The spectrum, prevalence and in-hospital outcomes of cardiovascular diseases in a South African district hospital: a retrospective study

Mkoko, Philasande; Naidoo, Senlika; Niazi, Mak; Tahira, Atiqa; Godlwana, Xolile; Ndesi, Ntsikelelo; Majola, Thina; Pepino, Martha; Mbanga, Luyanda; Jama, Zimasa Vuyo; Alam, Nowshad; Mbhele, Brian; Maphalala, Lokuthula; Ntsekhe, Mpiko

doi:10.5830/cvja-2021-016

Cited by 2 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 49 , 59 , 63 , 81 , 83 None of the studies reported prevalence of ischaemic heart disease. However, acute coronary syndrome was found in 1.0% (95% CI: 0.2–6.0; four studies) 59 , 60 , 70 , 73 of medical patients, and 0.5% (95% CI: 0.0–11.2; two studies) 38 , 98 of emergency department patients. Two studies used electrocardiogram and troponin criteria in making the diagnosis.…”

Section: Resultsmentioning

confidence: 96%

“…Acute hypertensive presentations to hospital were reported in 17 studies, with a pooled prevalence of 5.2% (95% CI: 2.9–8.9; 11 studies) 42 , 48 , 49 , 60 , 70 , 73 , 77 , 78 , 81 , 86 , 87 among medical settings and 5.5% (95% CI: 3.1–9.5; six studies) 46 , 58 , 75 , 83 , 90 , 98 in emergency departments.…”

Section: Resultsmentioning

confidence: 99%

“…The prevalence of stroke admissions was 6.8% (95% CI: 4.7–9.6; 17 studies) 41 , 48 , 53 , 55 , 57 , 59 , 70 , 73 , 74 , 81 , 84 – 87 , 91 , 94 , 95 in medical settings, and 5.4% (95% CI: 2.8–10.2; five studies) 54 , 75 , 88 , 93 , 98 in emergency departments. Of these 22 studies, eight used radiological imaging to confirm the diagnosis.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

show abstract

“…During our community-based screening, one out of every 43 individuals screened had hypertensive urgency (blood pressure �180/110 mmHg) or emergency (urgency + new/severe associated symptoms). Given the high morbidity and mortality of this condition in sub-Saharan Africa [34][35][36][37][38][39][40][41] new intervention approaches are needed to address the urgent and more intensive treatment needs of this population.…”

Section: Plos Onementioning

confidence: 99%

Effect of a one-time financial incentive on linkage to chronic hypertension care in Kenya and Uganda: A randomized controlled trial

et al. 2022

View full text Add to dashboard Cite

Background Fewer than 10% of people with hypertension in sub-Saharan Africa are diagnosed, linked to care, and achieve hypertension control. We hypothesized that a one-time financial incentive and phone call reminder for missed appointments would increase linkage to hypertension care following community-based screening in rural Uganda and Kenya. Methods In a randomized controlled trial, we conducted community-based hypertension screening and enrolled adults ≥25 years with blood pressure ≥140/90 mmHg on three measures; we excluded participants with known hypertension or hypertensive emergency. The intervention was transportation reimbursement upon linkage (~$5 USD) and up to three reminder phone calls for those not linking within seven days. Control participants received a clinic referral only. Outcomes were linkage to hypertension care within 30 days (primary) and hypertension control <140/90 mmHg measured in all participants at 90 days (secondary). We used targeted minimum loss-based estimation to compute adjusted risk ratios (aRR). Results We screened 1,998 participants, identifying 370 (18.5%) with uncontrolled hypertension and enrolling 199 (100 control, 99 intervention). Reasons for non-enrollment included prior hypertension diagnosis (n = 108) and hypertensive emergency (n = 32). Participants were 60% female, median age 56 (range 27–99); 10% were HIV-positive and 42% had baseline blood pressure ≥160/100 mmHg. Linkage to care within 30 days was 96% in intervention and 66% in control (aRR 1.45, 95%CI 1.25–1.68). Hypertension control at 90 days was 51% intervention and 41% control (aRR 1.22, 95%CI 0.92–1.66). Conclusion A one-time financial incentive and reminder call for missed visits resulted in a 30% absolute increase in linkage to hypertension care following community-based screening. Financial incentives can improve the critical step of linkage to care for people newly diagnosed with hypertension in the community.

show abstract

The spectrum, prevalence and in-hospital outcomes of cardiovascular diseases in a South African district hospital: a retrospective study

Cited by 2 publications

References 0 publications

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).

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).

Effect of a one-time financial incentive on linkage to chronic hypertension care in Kenya and Uganda: A randomized controlled trial

Contact Info

Product

Resources

About