对尼日利亚一家教学医院的住院情况进行为期6个月的审查

O. Akoria, E. Unuigbe
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引用次数: 8

摘要

目的:概述某教学医院病房的发病率和死亡率,并促使工作人员进行讨论,以期改善病人的治疗结果和数据处理。方法:对2006年1月1日至6月30日期间贝宁大学教学医院内科病房的住院和死亡率进行回顾性调查,使用病房记录和更改簿以及死亡证明副本。评估了两个病房的发病率数据,并评估了本报告所述期间所有住院病人的死亡率。结果:运行状况信息完全手动管理。数据来源往往无法获得或被破坏,现有数据的利用也因文件不完整和不正确而受到限制。没有发病率或死亡率的临床编码。感染人类免疫缺陷病毒(HIV)及其并发症的女性明显多于男性(分别为26.1%和16.2%);P =0.005),女性死亡率高于男性(分别为34.6%和29.6%;p < 0.0001)。大多数死亡发生在午夜至工作日开始之间,第二个高峰发生在黄金工作时间。结论:在所研究的卫生机构中,卫生信息管理明显不够理想。感染艾滋病毒的患者死亡率高于其他疾病患者。需要进行能力建设和适当的基础设施发展,以改进对至关重要的卫生信息的管理。关键词:卫生信息;发病率;死亡率;医疗病房;尼日利亚。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A 6-month review of medical admissions in a nigerian teaching hospital
Purpose: To provide an overview of morbidity and mortality in the medical wards of a teaching hospital and to generate discussions among staff members with a view to improving patient outcomes and data handling. Methods: A retrospective survey of admissions and mortalities in the medical wards of the University of Benin Teaching Hospital was undertaken from 1st January to 30th June 2006, using ward Record and Change books, and copies of death certificates. Morbidity data were assessed for two medical wards and mortalities for all medical admissions within the period under review were evaluated. Results: Health information was managed entirely manually. Data sources were quite often inaccessible or mutilated, and the utility of available data was limited by incomplete and incorrect documentation. No clinical coding of morbidities or mortalities was available. Human immunodeficiency virus (HIV) infection and its complications accounted for significantly more female than male admissions (26.1% and 16.2% respectively; p=0.005), and for more female than male deaths (34.6% and 29.6% respectively; p< 0.0001). Most deaths occurred between midnight and the start of the working day, with a second peak during prime working hours. Conclusions: Less than optimal health information management was apparent in the health facility studied. Mortality among the patients was highest in HIV-infected patients than other diseases. Capacity building and appropriate infrastructural development is required to improve the management of vitally important health information. Keywords: Health information; Morbidity; Mortality; Medical Wards; Nigeria.
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