A Two-Year Review of the Pattern and Outcome of Medical Admissions in A Secondary Health Facility in Nigeria
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Background: The profile of morbidity and mortality are a reflection of the prevailing pattern of diseases and the responsiveness of the health care system. In developing country like Nigeria, limited resources require that health priorities be selected wisely; hence it is pertinent to evaluate the morbidity and mortality pattern for health planning and for improving the health care services. There are limited data on the causes of hospital admission and death among adults in Nigeria. Hence, the need to provide a comprehensive reviews of the pattern of morbidity, mortality and medical outcome in Nigeria. Methods: This is a retrospective study of 933 patients admitted to the medical wards of Kwara State Specialist Hospital, Sobi, Ilorin from December 2012 to December 2014. Data were obtained from the admission and discharge/death register, patients’ case records and the quarterly mortality reviews. The data was analyzed using the SPSS version 16. Results: A total of 933 were admitted over the two years study period. Of these 601 (64.4%) were discharged, 131 (14.0%) referred, 108 (11.7%) died while 92 (9.9%) Discharged Against Medical Advice (DAMA). Infectious Diseases 236 (25.3%) constituted the highest morbidity and mortality. It also constituted the highest discharged against medical advice 30 (32.3%). Of the infectious diseases HIV/AIDS 105 (11.3%) predominate, followed by pulmonary tuberculosis 81 (8.7%). Cancer had the least morbidity 20 (2.1%) and mortality 3 (2.8%). Of the non-communicable diseases, neurological disorder accounted for 21.1% (197) with predominance of cerebrovascular accident 189 (20.3%). However, gastrointestinal 179 (19.2%), cardiovascular 97 (10.4%) and endocrine 52 (5.6%) were prevalent. Congestive cardiac failure 37 (4.0%) was the commonest causes of mortality in the cardiovascular group. Conclusion: Infectious and neurological diseases are currently the leading causes of admission in Kwara State Specialist Hospital, Nigeria. Discharged against medical advice is significant.
Authors and Affiliations
Rasaq O. Shittu
Keywords
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