Pattern of respiratory diseases seen among adults in an emergency room in a resource-poor nation health facility
Identifieur interne : 001536 ( Ncbi/Checkpoint ); précédent : 001535; suivant : 001537Pattern of respiratory diseases seen among adults in an emergency room in a resource-poor nation health facility
Auteurs : Olufemi Olumuyiwa Desalu [Nigeria] ; Ololade Olusola Ojo ; Olusegun Adesola Busari ; Abayomi Fadeyi [Nigeria]Source :
- The Pan African Medical Journal [ 1937-8688 ] ; 2011.
Abstract
There is a paucity of information on utilisation of emergency medical services in Nigeria. This study was conducted to determine the pattern of respiratory diseases seen among adults in an emergency room(ER) and their mortality within twenty- four hours in a health facility in Nigeria.
We carried out a retrospective study on adult patients that presented with respiratory condition from November 2004 to December 2010 at the emergency room of Federal Medical Centre Ido-Ekiti, south western, Nigeria.
A total of 3671 cases were seen, 368 were respiratory cases accounting for 10.2 % of the total emergency room visitations. The male to female patients ratio was 1.2:1 and their mean was 49 9 ± 20.3 years. Pneumonia (34.5%) was the most common cases seen in the ER, followed PTB (29.4%), acute asthma (24.5%) , acute exacerbation of COPD (10.3%), upper airway tract obstruction and malignant pleural effusion were 0.5% respectively. Fourteen of the PTB cases (3.8%) were complicated by cor-pulmonale, 9(2.5%) by pleural effusion, 4(1.1%) by massive haemoptysis and 2(0.5%) by pneumothorax. Twenty-four hours mortality was 7.4% and 44.4% of the death was due to PTB, 37.0% was due to pneumonia and 14.8% due to acute asthma attack. The overall mortalities also had a bimodal age group distribution as the highest death was recorded in ages 30-39 and ≥70 years.
Pneumonia and PTB were the leading respiratory diseases among adults causing of emergency room visit and early mortality in this health facility in Nigeria.
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PubMed: 22145059
PubMed Central: 3215546
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Nigeria</nlm:aff><wicri:noCountry code="subfield">Federal Medical Centre Ido-Ekiti Nigeria</wicri:noCountry></affiliation></author><author><name sortKey="Busari, Olusegun Adesola" sort="Busari, Olusegun Adesola" uniqKey="Busari O" first="Olusegun Adesola" last="Busari">Olusegun Adesola Busari</name><affiliation><nlm:aff id="AF0003">Department of Medicine, Federal Medical Centre Ido-Ekiti Nigeria</nlm:aff><wicri:noCountry code="subfield">Federal Medical Centre Ido-Ekiti Nigeria</wicri:noCountry></affiliation></author><author><name sortKey="Fadeyi, Abayomi" sort="Fadeyi, Abayomi" uniqKey="Fadeyi A" first="Abayomi" last="Fadeyi">Abayomi Fadeyi</name><affiliation wicri:level="1"><nlm:aff id="AF0004">Department of Medical Microbiology University of Ilorin Teaching Hospital, Ilorin, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Medical Microbiology University of Ilorin Teaching Hospital, 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level="a" type="main">Pattern of respiratory diseases seen among adults in an emergency room in a resource-poor nation health facility</title><author><name sortKey="Desalu, Olufemi Olumuyiwa" sort="Desalu, Olufemi Olumuyiwa" uniqKey="Desalu O" first="Olufemi Olumuyiwa" last="Desalu">Olufemi Olumuyiwa Desalu</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Medicine, University of Ilorin Teaching Hospital Ilorin, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Medicine, University of Ilorin Teaching Hospital Ilorin</wicri:regionArea><wicri:noRegion>University of Ilorin Teaching Hospital Ilorin</wicri:noRegion></affiliation></author><author><name sortKey="Ojo, Ololade Olusola" sort="Ojo, Ololade Olusola" uniqKey="Ojo O" first="Ololade Olusola" last="Ojo">Ololade Olusola Ojo</name><affiliation><nlm:aff id="AF0002">Department of Community Medicine, Federal Medical Centre Ido-Ekiti Nigeria</nlm:aff><wicri:noCountry code="subfield">Federal Medical Centre Ido-Ekiti Nigeria</wicri:noCountry></affiliation></author><author><name sortKey="Busari, Olusegun Adesola" sort="Busari, Olusegun