring the 4-year study period, the number of visits increased from 53,660 (January 2008 to December 2009) in the casualty room to 77,164 (February 2010 to January 2012) in the new ED. During this time, the overall hospital mortality rate decreased from 13.6 % (95 % CI 13.3–13.9 %) in the January 2008 to December 2009 period to 8.2 % (95 % CI 8.0–8.3 %) in the February 2010 to January 2012 period. The corresponding casualty room and ED mortality rates were 0.34 % (95 % CI 0.25–0.35 %) and 0.74 % (95 % CI 0.68–0.80 %), respectively. In the casualty room, the most commonly reported cause of death was lower respiratory tract infection and least common was poisoning. In the new ED, the most commonly reported cause of death was congestive cardiac failure and the least common was cancer.ConclusionsThe opening of a full-capacity ED in a tertiary-level hospital in sub-Saharan Africa was associated with a significant decrease in hospital mortality. This is despite a small, but significant, increase in the mortality rate in the ED as compared to that in the casualty room that it replaced.

show abstract

Medical Mortality in the Accident and Emergency Unit of the University Of Port Harcourt Teaching Hospital

Cited by 23 publications

References 0 publications

Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review

Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review

Pattern and outcome of admissions in the medical wards of a tertiary health center in a rural community of Ekiti state, Nigeria

Trends in mortality associated with opening of a full-capacity public emergency department at the main tertiary-level hospital in Tanzania

Contact Info

Product

Resources

About