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

Noor, Sufian K.; Elmadhoun, Wadie M; Bushara, Sarra O; Ahmed, Mohamed H.

doi:10.18295/squmj.2015.15.04.013

Cited by 24 publications

(21 citation statements)

References 7 publications

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“…Predisposing factors such as rheumatic heart disease, khat chewing, obesity, and physical inactivity were responsible for CVD burden especially in the urban Ethiopian population 6–8. In general, despite the increasing threat of noncommunicable diseases (NCDs), communicable diseases are still the main causes of admission to medical wards in developing countries, while NCDs are leading in the developed world 9,10. CVDs account for a significant number of patient visits, though the burden by etiologic type varies in different regions of the globe.…”

Section: Introductionmentioning

confidence: 99%

The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital‑based observational study

Tefera¹,

Abegaz²,

Abebe³

et al. 2017

VHRM

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ObjectiveThe aim of this study was to assess the pattern of cardiovascular diseases (CVDs), their clinical characteristics, and associated factors in the outpatient department of the chronic illness clinic of Gondar University Referral Hospital.MethodA retrospective cross-sectional study was conducted among patients on follow-up at the outpatient chronic illness clinic of the hospital from October 2010 to October 2015. The source population for the study included patients with a diagnosis of CVD whose medical records have the required socio-demographic information during the study period. The data were collected from August 2015 to December 2015. Chi-square and binary logistic regression tests were performed to test the significance of difference among predictive variables and CVDs.ResultsOf 1105 patient medical records, 862 fulfilled the inclusion criteria. The majority of the patients were females (65%) and living in urban areas (62.7%). Hypertension accounted for the majority (62.3%) of CVDs followed by heart failure (HF) (23.9%). Headache was the leading chief complaint among the patients (37.7%) upon diagnosis and was the prominent clinical feature in more than half of the patients during their course of follow-up. Higher proportions of dyslipidemia (85.7%), hypertension (72.8%), and ischemic heart disease (IHD) (73.2%) were associated with urban residency (P<0.01). Patients from rural areas (crude odds ratio [COR] =1.306 [95% confidence interval 1.026–2.166], adjusted odds ratio [AOR] =1.272 [95% confidence interval 1.017–2.030]) and those with comorbidity illnesses (COR= 1.813 [1.279–2.782], AOR =1.551 [95% confidence interval 1.177–2.705]) were more likely to have poor CVD outcome (P<0.05).ConclusionHypertension was found to be the most frequent CVD followed by HF, and hypertensive heart disease was the leading cause of cardiac diseases. Most of the patients had improved assessment in the last follow-up, but patients from rural regions and those with comorbidty had higher likelihood of poor cardiovascular outcome.

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Section: Introductionmentioning

confidence: 99%

The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital‑based observational study

Tefera¹,

Abegaz²,

Abebe³

et al. 2017

VHRM

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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%

“…However, population-based studies are not available from most parts of the world [1] due to many reasons including lack of reliable data bases and registries, cost, and lack of expertise. Therefore, hospital-based cohorts may provide useful information about disease burden within the community [2], and help clinicians, public health professionals, and policymakers to make informed decisions in regard to population and individual patient care and planning health care delivery system [3]. …”

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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“…Recently, the number of patients admitted with noncommunicable diseases in one hospital in Sudan exceeded the number of patients admitted with communicable diseases such as malaria and typhoid. [12] Therefore, there is a need to train physician with skills in managing communicable and noncommunicable disease in rural and urban areas. Importantly, one of the ongoing plans of FMUG is to open a center dedicated for noncommunicable disease.…”

Section: The Ten Questions Of Harden's About the Establishment Of Thementioning

confidence: 99%

Analyzing the social aspects of the integrated program of field training, research, and rural development course, Faculty of Medicine, University of Gezira, Sudan

Ahmed

2019

J Edu Health Promot

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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

Cited by 24 publications

References 7 publications

The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital‑based observational study

The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital‑based observational study

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

Analyzing the social aspects of the integrated program of field training, research, and rural development course, Faculty of Medicine, University of Gezira, Sudan

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