https://doi.org/10.4081/acbr.2021.145

Morbidity patterns among medical admissions at Niger Delta University Teaching Hospital, Bayelsa State, Nigeria

Vol. 2 No. 1 (2021)
Submitted: 7 April 2021
Accepted: 29 April 2021
Published: 10 May 2021
Communicable diseases, non-communicable diseases, medical admissions, hospital, Nigeria
Abstract Views: 1359
PDF: 226
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Authors

Oghenekaro Godwin Egbi
drkoge@yahoo.com
https://orcid.org/0000-0001-9417-3452
Department of Internal Medicine, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria.

Hospital statistics on morbidity and mortality are essential in assessing disease burden, evaluation of health policies and health planning. The study aimed to determine the morbidity pattern and short-term outcome among medical admissions in the Niger Delta University Teaching Hospital (NDUTH), Bayelsa State, Nigeria. This retrospective 7-years disease audit was carried out in the medical wards of NDUTH, Bayelsa State, Nigeria. Information extracted included name and gender of patients, diagnoses and disease outcomes. One thousand, one hundred and twenty five (60.5%) females and seven hundred and thirty three (39.5%) males had complete records and were therefore used for the analysis. The mean age of the patients was 50.14±16.66 years with males being older (p<0.001). Non-Communicable Diseases (NCDs) accounted for a majority of cases (1270; 68.4%) while 588 (31.6%) were Communicable Diseases (CDs) NCDs were more prevalent among males and older individuals (p<0.03; p<0.001) and showed a rising trend over the years. CDs were however the leading cause of morbidities among females. The commonest diagnoses among males were retroviral disease, stroke, heart failure, pulmonary tuberculosis, diabetes and renal disease with women showing a similar trend except that heart failure replaced stroke as the second commonest morbidity while stroke came third, followed by diabetes, renal disease and hypertension. The all-cause mortality rates were 10.6% and 15.9% for females and males respectively. The major causes of mortality were infectious diseases and circulatory disorders for both genders. About 6.4% males and 3.8% females Left Against Medical Advice (LAMA). The pattern shows a rising prevalence of NCDs. Although CDs witnessed some decline, it however remained prevalent. The mortality rate was high while a good proportion LAMA. There is a need for strategic health programs to address this increasing tide of NCDs in our society, control CDs, and improve patient care while reducing mortality.

