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- Title
Contribution of Noncommunicable Diseases to Medical Admissions of Elderly Adults in Africa: A Prospective, Cross-Sectional Study in Nigeria, Sudan, and Tanzania.
- Authors
Akinyemi, Rufus O.; Izzeldin, Isameldin M. H.; Dotchin, Catherine; Gray, William K.; Adeniji, Olaleye; Seidi, Osheik A.; Mwakisambwe, Josephine J.; Mhina, Carl J.; Mutesi, Florence; Msechu, Helen Z.; Mteta, Kien A.; Ahmed, Mayada A. M.; Hamid, Shahd H. M.; Abuelgasim, Nazik A. A.; Mohamed, Sumia A. A.; Mohamed, Ashraf Y. O.; Adesina, Fidelis; Hamzat, Mohammed; Olunuga, Taiwo; Maro, Venance P.
- Abstract
Objectives To describe the nature of geriatric medical admissions to teaching hospitals in three countries in Africa (Nigeria, Sudan, Tanzania) and compare them with data from the United Kingdom. Design Cross-sectional cohort study. Setting Federal Medical Centre, Idi-Aba, Abeokuta, Nigeria; Soba University Hospital, Khartoum, Sudan; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; and North Tyneside General Hospital, North Shields, United Kingdom. Participants All people aged 60 and older urgently medically admitted from March 1 to August 31, 2012. Measurements Data were collected regarding age, sex, date of admission, length of stay, diagnoses, medication, date of discharge or death, and discharge destination. Results In Africa, noncommunicable diseases ( NCDs) accounted for 81.0% (n = 708) of admissions (n = 874), and tuberculosis, malaria, and the human immunodeficiency virus and acquired immunodeficiency syndrome accounted for 4.6% (n = 40). Cerebrovascular accident (n = 224, 25.6%) was the most common reason for admission, followed by cardiac or circulatory dysfunction (n = 150, 17.2%). Rates of hypertension were remarkably similar in the United Kingdom (45.8%) and Africa (40.2%). Conclusions In the elderly population, the predicted increased burden of NCDs on health services in Africa appears to have occurred. Greater awareness and some reallocation of resources toward NCDs may be required if the burden of such diseases is to be reduced.
- Subjects
NIGERIA; SUDAN; TANZANIA; ENGLAND; AFRICA; HOSPITAL utilization; COMMUNICABLE disease epidemiology; ACADEMIC medical centers; CHRONIC diseases; COMPARATIVE studies; CONFIDENCE intervals; LENGTH of stay in hospitals; LONGITUDINAL method; PATIENTS; STATISTICAL hypothesis testing; LOGISTIC regression analysis; CROSS-sectional method; DATA analysis software; ODDS ratio
- Publication
Journal of the American Geriatrics Society, 2014, Vol 62, Issue 8, p1460
- ISSN
0002-8614
- Publication type
Article
- DOI
10.1111/jgs.12940