Morbidity and mortality profile of patients seen in medical emergency unit of a Teaching Hospital in Nigeria: A 4-year audit

Jamoh, Bello Yusuf; Abubakar, Sani Atta; Isa, Sani Muhamad

doi:10.4103/smj.smj_27_17

Cited by 7 publications

(13 citation statements)

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“…It could, also, be due to a better health seeking behavior 27 among females as reported by Omemu et al despite that it has been documented that males are at more risks than 28 females for DM, strokes, CKD and other NCDs. The spectrum of predominant medical conditions seen in the AE of ABSUTH within the study period is comparable 5,[15][16][17]26 to findings in other Nigerian studies. The obvious explanation for this is because the hospitals where the studies were undertaken were funded from the same health budget with similarities in literacy levels, cultural and superstitious beliefs, urbanization, consumption of westernized diets and tendency to sedentary lifestyles and obesity.…”

Section: Discussionsupporting

confidence: 73%

Profile and Outcome of Medical Emergencies in a Teaching Hospital in the Commercial City of Aba, Southeast Nigeria

Nkpozi

Adukwu

Onwuchekwa

et al. 2020

J BioMed Res Clin Pract

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Medical conditions present at the Accident and Emergency (A&E) or Emergency Department (ED) very often. Outcome of medical emergencies depends, among other factors, on the age of patients, gender, socioeconomic factors, medical conditions, their severity, time of patients' presentations, quality of care/treatment given and the available resources (manpower and facilities) in the A&E. There is a paucity of published literature on medical emergencies outcome in Aba, Southeast Nigeria. This study, therefore, set out to bridge this gap in knowledge. This was a 1-year observational study in which patients presenting to the A&E/ED of ABSUTH, Aba for treatment of a medical condition were consecutively recruited and followed up until discharged home, admitted to the medical wards or died in A&E. This study lasted from January 1, 2018 to December 31, 2018. Relevant data obtained were analyzed using Statistical Package for Social Sciences (SPSS) version 20.0 software. A total of 589 patients presented at A&E because of medical conditions/emergencies, made up of 269 (45.7%) males and 320 (54.3%) females. The commonest medical emergencies were DM related complications, acute malaria, HIV/AIDS, heart failure and stroke. Study subjects discharged home were 17.5%, 71.1% were admitted into the medical wards and 11.4% died. Medical emergencies, caused predominantly by non-communicable diseases (NCDs), contributed significantly to the A&E cases in the city of Aba, Nigeria and are associated with considerable mortality. It is recommended that efforts should be made to control the modifiable risk factors of NCDs while early detection and treatment of communicable and NCDs should be affected.

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Section: Discussionsupporting

confidence: 73%

Profile and Outcome of Medical Emergencies in a Teaching Hospital in the Commercial City of Aba, Southeast Nigeria

Nkpozi

Adukwu

Onwuchekwa

et al. 2020

J BioMed Res Clin Pract

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“…Our findings of cardiovascular and infectious diseases as the overall most common cause of medical admission in this study agree with previous reports. 2,12 Also, circulatory disorders ranked highest among men and was closely followed by infectious diseases. It is believed that men develop cardiovascular disease at a younger age, compared with women, a phenomenon that is partly explained by a protective effect of female sex hormones during premenopausal life.…”

Section: Discussionmentioning

confidence: 99%

“…1 This is particularly important in developing countries like Nigeria where population based studies are rarely available and where the health system is plagued with inadequate allocation of resources in a context of poor health indices, continuous currency devaluation and poor socio-economic and infrastructural development. 2 A regular audit of cases will help to establish a trend for these diseases so that efforts and priority can be properly channeled. Medical cases have been shown to constitute 22% to 40% of all hospital admissions [3][4][5] and account for the most common causes of death in hospitals.…”

Section: Introductionmentioning

confidence: 99%

Morbidity patterns among medical admissions at Niger Delta University Teaching Hospital, Bayelsa State, Nigeria

