The relationship of weekend admission and mortality on the public medical wards at a Kenyan referral hospital

Stone, Geren S.; Aruasa, Wilson; Tarus, Titus; Shikanga, Mainard; Biwott, Benson K.; Ngetich, Thomas; Andale, Thomas; Cheriro, B.

doi:10.1093/inthealth/ihu100

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…In this study, 23.7% of patients who died were admitted over the weekend. The rates are lower in developed countries, as the United States of America was 2.7% 24 and Spain was 11.1%, 26 compared to Kenya at 21.1% 27 . However, in this study, there was a 4.6% increase in mortality over the weekend admissions compared to the weekday admissions.…”

Section: Discussioncontrasting

confidence: 66%

Disease patterns and clinical outcomes of medical admissions at a tertiary hospital in Northern Tanzania: A retrospective observational study

Sadiq

Njau

Kilonzo

2022

Health Science Reports

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Background and Aims The burden of noncommunicable diseases is increasing in developing countries and in settings with an existing communicable burden. The study aim was to identify the disease pattern, length of stay, and clinical outcome of medical admissions. Methods A retrospective observational study of patients admitted to medical wards between 1st July 2019 and 30th June 2020, excluding those admitted for chemotherapy. The outcome measures were the pattern of disease, length of stay, and clinical outcome. Results A total of 3930 patients were analyzed. A total of 53.5% were males, and 42.9% were aged 51–75 years, with a median age of 57 years (IQR 41–71). A total of 41.3% had health insurance, 21.7% died, and the median length of stay was 6 days (IQR 4–9). Cardiovascular diseases were the most common diagnosis (26.8%) on admission and cause of death (27.9%). The common causes of death were stroke (15.1%), chronic kidney disease (11.1%), and heart failure (9.0%). Noninsured patients had a high mortality risk (odds ratios [OR] 1.67, 95% confidence interval [CI] 1.42–1.96), which was also seen among patients aged more than 75 years (OR 1.3, 95% CI 1.08–1.57), patients with communicable diseases (OR 1.44, 95% CI 1.23–1.68), and weekend admissions (OR 1.29, 95% CI 1.08–1.55). The 72‐h admission window is critical due to a very high mortality risk (OR 3.03, 95% CI 2.58–3.56). Conclusion Cardiovascular diseases are the leading cause of hospital admissions and deaths in a tertiary hospital in Northern Tanzania. Lifestyle modification, health education, and community resources are needed to combat the growing burden of cardiovascular and renal disease.

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Section: Discussioncontrasting

confidence: 66%

Disease patterns and clinical outcomes of medical admissions at a tertiary hospital in Northern Tanzania: A retrospective observational study

Sadiq

Njau

Kilonzo

2022

Health Science Reports

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“…HIV prevalence was reported in 32 studies ( Table 2 ). The pooled prevalence of HIV in medical wards was 36.4% (95% CI: 31.3–41.8; 25 studies) 39 , 40 , 43 , 45 , 47 – 49 , 51 , 52 , 55 , 56 , 60 , 61 , 64 , 69 – 71 , 79 , 81 , 84 – 87 , 89 higher than the prevalence in emergency departments (21.9%; 95% CI: 14.5–31.7; seven studies). 37 , 44 , 65 , 72 , 80 , 82 , 96 HIV infection was reported using laboratory or point-of-care diagnostics in 18 studies, 37 , 40 , 43 – 45 , 47 – 51 , 56 , 65 , 68 , 72 , 82 , 84 , 89 , 96 and by medical records or clinical history in the remaining studies ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Un miembro del personal de la Building Foundation for Development ayuda a preparar suministros para su entrega a instalaciones sanitarias y campos de desplazados en Al Jazirah (Sudán), que actualmente acoge a desplazados internos que huyen del conflicto en Jartum (Sudán).

Spencer,

Rylance,

Quint

et al. 2023

Bull World Health Org

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Objective To estimate the prevalence of individual chronic conditions and multimorbidity among adults admitted to hospital in countries in sub–Saharan Africa. Methods We systematically searched MEDLINE®, Embase®, Global Index Medicus, Global Health and SciELO for publications reporting on patient cohorts recruited between 1 January 2010 and 12 May 2023. We included articles reporting prevalence of pre-specified chronic diseases within unselected acute care services (emergency departments or medical inpatient settings). No language restrictions were applied. We generated prevalence estimates using random-effects meta-analysis alongside 95% confidence intervals, 95% prediction intervals and I 2 statistics for heterogeneity. To explore associations with age, sex, country-level income status, geographical region and risk of bias, we conducted pre-specified meta-regression, sub-group and sensitivity analyses. Findings Of 6976 identified studies, 61 met the inclusion criteria, comprising data from 20 countries and 376 676 people. None directly reported multimorbidity, but instead reported prevalence for individual conditions. Among medical admissions, the highest prevalence was human immunodeficiency virus infection (36.4%; 95% CI: 31.3–41.8); hypertension (24.4%; 95% CI: 16.7–34.2); diabetes (11.9%; 95% CI: 9.9–14.3); heart failure (8.2%; 95% CI: 5.6–11.9); chronic kidney disease (7.7%; 95% CI: 3.9–14.7); and stroke (6.8%; 95% CI: 4.7–9.6). Conclusion Among patients seeking hospital care in sub-Saharan Africa, multimorbidity remains poorly described despite high burdens of individual chronic diseases. Prospective public health studies of multimorbidity burden are needed to generate integrated and context-specific health system interventions that act to maximize patient survival and well-being.

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Weekend hospitalization and inhospital mortality: a gender effect?

Giorgi

Fabbian

Tiseo

et al. 2015

The American Journal of Emergency Medicine

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The relationship of weekend admission and mortality on the public medical wards at a Kenyan referral hospital

Cited by 3 publications

References 14 publications

Disease patterns and clinical outcomes of medical admissions at a tertiary hospital in Northern Tanzania: A retrospective observational study

Disease patterns and clinical outcomes of medical admissions at a tertiary hospital in Northern Tanzania: A retrospective observational study

Un miembro del personal de la Building Foundation for Development ayuda a preparar suministros para su entrega a instalaciones sanitarias y campos de desplazados en Al Jazirah (Sudán), que actualmente acoge a desplazados internos que huyen del conflicto en Jartum (Sudán).

Weekend hospitalization and inhospital mortality: a gender effect?

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