Profile and causes of mortality among elderly patients seen in a tertiary care hospital in Nigeria

Sanya, Emmanuel; Abiodun, Alfred Adewole; Kolo, P.M.; Olanrewaju, T O; Adekeye, Kehinde Adesola

doi:10.4103/1596-3519.87043

Cited by 18 publications

(15 citation statements)

References 12 publications

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“…[9] However, mortality was higher than that reported from Europe (8.4%). [10] Available mortality data on hospitalised older patients from Nigeria (26.7 -31.7%) [11,12] showed a higher proportion of deaths than the findings of the present study. [5] A previous retrospective study (2002 -2009) carried out in the same setting as our study found a proportion of deaths of 12 -17%, although this population included young adults.…”

Section: Discussioncontrasting

confidence: 45%

Mortality among older patients admitted to the medical wards of Groote Schuur Hospital, Cape Town, South Africa, 2010 - 2013

Adebusoye

Kalula

2019

S Afr Med J

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Mortality among older patients admitted to the medical wardsBackground. Geriatric medicine is an evolving specialty in Africa, and little is known about mortality among older patients admitted to medical wards. Objectives. To determine mortality rates and associated factors among older medical inpatients. Methods. Electronic data on patients aged ≥60 years admitted to the medical wards of Groote Schuur Hospital, Cape Town, South Africa, between January 2010 and December 2013 were analysed. Data extracted included sex, age, causes of death, and length of stay from date of admission to discharge or death. Results of laboratory tests carried out during the admission were also obtained. Results. In all, 11 254 older patients were admitted (mean (standard deviation) age 70.7 (7.9) years). There were 1 701 deaths (15.1%). The unadjusted mortality rate was 29.6 deaths per 1 000 patient-days (PD). The majority (87.5%) were admitted as emergency cases. Mortality in the first 24 hours was 32.4 deaths per 1 000 PD. There was a significant increase in mortality with increasing age (p<0.001). Stroke was the commonest cause of mortality (14.5%). The predictors of mortality were short length of stay on admission (odds ratio (OR) 1.047, 95% confidence interval (CI) 1.033 -1.061), high white blood cell count (OR 1.064, 95% CI 1.054 -1.074), low platelet count (OR 0.999, 95% CI 0.996 -1.000), low haemoglobin (OR 0.940, 95% CI 0.917 -0.964) and high blood urea (OR 1.042, 95% CI 1.033 -1.051). Conclusions. Mortality among older medical inpatients was high. Modifiable predictors of mortality, especially related to laboratory derangements, should be identified and addressed promptly.

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Section: Discussioncontrasting

confidence: 45%

Mortality among older patients admitted to the medical wards of Groote Schuur Hospital, Cape Town, South Africa, 2010 - 2013

Adebusoye

Kalula

2019

S Afr Med J

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“…Recent community and hospital-based data have shown increasing cases of stroke in Africa [18, 19]. This has been attributed mainly to high prevalence of uncontrolled SH [18].…”

Section: Discussionmentioning

confidence: 99%

Hypertension-Related Admissions and Outcome in a Tertiary Hospital in Northeast Nigeria

Kolo

Jibrin

Sanya

et al. 2012

International Journal of Hypertension

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Cardiovascular disease has reached near epidemic proportion in sub-Saharan Africa, and systemic hypertension (SH) remains the driver of cardiovascular complications. We studied hypertension-related admissions and their outcome at the Abubaker Tafawa Balewa University Teaching Hospital (ATBUTH) Bauchi, Northeast Nigeria. Records of all patients admitted into the medical wards between 1st November 2010 and 31st October 2011 were studied, and case files of those managed for SH complications were selected for detailed examination. Of the total 3108 admissions, 735 (23.7%) were hypertension related. Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 167.4 ± 18.2 and 98.6 ± 13.5, respectively, at presentation. Although, hypertension-related admissions were 23.7% of total admissions, there was an excess of mortality associated with SH complications (42.9%). Stroke was the commonest, and it accounted for 44.4% of cases. Stroke had the highest mortality (39.3%), followed by chronic kidney disease (36.6%); hypertensive emergencies (30.9%) and hypertensive heart failure had the lowest intrahospital mortality (27.5%). In conclusion, SH-related admissions are common among medical admissions in Bauchi Nigeria and are associated with high mortality. Community interventions that promote early diagnosis and reduction of cardiovascular risk profiles are urgently needed to reduce SH deaths.

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“…[1] Among the old people nutritional deficiency has been reported to be common in Europe and North America both from community and hospital based data. [2] Unfortunately, the diagnosis of undernutrition is often overlooked for the main diagnosis that brought patients to hospital.…”

Section: Sirmentioning

confidence: 99%

Nutritional status of elderly people managed in a Nigerian tertiary hospital

et al. 2013

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Profile and causes of mortality among elderly patients seen in a tertiary care hospital in Nigeria

Abstract: Hospital mortality is high amongst older people. Stroke and infectious diseases are leading causes of death. Efforts should be geared toward reducing risk for cardiovascular diseases and improvement on level of personal and community hygiene.

Cited by 18 publications

References 12 publications

Mortality among older patients admitted to the medical wards of Groote Schuur Hospital, Cape Town, South Africa, 2010 - 2013

Mortality among older patients admitted to the medical wards of Groote Schuur Hospital, Cape Town, South Africa, 2010 - 2013

Hypertension-Related Admissions and Outcome in a Tertiary Hospital in Northeast Nigeria

Nutritional status of elderly people managed in a Nigerian tertiary hospital

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