尼日利亚联邦首都阿布贾的专科泌尿科护理负担：一位外科医生4年的病例量。

The burden of specialist urologic care in abuja, federal capital city, Nigeria: a single surgeons 4-year case load.

作者信息

Aisuodionoe-Shadrach O I

机构信息

Division of Urology, Department of Surgery, College of Health Sciences, University of Abuja, Abuja, Nigeria.

出版信息

West Afr J Med. 2012 Apr-Jun;31(2):92-6.

PMID:23208477

Abstract

BACKGROUND

Urologic surgery is believed to form a major part of the surgical workload in many centers but this volume of clinical workload has not been extensively reported. Abuja is Nigeria's capital with a population of about 4 million residents. There are a total of fourteen public general and specialist hospitals with 6 consultant Urologists working in only three of these hospital serving the population. It is not known what proportion of the total surgical workload in Abuja is urological.

OBJECTIVE

To report a single Urologist case load in three hospitals in Abuja, Nigeria over a 4 year period.

METHODS

The out-patient clinic register, the Medical Records Department register, the surgical wards register and all retrievable patients' case notes of the Urologic Surgery service of the three hospitals were reviewed for extraction of patient's demographic data and clinical records

RESULTS

2167 urological presentations were recorded within the study period. Of these there were 1903 (87.8%) adult males, 140 (6.5%) adult females,122 pediatric males (5.6%) and 2 pediatric females(0.1%) (with an age range of 18-72 years, 22-55 years, 1 month - 12 years and 11-12 years respectively). Mean ages for the adult male and female patients were 44.4 and 33.4 respectively. The mean ages for male children less than 1 year old was 6.9 months and 3.1 years for those older while the mean age the only 2 female children seen was 11 years. The commonest urologic condition seen were male factor infertility in adult males, possibly renal/ureteric calculi in adult females and communicating hydrocele in male children.

CONCLUSION

A total of 2167 cases seen during the period under review by a single urologist is suggestive of a significant urology case load in Abuja. Further study is required to determine if this result is a reflection of the burden of specialist urology care in all the tertiary referral health facilities in Abuja, Nigeria's Federal Capital Territory.

摘要

背景

在许多医疗中心，泌尿外科手术被认为是外科工作量的主要组成部分，但这一临床工作量的具体情况尚未得到广泛报道。阿布贾是尼日利亚的首都，约有400万居民。共有14家公立综合医院和专科医院，其中只有3家医院有6名泌尿外科顾问医生为当地居民服务。目前尚不清楚阿布贾外科手术总量中泌尿外科手术所占的比例。

目的

报告一名泌尿外科医生在尼日利亚阿布贾的3家医院4年期间的病例量。

方法

查阅3家医院泌尿外科门诊登记册、病历科登记册、外科病房登记册以及所有可检索到的患者病历，以提取患者的人口统计学数据和临床记录。

结果

在研究期间共记录了2167例泌尿外科病例。其中成年男性1903例（87.8%），成年女性140例（6.5%），男性儿童122例（5.6%），女性儿童2例（0.1%）（年龄范围分别为18 - 72岁、22 - 55岁、1个月 - 12岁和11 - 12岁）。成年男性和女性患者的平均年龄分别为44.4岁和33.4岁。1岁以下男性儿童的平均年龄为6.9个月，1岁以上男性儿童的平均年龄为3.1岁，仅有的2例女性儿童的平均年龄为11岁。最常见的泌尿外科疾病是成年男性的男性因素不育症、成年女性可能的肾/输尿管结石以及男性儿童的交通性鞘膜积液。