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尼日利亚东南部一家乡村医院常见的老年急症

Common geriatric emergencies in a rural hospital in South-Eastern Nigeria.

作者信息

Iloh Gup, Amadi A N, Awa-Madu J

机构信息

Department of Family Medicine, Federal Medical Centre, Umuahia, Abia State, Nigeria.

出版信息

Niger J Clin Pract. 2012 Jul-Sep;15(3):333-7. doi: 10.4103/1119-3077.100634.

Abstract

BACKGROUND

Geriatric population in rural Nigeria is often challenged by emergency health conditions that predispose them to higher risk of disability and mortality.

OBJECTIVE

This study was aimed at describing the common geriatric emergencies in a rural hospital in South-Eastern Nigeria.

MATERIALS AND METHODS

This was a descriptive hospital-based study of 216 geriatric patients who presented between June 2008 and June 2011 with emergency health conditions at St Vincent De Paul hospital, Amurie-Omanze, a rural Mission General Hospital in Imo state, South-Eastern Nigeria. The geriatric patients seen within the study period who met the selection criteria were studied. Data extracted for analysis included biodata and diagnosis made.

RESULTS

A total of 216 geriatric emergencies were seen during the study period. The ages of the patients ranged from 65 years to 98 years with mean age of 72 ± 1.14 years. There were 94 males and 122 females with a male to female ratio of 1: 1.3. The three most common causes of geriatric emergencies were acute malaria (33.8%), hypertensive crises syndrome (19.0%), and acute hypertensive heart failure (18.1%).

CONCLUSION

This study has shown that the three most common geriatric emergencies were medical emergencies (acute malaria, hypertensive crises syndrome, and acute hypertensive heart failure). Improving the quality of geriatric medical care will help in reduction of these emergency medical conditions. Similarly, health education of the geriatric population to embrace early health-seeking behavior, health maintenance, and promotional practices that are needed to promote longevity is invariably advocated.

摘要

背景

尼日利亚农村地区的老年人口常面临紧急健康状况,这使他们更容易出现残疾和死亡风险。

目的

本研究旨在描述尼日利亚东南部一家农村医院常见的老年急症情况。

材料与方法

这是一项基于医院的描述性研究,研究对象为2008年6月至2011年6月期间在尼日利亚东南部伊莫州阿穆里 - 奥曼泽的圣文森特·德·保罗农村教会综合医院出现紧急健康状况的216名老年患者。对研究期间符合入选标准的老年患者进行研究。提取用于分析的数据包括生物数据和做出的诊断。

结果

研究期间共观察到216例老年急症。患者年龄在65岁至98岁之间,平均年龄为72 ± 1.14岁。男性94例,女性122例,男女比例为1:1.3。老年急症最常见的三个原因是急性疟疾(33.8%)、高血压危象综合征(19.0%)和急性高血压性心力衰竭(18.1%)。

结论

本研究表明,最常见的三种老年急症为内科急症(急性疟疾、高血压危象综合征和急性高血压性心力衰竭)。提高老年医疗护理质量将有助于减少这些紧急医疗状况。同样,倡导对老年人群进行健康教育,使其养成早期就医行为、保持健康以及采取促进长寿所需的保健措施。

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