Madani Tariq A, Ghabrah Tawfiq M, Al-Hedaithy Mogbil A, Alhazmi Mohammed A, Alazraqi Tariq A, Albarrak Ali M, Ishaq Abdulrahman H
Department of Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Ann Saudi Med. 2006 Sep-Oct;26(5):346-51. doi: 10.5144/0256-4947.2006.346.
Approximately 2 to 3 million pilgrims perform Hajj every year. Planning for health care requires knowledge of the pattern of diseases, complications, and outcome of pilgrims who require hospitalization during the Hajj period.
In a cross-sectional study we compiled data on all patients admitted to 1487 beds in four hospitals in Mena (793 beds) and three hospitals in Arafat (694 beds) from the seventh to the thirteenth day of the Hajj season of the Islamic year 1423, corresponding to 8 to 14 February 2003.
Of 808 patients hospitalized, most (79%) were older than 40 years. There was no sex preponderance. A total of 575 (71.2%) patients were admitted to medical wards, 105 (13.0%) to surgical wards, and 76 (9.4%) to intensive care units. Most patients (84.8%) had one acute medical problem. Pneumonia (19.7%), ischemic heart disease (12.3%), and trauma (9.4%) were the most common admitting diagnoses. More than one third (39%) had co-morbid conditions. A total of 644 (79.7%) patients were discharged from the hospital in stable condition to continue therapy in their residential camps, 140 (17.3%) were transferred to other hospitals in Makkah for specialized services or further care, 19 (2.3%) were discharged against medical advice, and 5 (0.7%) patients died.
This study provided information on the most common causes of hospitalization, pattern of diseases, and required medical services for pilgrims in Hajj. It is hoped that this data will be of help to health sector planners and officials to provide optimal and cost-effective health care services to pilgrims in Hajj.
每年约有200万至300万朝圣者进行朝觐。医疗保健规划需要了解朝觐期间需要住院治疗的朝圣者的疾病模式、并发症及治疗结果。
在一项横断面研究中，我们收集了伊斯兰历1423年朝觐季节第七天至第十三天期间，麦加四所医院（793张床位）和阿拉法特三所医院（694张床位）1487张床位收治的所有患者的数据，对应2003年2月8日至14日。
在808名住院患者中，大多数（79%）年龄超过40岁。无性别优势。共有575名（71.2%）患者入住内科病房，105名（13.0%）入住外科病房，76名（9.4%）入住重症监护病房。大多数患者（84.8%）有一个急性医疗问题。肺炎（19.7%）、缺血性心脏病（12.3%）和创伤（9.4%）是最常见的入院诊断。超过三分之一（39%）有合并症。共有644名（79.7%）患者病情稳定出院，以便在其居住营地继续治疗，140名（17.3%）被转至麦加的其他医院接受专科服务或进一步治疗，19名（2.3%）患者不听从医嘱自行出院，5名（0.7%）患者死亡。
本研究提供了朝觐朝圣者住院的最常见原因、疾病模式及所需医疗服务的信息。希望这些数据能帮助卫生部门规划者和官员为朝觐朝圣者提供最佳且具成本效益的医疗服务。
