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

Ogunmola, Olarinde Jeffrey; Oladosu, Olatunji Yusuf

doi:10.4103/1596-3519.142291

Cited by 23 publications

(42 citation statements)

References 26 publications

(41 reference statements)

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“…The rate of improved and discharged patients (78.0%) was similar to the rate reported in a tertiary health centre in Nigeria, but lower than rates reported from hospitals in Ethiopia and Sudan. 1,6,18 In most cases, the average duration of hospital stay in the current study was one week or less (86.3%), which is consistent with similar studies carried out in Khartoum and Pakistan. 6,15 This could be explained by the fact that most acute communicable diseases, as well as uncomplicated NCDs, are treatable within this short timeframe.…”

Section: Discussionsupporting

confidence: 80%

“…1,18 This low mortality rate may, in part, reflect the comprehensive health services offered at Atbara Teaching Hospital. The most commonly reported causes of death (sepsis, stroke and renal failure) could likewise be explained by the high prevalence of hypertension and diabetes mellitus and the high percentage of older subjects in the current study population.…”

Section: Discussionmentioning

confidence: 99%

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The Changing Pattern of Hospital Admission to Medical Wards: Burden of non-communicable diseases at a hospital in a developing country

Noor

Elmadhoun

Bushara

et al. 2015

SQUMJ

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abstract:Objectives: This study aimed to determine the pattern of hospital admissions and patient outcomes in medical wards at Atbara Teaching Hospital in River Nile State, Sudan. Methods: This retrospective cross-sectional study was conducted from August 2013 to July 2014 and included all patients admitted to medical wards at the Atbara Teaching Hospital during the study period. Morbidity and mortality data was obtained from medical records. Diseases were categorised using the World Health Organization's International Classification of Diseases (ICD) coding system. Results: A total of 2,614 patient records were analysed. The age group with the highest admissions was the 56-65-year-old age group (19.4%) and the majority of patients were admitted for one week or less (86.4%). Non-communicable diseases constituted 71.8% of all cases. According to ICD classifications, patients were admitted most frequently due to infectious or parasitic diseases (19.7%), followed by diseases of the circulatory (16.4%), digestive (16.4%) and genito-urinary (13.8%) systems. The most common diseases were cardiovascular disease (16.4%), malaria (11.3%), gastritis/peptic ulcer disease (9.8%), urinary tract infections (7.2%) and diabetes mellitus (6.9%). The mortality rate was 4.7%. Conclusion: The burden of non-communicable diseases was found to exceed that of communicable diseases among patients admitted to medical wards at the Atbara Teaching Hospital.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

The Changing Pattern of Hospital Admission to Medical Wards: Burden of non-communicable diseases at a hospital in a developing country

Noor

Elmadhoun

Bushara

et al. 2015

SQUMJ

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“…In contrast to the present study, a Nigerian study showed cardiovascular diseases to be most frequent reason for hospital admission with cardiovascular system being involved in 32% of cases [19]. Similar results were found in studies conducted in Australia and Hong Kong which reported cardiovascular system being involved in 29% and 30.3% of cases admitted to medical ward respectively [20].…”

Section: Discussionsupporting

confidence: 74%

Spectrum of Diseases, Disease Related Mortality and Overall Financial Burden of Hospitalized Patients in Medical Wards of Tertiary Care Public Hospital

