PATTERN AND OUTCOME OF MEDICAL ADMISSIONS IN A TEACHING HOSPITAL IN THE S0UTH EAST REGION OF NIGERIA

M. Nkpozi, Nwanke Ri, Uzor Ei, Ubani-Ukoma Bc, Ugwu Et
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Abstract

Background and Objective: Medical admissions in hospitals located within a certainregion reflect the diseases burden in that region. The objective of this study is todetermine the profile of diseases and their treatment outcome in the medical wardsof the Department of Internal Medicine, Abia State University Teaching Hospital(ABSUTH), Aba, South East,Nigeria.Materials and Methods: This was a 10-year retrospective descriptive study in whichdata was extracted from the Admission/Discharge registers in the male and femalemedical wards of ABSUTH, Aba from May 1, 2007 to April 30, 2017. Relevant dataobtained were analyzed using Statistical Package for Social Sciences (SPSS) version20.0 software.Results: A total of 6587 admissions made up of 3153 (47.9%) males and 3434 (52.1%)females were seen with a mean age of 52.34 years. The elderly topped the list ofthe medical admissions followed by the middle aged group. Non-communicable diseases,NCDs, (73%) caused more medical admission than communicable diseases, CDs,(27%). The overall commonest causes of death in the medical wards were stroke andhuman immunodeficiency virus infection and acquired immune deficiency syndrome(HIV/AIDS). Stroke, diabetes mellitus (DM) related complications, heart failures andchronic kidney diseases (CKD) were the commonest causes of death among the NCDs.While mortality of the medical admissions was 22.6%, 69.4% improved and were dischargedhome. Mean duration of hospital stay for the medical admissions was 9.97days and the longest was by diabetic foot/hand ulcer.Conclusion: The female gender and the elderly population were admitted more inthe medical wards while NCDs caused more medical admissions and deaths than theCDs. Stroke followed by HIV/AIDS were the commonest overall causes of deaths inthe medical wards within the study period.Key words: medical admissions–diseases pattern–admission outcome–communicableand non-communicable diseases–South East–Nigeria
尼日利亚东南地区某教学医院住院的模式和结果
背景与目的:某一地区医院的住院人数反映了该地区的疾病负担。本研究的目的是确定尼日利亚东南部阿巴的阿比亚州立大学教学医院(ABSUTH)内科病房的疾病概况及其治疗结果。材料和方法:这是一项为期10年的回顾性描述性研究,数据提取自2007年5月1日至2017年4月30日Aba ABSUTH男性和女性医学病房的入院/出院登记簿。相关数据采用SPSS version20.0软件进行分析。结果:共就诊6587例,其中男性3153例(47.9%),女性3434例(52.1%),平均年龄52.34岁。入院人数最多的是老年人,其次是中年人。非传染性疾病(NCDs)(73%)比传染病(CDs)(27%)造成更多的住院人数。总的来说,病房内最常见的死亡原因是中风、人体免疫缺陷病毒感染和获得性免疫缺陷综合症(艾滋病毒/艾滋病)。中风、糖尿病(DM)相关并发症、心力衰竭和慢性肾脏疾病(CKD)是非传染性疾病中最常见的死亡原因。入院病人的死亡率为22.6%,其中69.4%好转并出院。住院患者平均住院时间为9.97d,以糖尿病足/手溃疡住院时间最长。结论:非传染性疾病以女性和老年人居多,非传染性疾病的住院人数和死亡人数均高于非传染性疾病。在研究期间,中风和艾滋病毒/艾滋病是病房里最常见的死亡原因。关键词:医疗入院-疾病模式-入院结果-传染性和非传染性疾病-东南部-尼日利亚
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