Patterns of Medical Admissions and Predictors of Mortality in Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Prospective Observational Study
Abraha Hailu,1 Kibreab Gidey,1 Mohamedawel Mohamedniguss Ebrahim,2 Yonas Berhane,1 Teklay Gebrehawaria,1 Tesfay Hailemariam,1 Atakelti Negash,1 Habtamu Mesele,1 Tekleab Desta,1 Haylsh Tsegay,1 Mulubirhan Assefa Alemayohu,3 Alemayehu Bayray3 1Department of Internal Medicine, School of Medicine, Mekel...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-01-01
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| Series: | International Journal of General Medicine |
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| Online Access: | https://www.dovepress.com/patterns-of-medical-admissions-and-predictors-of-mortality-in-ayder-co-peer-reviewed-fulltext-article-IJGM |
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| author | Hailu A Gidey K Ebrahim MM Berhane Y Gebrehawaria T Hailemariam T Negash A Mesele H Desta T Tsegay H Alemayohu MA Bayray A |
| author_facet | Hailu A Gidey K Ebrahim MM Berhane Y Gebrehawaria T Hailemariam T Negash A Mesele H Desta T Tsegay H Alemayohu MA Bayray A |
| author_sort | Hailu A |
| collection | DOAJ |
| description | Abraha Hailu,1 Kibreab Gidey,1 Mohamedawel Mohamedniguss Ebrahim,2 Yonas Berhane,1 Teklay Gebrehawaria,1 Tesfay Hailemariam,1 Atakelti Negash,1 Habtamu Mesele,1 Tekleab Desta,1 Haylsh Tsegay,1 Mulubirhan Assefa Alemayohu,3 Alemayehu Bayray3 1Department of Internal Medicine, School of Medicine, Mekelle University - College of Health Sciences, Mekelle, Tigray, Ethiopia; 2Department of Biostatistics, School of Public Health, Mekelle University - College of Health Sciences, Mekelle, Tigray, Ethiopia; 3Department of Epidemiology, School of Public Health, Mekelle University - College of Health Sciences, Mekelle, Tigray, EthiopiaCorrespondence: Abraha Hailu Weldegerima, Department of Internal Medicine, Cardiology Unit, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia, Tel +251-91-141-3363, Email abrahahailu7@gmail.comBackground: Previous works show that noncommunicable diseases (NCDs) are on the rise in developing nations, including Ethiopia, in the background of preexisting communicable diseases (CDs). Data on hospital admission in sub-Saharan Africa are scarce, particularly prospectively collected, and hence this study was done to close the gap in acquiring accurate diagnosis usually faced with retrospective data. We aimed to describe medical admission patterns, their outcomes and determinants at Ayder Comprehensive Specialized Hospital (ACSH) in Tigray, Ethiopia.Methods: Data were collected prospectively from November 1, 2017 to October 31, 2018 for all medical admissions. Sociodemographic profiles, final diagnosis, outcome of hospitalization, and complications were recorded using a data-abstraction checklist. Data were analyzed using SPSS 26.Results: There were 2084 medical admissions over 1 year. Median age was 45 years (IQR 31). A majority (1107, 53.1%) were male. The age-group 25– 34 years had the most admissions (19.0%). NCDs constituted 68.2% of admissions. According to the International Classification of Diseases, patients were admitted most frequently due to disease of the circulatory system (36.7%) followed by infectious or parasitic diseases (24.1%). Of NCDs, cardiovascular diseases contributed to 53.9%, followed by cancers (8.6%). Of CDs, HIV/AIDS contributed to 31.3%, followed by tuberculosis (22.8%). A total of 1375 (66%) were discharged improved, while 311 (14.9%) died. On multivariate analysis, the in-hospital mortality was significantly higher (18.7%) for CDs than NCDs (13.2%, AOR 1.8, 95% CI 1.4– 2.3; P< 0.001). Bed occupancy of ACSH medical wards and ICU was 54%.Conclusion: NCDs were leading causes of medical admissions in ACSH. The presence of CDs and the development of complications were associated with higher risk of death. Attention should be given by policy-makers to curb the higher morbidity from NCDs and mortality from CDs.Keywords: medical admissions, mortality, Ayder, Ethiopia |
| first_indexed | 2024-04-10T20:43:10Z |
| format | Article |
| id | doaj.art-f0ba1093f2f1431da39f817eb469aedf |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-04-10T20:43:10Z |
| publishDate | 2023-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of General Medicine |