Naqvi¹,

Mahmood²,

Talib³

et al. 2017

OJEpi

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Background: Detailed assessment of pattern of diseases and trend of mortalities tends to aid in formulating pivotal aspects of in-hospital policies, standards of care and so consequently promoting efficient work system. This also reserves limited resources keeping within the limit of financial grasp. The study aims to reimburse the colossal paucity of data covering epidemiological burden of diseases, impact on mortality as well as financial burden in socioeconomically challenged public health system. Methods: This was a retrospective cross-sectional hospital based study conducted in department of Medicine, Civil Hospital Karachi, from February 2016 to July 2016 using questionnaire based data collection system. Results: Eight thousand and fifty three (8053) cases with almost equal gender proportion were analyzed. Chronic liver disease (CLD) was the most rampant disease, followed by cerebrovascular accident (CVA), tuberculosis and diabetes. Overall 51% cases were attributed to infectious diseases. Overall the average percentage mortality was found to be 20% of all cases. Mean duration of stay was 7.56 ± 7 days. Estimated average total in-hospital expenditure per patient on each visit or stay was 159.15 ± 41.2 $USD (16670.96 ± 4315.7 PKR). Average total diagnostic and medications costs per visit or stay were 89.74 ± 31.2 $USD (9400.26 ± 3268.2 PKR) and 48.68 ± 18.0 $USD (5099.23 ± 1885.5 PKR) respectively. Conclusion: Chronic liver disease, cerebrovascular accident and diabetes were most frequent reasons of hospital admission and mortality. Recognition of most common and fatal diseases with their expenditure is going to lead to formulation of targeted policies both of which would be effective and efficient.

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“…Several other studies from different parts of the developing world have shown similar results of a shift in the disease pattern responsible for admission toward cardiovascular diseases [3,4]. …”

Section: Discussionmentioning

confidence: 53%

“…The Saudi Arabian health care system is ranked among the best in the Middle East region [4]. However, burden of disease and causes of hospitalization and death within the community remains largely unknown from most parts of Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

Pattern, duration of stay, and outcomes of medical admissions: a report from teaching community hospital in Assir region, Saudi Arabia

Alghamdi

Abdulhak

2018

Journal of Community Hospital Internal Medicine Perspectives

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Background: Population-based studies are the gold standard to understand the burden of different diseases, plan health care policy and resource allocation, and provide an accurate estimate of disease several disease indices including mortality. However, population-based studies are difficult to undertake in a resource-limited situation where no robust data bases and disease registries are available. Therefore, hospital-based cohorts may be used to inform about the community health.Objectives: We sought to study the pattern of disease causing admission, hospital stay, and outcomes of medical admissions to King Abdullah Hospital in Bisha in order to inform clinicians, public health professionals, and policymakers about the current status of diseases within the community in Bisha.Methods:This is a cross-sectional study including all adult patients aged above 18 years who were admitted to King Abdullah Hospital in Bisha, Assir region, to medical services including general internal medicine, general cardiology, nephrology, gastroenterology, rheumatology, and neurology during the study period between 1 June 2015 and 31 May 2016. Common causes of hospital admission, outcomes of hospitalization, and length of stay were estimated and the data were presented as frequency and percentage for categorical valve and mean and standard deviation for continuous variables.Results: Cardiovascular diseases including stroke are considered the leading cause of hospital admission in a teaching community hospital in Bisha, Assir region. Diabetes mellitus and hypertension are prevalent comorbidities among hospitalized patients. Majority of admitted patients have improved and discharged home (83.3%). However, 6.7% were transferred to another facility, 4.1% have left against medical advice, and 5.9% died.Conclusion: Health-related data bases and disease registries are urgently needed to precisely estimate the burden of cardiovascular disease in Assir region in Saudi Arabia. Lifestyle changes, healthy diet, aggressive management of hypertension and diabetes within the community, and allocating necessary resources are urgently to combat the growing burden of cardiovascular disease.

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

Abstract: Male gender and elderly aged groups were predominant on admission. Noncommunicable diseases were of higher proportion on admission than communicable diseases. The most common cause of death was cardiovascular diseases of which stroke topped the list.

Cited by 23 publications

References 26 publications

The Changing Pattern of Hospital Admission to Medical Wards: Burden of non-communicable diseases at a hospital in a developing country

The Changing Pattern of Hospital Admission to Medical Wards: Burden of non-communicable diseases at a hospital in a developing country

Spectrum of Diseases, Disease Related Mortality and Overall Financial Burden of Hospitalized Patients in Medical Wards of Tertiary Care Public Hospital

Pattern, duration of stay, and outcomes of medical admissions: a report from teaching community hospital in Assir region, Saudi Arabia

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