Profile and Outcome of Medical Emergencies in a Tertiary Health Institution in Port Harcourt, Nigeria

Authors

  • Maclean Rumokere Akpa Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt
  • Datonye Dennis Alasia Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt
  • Dasetima Dandeso Altraide Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt
  • Pedro Chimezie Emem-Chioma Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt
  • Ipalibo Simpson Wokoma Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt

DOI:

https://doi.org/10.60787/tnhj.v13i1.154

Keywords:

Medical Emergencies, Profile, Outcome, Port Harcourt, Nigeria

Abstract

Background: Medical emergencies are a daily occurrence in medical practice. The profile and outcome medical emergencies are a reflection of the prevailing pattern of disease and the responsiveness of the healthcare system. This study seeks to evaluate the pattern and outcome of medical emergencies presenting to the university of Port Harcourt teaching hospital (UPTH), Port Harcourt.

Methods: A retrospective study of medical records of the accident and emergency unit of UPTH was assessed over a twelve month period (June 2008 May 2009).

Results: A total of 7246 patients presented to the emergency room, with 1256 (17.3%) medical emergencies. Infectious diseases accounted for 274 (21.8%) of emergencies while non-communicable diseases in the cardiovascular 195 (15.5%), renal 105 (8.4%), neurological 224 (17.8%), endocrine 163(13.0%) and gastrointestinal/ hepatobiliary 163(13.0%) systems were the other prevalent emergencies. The crude mortality rate was 127 deaths (10.2%). The major contributors to mortality were HIV/AIDS related infectious diseases (22.4%), hypertension related heart disease (18.4%) and stroke (15.7%). Other contributors to mortality were renal failure (8.8%), diabetic emergencies (8.8%), chronic liver disease (12.8%) and haematological malignancies (9.6%).

Conclusion: The spectrum of medical emergencies and the pattern of mortality indicate a mixed disease burden of infective and non-communicable diseases; with cardiovascular and cerebrovascular diseases and HIV/AIDS related infectious as the most significant contributors. There is need for action to improve on the responsiveness of our healthcare systems to cope with this trend of disease pattern in our emergency rooms and reduce mortality from medical emergencies.

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References

Kilbreth B, Shaw B, Westcott D, Gray C. Analysis of Emergency Department Use In Maine. A Study Conducted on Behalf of the Emergency Department Use Work Group of the Maine Advisory Council on Health System Development January, 2010.

Ross J. The Patient Journey Through EmergencyCareinNovaScotiaAPrescription for New Medicine October 2010.

Ekere AU, Yellow BE, Umune S. Mortality Pattern in The Accident and Emergency Department of An Urban Hospital in Nigeria.NigJofClinicalPractice2005;8(1):14-18.

Ogun SA, Adelowo OO, Familoni OB, Jaiyesimi AE, Fakoya EA. Pattern and outcome of medical admissions at the Ogun State University Teaching Hospital, Sagamu- A three year review. West Afr J Med 2000;19(4):304-8

Odenigbo CU, Oguejiofor OC. Pattern of medical admissions at the Federal Medical Centre, Asaba-a two year review. Niger J Clin Pract 2009; 12(4):395-7.

Ogah OS, Akinyemi RO, Adesemowo A, Ogbodo EI. A Two-Year Review of Medical Admissions at the Emergency Unit of a Nigerian Tertiary Health Facility. Afr J Biomed Res 2012; 15:59 63.

Unachukwu C, Agomuoh DI, Alasia DD. Pattern of Non-Communicable Diseases among Medical Admissions in PortHarcourt Nigeria. Nig J of Clinical Practice 2008; 11(1):14-17.

Onwuchekwa AC, Asekomeh GA. Geriatric AdmissionsIna developingCountry: Experience from a Tertiary Centre in Nigeria. Ethn Dis 2009; 19:359362.

Ike SO. The pattern of admissions into the medical wards of the University of Nigeria Teaching Hospital, Enugu. Niger J Clin Pract. 2008; 11(3):185-92.

Sani MU, Mohammed AZ, Adamu B, Yusuf SM, Samaila AA, Borodo MM. AIDS mortality in a tertiary health institution: A four-year review. J Natl Med Assoc. 2006; 98(6):862-6.

Bane A, Yohannes AG, Fekade D. Morbidity and mortality of adult patients with HIV/AIDS at Tikur Anbessa Teaching Hospital, Addis Ababa, Ethiopia. Ethiop Med J. 2003;41(2):131-40.

Chapp-Jumbo EN, Onwuchekwa AC. Clinical pattern of stroke in the University of Port Harcourt Teaching Hospital - a prospective study. Port Harcourt Medical Journal 2009; 3(3):24-29.

IliyasuZ,AbubakarIS,GajidaAU.Magnitude and leading causes of in-hospital mortality at Aminu Kano Teaching Hospital, Kano, northern Nigeria: a 4-year prospective analysis. Niger J Med 2010; 19(4):400-6.

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Published

2015-12-22

How to Cite

Akpa, M. R., Alasia, D. D., Altraide, D. D., Emem-Chioma, P. C., & Wokoma, I. S. (2015). Profile and Outcome of Medical Emergencies in a Tertiary Health Institution in Port Harcourt, Nigeria. The Nigerian Health Journal, 13(1), 48. https://doi.org/10.60787/tnhj.v13i1.154
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