| spelling | doaj.art-f0ba1093f2f1431da39f817eb469aedf2023-01-24T18:10:57ZengDove Medical PressInternational Journal of General Medicine1178-70742023-01-01Volume 1624325781145Patterns of Medical Admissions and Predictors of Mortality in Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Prospective Observational StudyHailu AGidey KEbrahim MMBerhane YGebrehawaria THailemariam TNegash AMesele HDesta TTsegay HAlemayohu MABayray AAbraha Hailu,1 Kibreab Gidey,1 Mohamedawel Mohamedniguss Ebrahim,2 Yonas Berhane,1 Teklay Gebrehawaria,1 Tesfay Hailemariam,1 Atakelti Negash,1 Habtamu Mesele,1 Tekleab Desta,1 Haylsh Tsegay,1 Mulubirhan Assefa Alemayohu,3 Alemayehu Bayray3 1Department of Internal Medicine, School of Medicine, Mekelle University - College of Health Sciences, Mekelle, Tigray, Ethiopia; 2Department of Biostatistics, School of Public Health, Mekelle University - College of Health Sciences, Mekelle, Tigray, Ethiopia; 3Department of Epidemiology, School of Public Health, Mekelle University - College of Health Sciences, Mekelle, Tigray, EthiopiaCorrespondence: Abraha Hailu Weldegerima, Department of Internal Medicine, Cardiology Unit, Mekelle University College of Health Sciences, Mekelle, Tigray, Ethiopia, Tel +251-91-141-3363, Email abrahahailu7@gmail.comBackground: Previous works show that noncommunicable diseases (NCDs) are on the rise in developing nations, including Ethiopia, in the background of preexisting communicable diseases (CDs). Data on hospital admission in sub-Saharan Africa are scarce, particularly prospectively collected, and hence this study was done to close the gap in acquiring accurate diagnosis usually faced with retrospective data. We aimed to describe medical admission patterns, their outcomes and determinants at Ayder Comprehensive Specialized Hospital (ACSH) in Tigray, Ethiopia.Methods: Data were collected prospectively from November 1, 2017 to October 31, 2018 for all medical admissions. Sociodemographic profiles, final diagnosis, outcome of hospitalization, and complications were recorded using a data-abstraction checklist. Data were analyzed using SPSS 26.Results: There were 2084 medical admissions over 1 year. Median age was 45 years (IQR 31). A majority (1107, 53.1%) were male. The age-group 25– 34 years had the most admissions (19.0%). NCDs constituted 68.2% of admissions. According to the International Classification of Diseases, patients were admitted most frequently due to disease of the circulatory system (36.7%) followed by infectious or parasitic diseases (24.1%). Of NCDs, cardiovascular diseases contributed to 53.9%, followed by cancers (8.6%). Of CDs, HIV/AIDS contributed to 31.3%, followed by tuberculosis (22.8%). A total of 1375 (66%) were discharged improved, while 311 (14.9%) died. On multivariate analysis, the in-hospital mortality was significantly higher (18.7%) for CDs than NCDs (13.2%, AOR 1.8, 95% CI 1.4– 2.3; P< 0.001). Bed occupancy of ACSH medical wards and ICU was 54%.Conclusion: NCDs were leading causes of medical admissions in ACSH. The presence of CDs and the development of complications were associated with higher risk of death. Attention should be given by policy-makers to curb the higher morbidity from NCDs and mortality from CDs.Keywords: medical admissions, mortality, Ayder, Ethiopiahttps://www.dovepress.com/patterns-of-medical-admissions-and-predictors-of-mortality-in-ayder-co-peer-reviewed-fulltext-article-IJGMmedical admissionsmortalityayderethiopia |
| spellingShingle | Hailu A Gidey K Ebrahim MM Berhane Y Gebrehawaria T Hailemariam T Negash A Mesele H Desta T Tsegay H Alemayohu MA Bayray A Patterns of Medical Admissions and Predictors of Mortality in Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Prospective Observational Study International Journal of General Medicine medical admissions mortality ayder ethiopia |
| title | Patterns of Medical Admissions and Predictors of Mortality in Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Prospective Observational Study |
| title_full | Patterns of Medical Admissions and Predictors of Mortality in Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Prospective Observational Study |
| title_fullStr | Patterns of Medical Admissions and Predictors of Mortality in Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Prospective Observational Study |
| title_full_unstemmed | Patterns of Medical Admissions and Predictors of Mortality in Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Prospective Observational Study |
| title_short | Patterns of Medical Admissions and Predictors of Mortality in Ayder Comprehensive Specialized Hospital, Northern Ethiopia: A Prospective Observational Study |
| title_sort | patterns of medical admissions and predictors of mortality in ayder comprehensive specialized hospital northern ethiopia a prospective observational study |
| topic | medical admissions mortality ayder ethiopia |
| url | https://www.dovepress.com/patterns-of-medical-admissions-and-predictors-of-mortality-in-ayder-co-peer-reviewed-fulltext-article-IJGM |
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