Toloba Y, Diallo S, Bagayoko S, Sissoko B F, Keïta B
Service de pneumo-phtisiologie, CHU du point G, BP 333, Bamako, Mali.
Rev Mal Respir. 2011 Sep;28(7):903-7. doi: 10.1016/j.rmr.2011.06.004. Epub 2011 Jul 23.
Respiratory diseases are the cause of a larger number of consultations than any other organ pathology; and general practitioners therefore spend considerable time treating them. The aim of this work was to investigate the indication for admission to hospital in patients with respiratory disease in a Sub-Saharan African context.
This was a retrospective observational study of the indications for admission to the pneumology department of the University Hospital of Point G. in Bamako, between January 2000 and December 2009. Admission registers were used to verify data recorded in patients' medical records.
Twelve thousand six hundred and forty records were collected; 8621 men and 4019 women, mean age 49±13.5 years. 80.3% of admissions were for respiratory diseases and 19.7% for non-respiratory diseases largely cardiovascular and digestive conditions. The admission diagnosis and definitive diagnoses were dominated by tuberculosis, which made up 67% and 60% of cases respectively (P=0.000). The diagnosis was not specified in 2% of cases.
The reason for admission to the respiratory service varied and included a proportion of non-respiratory diseases. We meet respiratory and non-respiratory affections. Among pulmonary diseases, tuberculosis, bacterial pneumonia and pleurisy are the main reasons for admission.
呼吸系统疾病导致的就诊人数比其他任何器官疾病都多；因此，全科医生花费大量时间治疗这些疾病。这项研究的目的是调查撒哈拉以南非洲地区呼吸系统疾病患者的住院指征。
这是一项对2000年1月至2009年12月期间在巴马科G点大学医院肺病科住院指征的回顾性观察研究。使用住院登记册核实患者病历中记录的数据。
共收集了12640份记录；其中男性8621例，女性4019例，平均年龄49±13.5岁。80.3%的住院患者患有呼吸系统疾病，19.7%患有非呼吸系统疾病，主要是心血管和消化系统疾病。住院诊断和最终诊断中肺结核占主导地位，分别占病例的67%和60%（P=0.000）。2%的病例未明确诊断。
呼吸科住院原因各不相同，包括一定比例的非呼吸系统疾病。我们遇到了呼吸系统和非呼吸系统疾病。在肺部疾病中，肺结核、细菌性肺炎和胸膜炎是住院的主要原因。