Egbi

2021

Ann Clin Biomed Res

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Hospital statistics on morbidity and mortality are essential in assessing disease burden, evaluation of health policies and health planning. The study aimed to determine the morbidity pattern and short-term outcome among medical admissions in the Niger Delta University Teaching Hospital (NDUTH), Bayelsa State, Nigeria. This retrospective 7-years disease audit was carried out in the medical wards of NDUTH, Bayelsa State, Nigeria. Information extracted included name and gender of patients, diagnoses and disease outcomes. One thousand, one hundred and twenty five (60.5%) females and seven hundred and thirty three (39.5%) males had complete records and were therefore used for the analysis. The mean age of the patients was 50.14±16.66 years with males being older (p<0.001). Non-Communicable Diseases (NCDs) accounted for a majority of cases (1270; 68.4%) while 588 (31.6%) were Communicable Diseases (CDs) NCDs were more prevalent among males and older individuals (p<0.03; p<0.001) and showed a rising trend over the years. CDs were however the leading cause of morbidities among females. The commonest diagnoses among males were retroviral disease, stroke, heart failure, pulmonary tuberculosis, diabetes and renal disease with women showing a similar trend except that heart failure replaced stroke as the second commonest morbidity while stroke came third, followed by diabetes, renal disease and hypertension. The all-cause mortality rates were 10.6% and 15.9% for females and males respectively. The major causes of mortality were infectious diseases and circulatory disorders for both genders. About 6.4% males and 3.8% females Left Against Medical Advice (LAMA). The pattern shows a rising prevalence of NCDs. Although CDs witnessed some decline, it however remained prevalent. The mortality rate was high while a good proportion LAMA. There is a need for strategic health programs to address this increasing tide of NCDs in our society, control CDs, and improve patient care while reducing mortality.

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“…Few related studies on the morbidity and mortality of surgical emergencies in Nigerian hospitals in the urban and suburban areas have been documented,[ 2 10 11 ] but none to the best of our knowledge, in the rural setting of southwestern Nigeria. Therefore, this study aimed to ascertain the pattern of morbidity and mortality of surgical emergencies at adult AED of the study center in southwestern Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Pattern of Surgical Emergencies in Rural Southwestern Nigeria

Ibrahim¹,

Abiola

Aremu

et al. 2022

Journal of Emergencies, Trauma, and Shock

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Introduction: Considering the magnitude of deaths prevailing in the accident and emergency department (AED) in health facilities of sub-Sahara Africa, there is a need to have information on the burden of admissions and deaths due to surgical emergencies. Few studies in Nigerian hospitals in urban and suburban areas have been documented, but none in the rural setting. The objectives of this study were to ascertain the sociodemographic profile, causes and outcomes of admissions, and the pattern and causes of deaths due to surgical emergencies. Methods: A retrospective survey using a data form and a predetermined questionnaire was used to review the patients admitted for surgical emergencies at the AED of a tertiary hospital in rural southwestern Nigeria from January 2015 to December 2019. The data were analyzed using SPSS version 22.0. The results were presented in descriptive and tabular formats. Results: Surgical emergencies constituted 43.9% of all admissions. The mean age of admissions was 42 ± 16.9 years, and majorities were in the young and middle-aged groups. There were more males (66.4%) than females (33.6%). Trauma(60.9%) of which road traffic accident (RTAs)(56.0%), was the leading mechanism of trauma. The mortality rate was 5.4% and was caused majorly by RTAs (33.0%), diabetes mellitus foot ulcers (11.0%), and malignancies (9.8%). Conclusion: In this study, surgical emergencies constituted 43.9%, and a majority of the patients were male. Trauma caused by RTA is the most cause of admission. The mortality rate was 5.4%. This finding may provide an impetus for prospective research on this outcome.

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Morbidity and mortality profile of patients seen in medical emergency unit of a Teaching Hospital in Nigeria: A 4-year audit

Cited by 7 publications

References 0 publications

Profile and Outcome of Medical Emergencies in a Teaching Hospital in the Commercial City of Aba, Southeast Nigeria

Profile and Outcome of Medical Emergencies in a Teaching Hospital in the Commercial City of Aba, Southeast Nigeria

Morbidity patterns among medical admissions at Niger Delta University Teaching Hospital, Bayelsa State, Nigeria

Pattern of Surgical Emergencies in Rural Southwestern Nigeria

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