Adesola" uniqKey="Busari O" first="Olusegun Adesola" last="Busari">Olusegun Adesola Busari</name><affiliation><nlm:aff id="AF0003">Department of Medicine, Federal Medical Centre Ido-Ekiti Nigeria</nlm:aff><wicri:noCountry code="subfield">Federal Medical Centre Ido-Ekiti Nigeria</wicri:noCountry></affiliation></author><author><name sortKey="Fadeyi, Abayomi" sort="Fadeyi, Abayomi" uniqKey="Fadeyi A" first="Abayomi" last="Fadeyi">Abayomi Fadeyi</name><affiliation wicri:level="1"><nlm:aff id="AF0004">Department of Medical Microbiology University of Ilorin Teaching Hospital, Ilorin, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Medical Microbiology University of Ilorin Teaching Hospital, Ilorin</wicri:regionArea><wicri:noRegion>Ilorin</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Pan African Medical Journal</title><idno type="eISSN">1937-8688</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S0001"><title>Introduction</title><p>There is a paucity of information on utilisation of emergency medical services in Nigeria. This study was conducted to determine the pattern of respiratory diseases seen among adults in an emergency room(ER) and their mortality within twenty- four hours in a health facility in Nigeria.</p></sec><sec id="S0002"><title>Methods</title><p>We carried out a retrospective study on adult patients that presented with respiratory condition from November 2004 to December 2010 at the emergency room of Federal Medical Centre Ido-Ekiti, south western, Nigeria.</p></sec><sec id="S0003"><title>Results</title><p>A total of 3671 cases were seen, 368 were respiratory cases accounting for 10.2 % of the total emergency room visitations. The male to female patients ratio was 1.2:1 and their mean was 49 9 ± 20.3 years. Pneumonia (34.5%) was the most common cases seen in the ER, followed PTB (29.4%), acute asthma (24.5%) , acute exacerbation of COPD (10.3%), upper airway tract obstruction and malignant pleural effusion were 0.5% respectively. Fourteen of the PTB cases (3.8%) were complicated by cor-pulmonale, 9(2.5%) by pleural effusion, 4(1.1%) by massive haemoptysis and 2(0.5%) by pneumothorax. Twenty-four hours mortality was 7.4% and 44.4% of the death was due to PTB, 37.0% was due to pneumonia and 14.8% due to acute asthma attack. The overall mortalities also had a bimodal age group distribution as the highest death was recorded in ages 30-39 and ≥70 years.</p></sec><sec id="S0004"><title>Conclusion</title><p>Pneumonia and PTB were the leading respiratory diseases among adults causing of emergency room visit and early mortality in this health facility in Nigeria.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ogun, Sa" uniqKey="Ogun S">SA Ogun</name></author><author><name sortKey="Adelowo, Oo" uniqKey="Adelowo O">OO Adelowo</name></author><author><name sortKey="Familoni, Ob" uniqKey="Familoni O">OB Familoni</name></author><author><name sortKey="Jaiyesimi, Ae" uniqKey="Jaiyesimi A">AE Jaiyesimi</name></author><author><name sortKey="Fakoya, Ea" uniqKey="Fakoya E">EA. 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Desalu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Desalu, Oo" uniqKey="Desalu O">OO Desalu</name></author><author><name sortKey="Oluwafemi, Ja" uniqKey="Oluwafemi J">JA Oluwafemi</name></author><author><name sortKey="Ojo, O" uniqKey="Ojo O">O. Ojo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Nigeria</li></country></list><tree><noCountry><name sortKey="Busari, Olusegun Adesola" sort="Busari, Olusegun Adesola" uniqKey="Busari O" first="Olusegun Adesola" last="Busari">Olusegun Adesola Busari</name><name sortKey="Ojo, Ololade Olusola" sort="Ojo, Ololade Olusola" uniqKey="Ojo O" first="Ololade Olusola" last="Ojo">Ololade Olusola Ojo</name></noCountry><country name="Nigeria"><noRegion><name sortKey="Desalu, Olufemi Olumuyiwa" sort="Desalu, Olufemi Olumuyiwa" uniqKey="Desalu O" first="Olufemi Olumuyiwa" last="Desalu">Olufemi Olumuyiwa Desalu</name></noRegion><name sortKey="Fadeyi, Abayomi" sort="Fadeyi, Abayomi" uniqKey="Fadeyi A" first="Abayomi" last="Fadeyi">Abayomi Fadeyi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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