The Changing Pattern of Hospital Admission to Medical Wards Burden of non-communicable diseases at a hospital in a developing country
Journal Title: Sultan Qaboos University Medical Journal - Year 2015, Vol 15, Issue 4
Abstract
Objectives: Tis study aimed to determine the pattern of hospital admissions and patient outcomes in medical wards at Atbara Teaching Hospital in River Nile State, Sudan. Methods: Tis retrospective cross-sectional study was conducted from August 2013 to July 2014 and included all patients admitted to medical wards at the Atbara Teaching Hospital during the study period. Morbidity and mortality data was obtained from medical records. Diseases were categorised using the World Health Organization’s International Classifcation of Diseases (ICD) coding system. Results: A total of 2,614 patient records were analysed. Te age group with the highest admissions was the 56‒65-year-old age group (19.4%) and the majority of patients were admitted for one week or less (86.4%). Non-communicable diseases constituted 71.8% of all cases. According to ICD classifcations, patients were admitted most frequently due to infectious or parasitic diseases (19.7%), followed by diseases of the circulatory (16.4%), digestive (16.4%) and genito-urinary (13.8%) systems. Te most common diseases were cardiovascular disease (16.4%), malaria (11.3%), gastritis/peptic ulcer disease (9.8%), urinary tract infections (7.2%) and diabetes mellitus (6.9%). Te mortality rate was 4.7%. Conclusion: Te burden of non-communicable diseases was found to exceed that of communicable diseases among patients admitted to medical wards at the Atbara Teaching Hospital.
Authors and Affiliations
Sufan K. Noor| Departments of Medicine, Nile Valley University, Atbara, Sudan, Wadie M. Elmadhoun| Departments of Pathology, Nile Valley University, Atbara, Sudan, Sarra O. Bushara| Departments of Medicine, Nile Valley University, Atbara, Sudan, Mohamed H. Ahmed| Department of Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Buckinghamshire, UK
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