Mbakwem Amam C, Amadi Casmir Ezenwa, Ajuluchukwu Jayne N, Kushimo Oyewole A
College of Medicine, University of Lagos, Lagos, Nigeria.
College of Medicine, University of Lagos, Lagos, Nigeria. Email:
Cardiovasc J Afr. 2023;34(3):140-148. doi: 10.5830/CVJA-2022-037. Epub 2022 Aug 30.
Cardiovascular disease (CVD)-related admissions are on the increase in Nigeria and the rest of Africa. This study was carried out to highlight the burden, patterns and outcomes of CVD admissions in a tertiary hospital over a 16-year period in Lagos, Nigeria.
Admissions records of patients admitted into the medical wards within the study period (January 2002 to December 2017) were reviewed and relevant information pertaining to the study objectives was retrieved for analysis.
There were a total of 21 369 medical admissions and 4 456 (20.8%) CVD-related admissions. A total of 3 582 medical deaths were recorded and 1 090 (30.4%) CVD-related deaths. The median age of the patients was 56.6 (46.0-68.0) years and 51.4% of these were males. Stroke, heart failure, hypertensive disease and acute coronary syndrome constituted 51.2, 36.2, 11.3 and 1.6% of all CVD admissions, respectively. There was a cumulative increase in the number of CVD admissions and deaths ( < 0.001, respectively) during the period under review.
CVD admissions are not only common in Nigeria, but there was also a temporal exponential increase in both the admission and death rates, most likely reflecting the epidemiological transition in Nigeria.
在尼日利亚及非洲其他地区，与心血管疾病（CVD）相关的住院人数正在增加。本研究旨在突出尼日利亚拉各斯一家三级医院在16年期间CVD住院的负担、模式及结局。
回顾研究期间（2002年1月至2017年12月）入住内科病房患者的住院记录，并检索与研究目标相关的信息进行分析。
内科住院患者共有21369例，其中与CVD相关的住院患者有4456例（20.8%）。共记录到3582例内科死亡病例，其中与CVD相关的死亡有1090例（30.4%）。患者的中位年龄为56.6（46.0 - 68.0）岁，其中51.4%为男性。中风、心力衰竭、高血压疾病和急性冠状动脉综合征分别占所有CVD住院病例的51.2%、36.2%、11.3%和1.6%。在审查期间，CVD住院人数和死亡人数均呈累积增加（分别为P < 0.001）。
CVD住院在尼日利亚不仅常见，而且住院率和死亡率均呈时间上的指数增长，这很可能反映了尼日利亚的流行病学转变。
