Epidemiology of cardiovascular diseases related admissions in a tertiary hospital in Hadramout Governorate, Yemen

Jamal Basamed, Abdul Raheem Bahishwan, Musaab Fahmi Yousef
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Abstract

Background: Cardiovascular diseases (CVDs) are a major challenge confronting physicians in Hadramout Governorate. Little is known about the admission for CVD and outcome at Hadramout Modern Hospital. The aim of this study was to determine the frequency and pattern of CVD admissions in Hadramout Modern Hospital, Hadramout, Yemen. Materials and Methods: This retrospective cross-sectional study included all adult patients admitted for CVDs in the medical ward of Hadramout Modern Hospital from January 01 to December 31, 2023. Results: During the study period, a total of 1020 patients were admitted to the medical word, of which 158 (15.5%) cases were admitted with CVDs. There were 87 (55.1%) males, and the mean age was 58.09±15.08 years. There was a significant age difference between men and women (61.4 years vs. 54.04 years, p=0.002). The most commonly affected age group was those aged 55–64 (32.4%). Uncontrolled hypertension (81.6%), stroke (52.5%), heart failure (37.3%), and acute myocardial infarction (AMI) (36.1%) were the most common CVDs. The mean hospital stay was 7.93±2.83 (2–15 days). There were 220 total deaths in Hadramout Modern Hospital during the study period. Among them, 12 (5.5%) were due to CVDs with no significant sex difference (4 [5.6%] vs. 8 [9.2%]; p=0.549). Conclusion: Given the increasing burden of CVDs in our hospital, it is crucial to understand the epidemiological features of CVDs and their etiological factors to prioritize further research, prevention, and treatment strategies. Additionally, further research is needed in other governorates across the country to identify regions with the highest regional burden of CVDs so that policymakers can reallocate limited resources accordingly.
也门哈达拉穆特省一家三级医院心血管疾病相关住院病人的流行病学情况
背景心血管疾病(CVD)是哈德拉穆特省医生面临的一大挑战。人们对 Hadramout 现代医院的心血管疾病入院情况和结果知之甚少。本研究旨在确定也门哈德拉穆特市哈德拉穆特现代医院收治心血管疾病的频率和模式。材料和方法:这项回顾性横断面研究包括从 2023 年 1 月 1 日至 12 月 31 日期间,Hadramout 现代医院内科病房收治的所有心血管疾病成人患者。研究结果研究期间,内科病房共收治了 1020 名患者,其中 158 例(15.5%)为心血管疾病患者。男性 87 人(55.1%),平均年龄为(58.09±15.08)岁。男性和女性的年龄差异明显(61.4 岁对 54.04 岁,P=0.002)。最常受影响的年龄组为 55-64 岁(32.4%)。未得到控制的高血压(81.6%)、中风(52.5%)、心力衰竭(37.3%)和急性心肌梗死(36.1%)是最常见的心血管疾病。平均住院时间为 7.93±2.83(2-15 天)。研究期间,Hadramout 现代医院共有 220 例死亡病例。其中,12 例(5.5%)死于心血管疾病,性别差异不明显(4 例 [5.6%] 对 8 例 [9.2%];P=0.549)。结论鉴于心血管疾病在我院造成的负担日益加重,了解心血管疾病的流行病学特征及其病因至关重要,以便优先考虑进一步的研究、预防和治疗策略。此外,还需要在全国其他省份开展进一步研究,以确定心血管疾病地区负担最重的地区,从而使决策者能够相应地重新分配有限的资源。
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