Oyan Boma, Abere Sarah, Ajala Aisha O, Orupabo Furo, Nyeche Ovundah E, Nwosu Jennifer C, Fana-Granville Loizy I
Department of Internal Medicine, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.
Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.
Niger Med J. 2024 Sep 26;65(4):479-489. doi: 10.60787/nmj-v65i3-467. eCollection 2024 Jul-Aug.
Cardiovascular diseases (CVD) are widespread and significantly contribute to global mortality with a rising prevalence in developing countries. The aim of this study was to identify the pattern and outcome of admissions related to cardiovascular diseases within the medical wards at the Rivers State University Teaching Hospital.
The study was a retrospective cross-sectional hospital-based study. The records of all patients admitted into the medical wards from January 2021 to December 2022 were extracted to include information on biodata, admitting diagnosis, duration of admission, and patients' outcomes.
Over this 2-year period, a total of 1,540 patients were admitted into the wards and751(48.8%) persons were admitted for CVDs with a mean age of 59.6±15. 1years.The commonest cardiovascular diseases documented included heart failure (HF) and cerebrovascular accident (CVA) which occurred in 251(33.4%) and 311(41.1%) patients respectively. Other CVDs recorded were hypertensive crisis in 163(21.7%), acute coronary syndrome (ACS) in 12(1.6%) and pulmonary embolism (PE) in 6(0.8%) patients. During the study period, 311 deaths were recorded representing 20.2% of all admissions with 146(46.6%) hospital deaths attributed to CVDs, accounting for 19.4% of the total cardiovascular admissions with 125 of these deaths occurring in patients with CVA and HF.
Heart failure and Cerebrovascular accidents emerged as significant contributors to the morbidity and mortality of patients on admission in Rivers State. Policies to incorporate appropriate, preventive and management strategies in the community to reflect this distribution are essential to significantly reduce cardiovascular deaths in our population.
心血管疾病（CVD）广泛存在，在全球死亡率中占显著比例，且在发展中国家的患病率呈上升趋势。本研究旨在确定河流州立大学教学医院内科病房中心血管疾病相关入院病例的模式及结果。
本研究为基于医院的回顾性横断面研究。提取了2021年1月至2022年12月期间所有入住内科病房患者的记录，包括生物数据、入院诊断、住院时间及患者结局等信息。
在这两年期间，共有1540名患者入住病房，其中751名（48.8%）因心血管疾病入院，平均年龄为59.6±15.1岁。记录的最常见心血管疾病包括心力衰竭（HF）和脑血管意外（CVA），分别发生在251名（33.4%）和311名（41.1%）患者中。记录的其他心血管疾病包括163名（21.7%）患者发生高血压危象、12名（1.6%）患者发生急性冠状动脉综合征（ACS）以及6名（0.8%）患者发生肺栓塞（PE）。在研究期间，记录了311例死亡病例，占所有入院病例的20.2%，其中146例（46.6%）医院死亡归因于心血管疾病，占心血管疾病入院总数的19.4%，其中125例死亡发生在患有CVA和HF的患者中。
心力衰竭和脑血管意外是河流州入院患者发病和死亡的重要原因。在社区纳入适当的预防和管理策略以反映这种分布情况的政策对于显著降低我国人群的心血管疾病死亡至关重要。
