■基于医院的发病率和死亡率记录反映了宿主社区的健康状况。这有助于政策制定者和行业行为者为卫生服务规划和分配资源,研究,培训,和发展。这项研究旨在确定尼日利亚教学医院的医疗入院模式和结果。
■这是2019年至2021年的三年回顾性审查。从病房登记册中提取发病率和死亡率的数据。使用IBMSPSS软件分析相关数据。在小于0.05的p值下,测试被认为是显著的。
■在研究期间共有2544名患者入院。女性1420人(55.8%),男性1124人(44.2%),大多数(36.9%)患者为中年人。平均年龄53.81±18.81岁,平均住院时间为9.07±8.41天,97.2%的患者入院时间少于30天。非传染性疾病(70.6%)是最常见的入院原因。入院的主要疾病特异性原因是糖尿病及其并发症(14.9%),肾功能衰竭(11.8%),心力衰竭(9.2%),高血压及其紧急情况(9.2%),中风(7.8%)和肺结核(7.0%)。心脏病学(15.5%),内分泌学(15.1%),肾脏病学(15.0%),肺科(14.8%),和神经科(13.3%)占大多数(86.4%)。死亡的主要原因是肾衰竭(16.2%),中风(15.8%),糖尿病及其并发症(12.5%)和艾滋病毒/艾滋病(8.7%)。大部分(86.7%)病人已出院,10.4%死亡,2.2%的人在医疗建议下出院,0.7%被转介。
■研究发现,非传染性疾病相对于传染性疾病的负担增加。必须实施有效的健康教育和促进举措,以应对这些疾病日益流行的影响。
UNASSIGNED: Hospital-based morbidity and mortality records reflect the health status of host communities. This helps policymakers and industry actors plan and allocate resources for health services, research, training, and development. This study aimed to determine the pattern and outcome of medical admissions in a Nigerian teaching hospital.
UNASSIGNED: This was a three-year retrospective review from 2019 to 2021.Data on morbidity and mortality were extracted from ward registers. The relevant data was analysed using the IBM SPSS software. Tests were considered significant at p values of less than 0.05.
UNASSIGNED: A total of 2544 patients were admitted during the study period. There were 1420 females (55.8%) and 1124 males (44.2%), and the majority (36.9%) of patients were middle-aged. The mean age was 53.81 ± 18.81 years, and the mean duration of hospital stay was 9.07 ± 8.41 days, with 97.2% of the patients spending less than 30 days on admission. Non-communicable diseases (70.6%) were the most common causes of admissions. The top disease-specific causes of admissions were diabetes mellitus with its complications (14.9%), renal failure (11.8%), heart failure (9.2%), hypertension and its emergencies (9.2%), stroke (7.8%) and tuberculosis (7.0%). Cardiology (15.5%), endocrinology (15.1%), nephrology (15.0%), pulmonology (14.8%), and neurology (13.3%) accounted for the majority (86.4%) of the admissions. The major causes of death were renal failure (16.2%), stroke (15.8%), diabetes mellitus and its complications (12.5%) and HIV/AIDS (8.7%). The majority (86.7%) of patients were discharged, 10.4% died, 2.2% were discharged against medical advice, and 0.7% were referred.
UNASSIGNED: The study found an increased burden of non-communicable diseases relative to communicable diseases. Effective health education and promotion initiatives must be implemented to combat the impact of the increasing prevalence of these diseases.