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Crossref
Scopus
Google Scholar
Europe PMC
Myint PK, MacLullich AM, Witham MD. The role of research training during higher medical education in the promotion of academic medicine in the UK. Postgrad M J 2006;82:767-70. DOI: https://doi.org/10.1136/pgmj.2006.046227
Jamoh BY, Abubakar SA, Isa SM. Morbidity and mortality profile of patients seen in medical emergency unit of a teaching hospital in Nigeria: a 4- yr audit. Sahel Med J 2018;21:213-7. DOI: https://doi.org/10.4103/smj.smj_27_17
Ogun SA, Adelowo OO, Familoni OB, et al. Pattern and outcome of medical admissions at the Ogun State University Teaching Hospital, Sagamu-A three year review. West Afr J Med 2000;19:304-8.
Odenigbo CU, Oguejiofor OC. Pattern of medical admissions at the Federal Medical Centre, Asaba - A two year review. Niger J Clin Pract 2009;12:395-7.
Okunola OO, Akintunde AA, Akinwusi PO. Some emerging issues in medical admission pattern in the tropics. Niger J Clin Pract 2012;15:51-4. DOI: https://doi.org/10.4103/1119-3077.94098
World Health Organization. New WHO report: Death from non-communicable diseases on the rise, developing world hit hardest. Moscow: WHO; 2011. Accessed 2020 Dec 12. Available from: http://www.who.int/mediacentre/news/releases/2011
Murray CJL, Yang G, Qiao X. Adult mortality: levels, patterns, and causes. In The Health of Adults in the Developing World. Feachem RGA, Kjellstrom T, Murray CJL, et al. eds. New York: Oxford University Press; 1992.
lslam SMS, Purnat TD, Phuong NT, et al. Non communicable diseases (NCDs) in developing countries: a symposium report. Glob Health 2014;10:1–7. DOI: https://doi.org/10.1186/s12992-014-0081-9
WHO. Global status report on non-communicable diseases: Geneva: World Health Organization; 2010. Accessed 2020 Dec 12. Available from: http://www.who.int/nmh/publications/ncd report 2010/en/ LINK INCORRECT
Agyei-Mensah S, de-Graft Aikins A. Epidemiological transition and the double burden of disease in Accra, Ghana. J Urban Heal Bull New York Acad Med 2010;87:879–97. DOI: https://doi.org/10.1007/s11524-010-9492-y
World Health Organization. International Statistical Classification of diseases and related health problems. 10th revision. 2010;2:1-201.
Akoria OA, Unuigbe EI. A 6-Month Review of Medical Admissions in a Nigerian Teaching Hospital. Int J Health Res 2009;2:125-30 DOI: https://doi.org/10.4314/ijhr.v2i2.55402
Lorenzo C, Williams K, Hunt KJ, Haffner SM. The National Cholesterol Education Program – Adult Treatment Panel III. International Diabetes Federation and World Health Organization definitions of the metabolic syndrome as predictors of incident cardiovascular disease and diabetes. Diabetes Care 2007;30:8-13. DOI: https://doi.org/10.2337/dc06-1414
Girum T, Wasie A, Lentiro K, et al. Gender disparity in epidemiological trend of HIV/AIDS infection and treatment in Ethiopia. Arch Public Health 2018;76:51. DOI: https://doi.org/10.1186/s13690-018-0299-8
Sia D, Onadja Y, Hajizadeh M. What explains gender inequalities in HIV/AIDS prevalence in sub-Saharan Africa? Evidence from the demographic and health surveys. BMC Public Health 2016;16:1136. DOI: https://doi.org/10.1186/s12889-016-3783-5
Eze CO, Agu CE, Kalu UA, et al. Pattern of Medical Admissions in a Tertiary Health Centre in Abakaliki South-East Nigeria. J Biol Agricult Healthcare 2013;3:90-4.
Pai-Dhungat JV, Parikh FJ. HIV/TB--an unholy alliance’. Assoc Physicians India 2007;55:457
Andersen KK, Andersen ZJ, Oslen TS. Age and gender specific prevalence of cardiovascular risk factors in 40,102 patients with first-ever ischemic stroke: a nationwide Danish study. Stroke 2010;41:2768-74. DOI: https://doi.org/10.1161/STROKEAHA.110.595785
Peer N, Steyn K, Dennison CR, et al. Determinants of target organ damage in black hypertensive patients attending primary health care services in Cape Town: the Hi-Hi study. Am J Hypertension 2008;21:896-902. DOI: https://doi.org/10.1038/ajh.2008.210
Reddy KS, Yusuf S. Emerging epidemic of cardiovascular disease in developing countries. Circulation 1998;97:596-601. DOI: https://doi.org/10.1161/01.CIR.97.6.596
Mbewu A, Mbanya JC. Cardiovascular disease. In: Jamison DT, Feachem RG, Makgoba MW, et al. eds. Disease and mortality in Sub-Saharan Africa. 2nd edition. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2006. Chapter 21. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2294/
Ike SO. The pattern of admissions into the medical wards of the University of Nigeria Teaching Hospital, Enugu (2). Niger J Clin Pract 2008;11:185-92.
UNAIDS AIDSinfo. Country fact sheets. Nigeria HIV and AIDS estimate 2019. Accessed 11th Feb 2021. Available at https://www.unaids.org/en/regionscountries/countries/nigeria
Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 2006;3:e442. DOI: https://doi.org/10.1371/journal.pmed.0030442
Oguejiofor O, Odenigbo C, Onwukwe C. Diabetes in Nigeria: impact, challenges, future directions. Endocrinol Metab Synd 2014;3:2. DOI: https://doi.org/10.4172/2161-1017.1000130
DF: IDF Diabetes Atlas 8th Edition 2017. 2017. Accessed 11 Feb 2021. Available from: http://www.diabetesatlas.org
Uloko AE, Musa BM, Ramalan MA, Gazawa ID, Puepet FH, Uloko AT et al. Prevalence and risk factors for diabetes mellitus in Nigeria: a systematic review and meta-analysis. Diabetes Ther 2018;9:1307-16. DOI: https://doi.org/10.1007/s13300-018-0441-1
Stanifer JW, Jing B, Tolan S, et al. The epidemiology of chronic kidney disease in Sub- Saharan Africa: A systematic review and meta- analysis. Lancet Glob Health 2014;2:e174-81. DOI: https://doi.org/10.1016/S2214-109X(14)70002-6
Odenigbo CU, Oguejiofor OC. Pattern of medical admissions at the Federal Medical Centre, Asaba-a two year review. Niger J Clin Pract 2009;12:395-7. DOI: https://doi.org/10.4314/tjmr.v12i1.30490
Adeoti AO, Ajayi EA, Ajayi AO, et al. Pattern and Outcome of Medical Admissions in Ekiti State University Teaching Hospital, Ado-Ekiti- A 5 Year Review. Am J Med Medical Sci 2015;5:92-8.
Arodiwe EB, Nwokediuko SC, Ike SO. Medical causes of death in a teaching hospital in South-Eastern Nigeria: A 16 year review. Niger J Clin Pract 2014;17:711-6. DOI: https://doi.org/10.4103/1119-3077.144383
Ezeala-Adikaibe BA, Aneke E, Orjioke C, et al. Pattern of medical admissions at Enugu state university of science and technology teaching hospital: a 5 year review. Ann Med Health Sci Res 2014;4:426-31. DOI: https://doi.org/10.4103/2141-9248.133472
Ogunmola AJ, Oladosu OY. Pattern and outcome of admissions in the medical wards of a tertiary health centre in a rural community of Ekiti State, Nigeria. Annals Afr Med 2014;13:195-203. DOI: https://doi.org/10.4103/1596-3519.142291
Fadare JO, Babatunde OA, Olarenwaju T, Busari O. Discharge against medical advice: Experience from a rural Nigerian hospital. Ann Nigerian Med 2013;7:60-5. DOI: https://doi.org/10.4103/0331-3131.133098
Akande TM, Sekoni OO, Aderibigbe SA. Outcome of admission in a university teaching hospital in Nigeria. Adv Trop Med Pub Health Int 2012;2:72-8.
Yong TY, Fok JS, Hakendorf P, et al. Characteristics and outcomes of discharges against medical advice among hospitalized patients. Intern Med J 2013;43:798-802. DOI: https://doi.org/10.1111/imj.12109
Menachemi N, Collum TH. Benefits and drawbacks of electronic health record systems. Risk Manag Health Policy 2011;4:47-55. DOI: https://doi.org/10.2147/RMHP.S12985

How to Cite

Egbi, O. G. (2021). Morbidity patterns among medical admissions at Niger Delta University Teaching Hospital, Bayelsa State, Nigeria. Annals of Clinical and Biomedical Research, 2(1). https://doi.org/10.4081/acbr.2021.145

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