Ndububa D A, Erhabor G E
Department of Medicine, College of Health Sciences, Obafemi Awolowo University, Ilfe-Ife, Nigeria.
Cent Afr J Med. 1994 Oct;40(10):286-9.
Twenty five patients (15 males and 10 females) died out of a total of 114 diabetics (21.9 pc) admitted over a six year period. Fourteen of them were new cases diagnosed for the first time on presentation. Death occurred within 72 hours of admission for eight (57 pc) of these new cases. Among the 11 known diabetics who died, eight were clinic defaulters. Diabetic ketoacidosis (DKA) was the cause of death in eight (32 pc) of the patients studied and this proved to be the commonest cause of death. Results of laboratory tests for five patients were not available before their death and two patients with DKA could not afford the over the counter cost of insulin and normal saline as they were unavailable in the hospital pharmacy at the time of their presentation. This study clearly demonstrates that the risk of death among Nigerian diabetics is increased by a high defaulting rate and delayed diagnosis and treatment. This is further aggravated by the near absence of emergency laboratory services and drug shortages in the hospital.
在六年期间收治的114名糖尿病患者中，共有25人（15名男性和10名女性）死亡（占21.9%）。其中14人是首次就诊时被诊断出的新病例。这些新病例中有8人（占57%）在入院72小时内死亡。在11名已知糖尿病患者死亡病例中，有8人未按医嘱就诊。糖尿病酮症酸中毒（DKA）是所研究患者中8人（占32%）的死因，这被证明是最常见的死亡原因。5名患者在死亡前未获得实验室检查结果，2名DKA患者因医院药房当时没有胰岛素和生理盐水而无力支付非处方费用。这项研究清楚地表明，尼日利亚糖尿病患者的死亡风险因高失访率、诊断和治疗延迟而增加。医院几乎没有急诊实验室服务和药品短缺使情况进一步恶化。
