Pattern of surgical admissions to Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A five-year retrospective study

East and Central African Journal of Surgery Pub Date : 2018-09-27 DOI:10.4314/ecajs.v23i2.3

Sahlu Wondimu, Solomon K Bekele, Dawit G. Giorgis, F. Getachew, N. Seyoum

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引用次数: 4

Abstract

Background: Tikur Anbessa specialized hospital (TASH) is Ethiopia’s largest tertiary teaching and referral hospital admitting and treating surgical patients under various specialties. This study aims to analyze the magnitude and pattern of surgical admissions to this facility. Methods: A five-year Cross sectional retrospective analysis was done on all adult surgical admissions to TASH from Sept. 2010 to Sept. 2015. Results: There were a total of 8,698 surgical admissions of which, 4471 (51.4%) were male and 4227 (48.5%) were female with male to female ratio of 1.06:1. Their age ranged from 13 to 95, with mean age being 38.8 ± 16.2 years. Three thousand two hundred twenty two (46.5%) patients were from Addis Ababa. Of all admissions, 4706 (54.1%) were elective ones of which obstructive uropathy, 997(21.1%), esophageal diseases, 716(15.2%) and Urolithiasis, 573(12.2%) respectively are the top three. The rest, 3992 (44.9%), were emergency admissions, the top three ones being trauma, 1435(35.9%), appendicitis 281(7%) and Intestinal obstruction, 190(4.7%) respectively. General surgical (gastrointestinal, endocrine and vascular) cases account for 3414 (39.25%) of all admissions followed by urosurgical cases, 2114 (25.31%), cardiothoracic surgical cases, 1942 (22.33%), and neurosurgical cases, 1139 (13.1%). There were a total of 280 deaths with an overall mortality rate of 4% of which, 3.2% were from elective admissions and 5.2% from emergency ones. Mortality rate was the highest among neurosurgical patients being 6.3% followed by 4.3%, 3.8% and 3.5% in cardiothoracic, general surgical and urosurgical cases respectively. Conclusions: The admission pattern indicates quite a big number and diversity of cases though the bed capacity is limited. There are significant number of cases that could be treated at other secondary level hospitals. Trauma is the leading cause of emergency admissions and significant cause of mortality. We recommend increasing the number of beds, organizing separate trauma center and admitting only cases requiring tertiary level care. Keywords: pattern of surgical diseases; surgical admissions; Tikur Anbessa Specialized Hospital

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埃塞俄比亚亚的斯亚贝巴Tikur Anbessa专科医院手术入院模式:一项为期五年的回顾性研究

背景:Tikur Anbessa专科医院(TASH)是埃塞俄比亚最大的三级教学和转诊医院，收治和治疗各种专科的外科患者。本研究的目的是分析该设施的手术入院的规模和模式。方法:对2010年9月至2015年9月接受TASH手术的所有成人进行5年横断面回顾性分析。结果:共入院8698例，其中男性4471例(51.4%)，女性4227例(48.5%)，男女比例为1.06:1。年龄13 ~ 95岁，平均38.8±16.2岁。32,222例(46.5%)患者来自亚的斯亚贝巴。择期住院4706例(54.1%)，其中梗阻性尿路病变997例(21.1%)，食道疾病716例(15.2%)，尿石症573例(12.2%)。急诊3992例(44.9%)，排在前三位的分别是外伤1435例(35.9%)、阑尾炎281例(7%)和肠梗阻190例(4.7%)。普通外科(胃肠、内分泌、血管)3414例(39.25%)，其次是泌尿外科2114例(25.31%)、心胸外科1942例(22.33%)、神经外科1139例(13.1%)。共有280人死亡，总死亡率为4%，其中3.2%死于选择性入院，5.2%死于急诊。神经外科死亡率最高，为6.3%，其次是心胸外科、普外科和泌尿外科，分别为4.3%、3.8%和3.5%。结论:我院住院模式虽床位有限，但病例数量多、种类多。有相当数量的病例可以在其他二级医院治疗。创伤是急诊入院的主要原因，也是死亡的重要原因。我们建议增加床位数量，组织单独的创伤中心，只接纳需要三级护理的病例。关键词:外科疾病模式;外科招生;提库尔安贝萨专科医院

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East and Central African Journal of Surgery

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