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. 2012:11:66.
Epub 2012 Apr 11.

Hospital-based mortality in Federal Capital Territory hospitals--Nigeria, 2005-2008

Affiliations

Hospital-based mortality in Federal Capital Territory hospitals--Nigeria, 2005-2008

Nykiconia Preacely et al. Pan Afr Med J. 2012.

Abstract

Background: Cause-specific mortality data are important to monitor trends in mortality over time. Medical records provide reliable documentation of the causes of deaths occurring in hospitals. This study describes all causes of mortality reported at hospitals in the Federal Capital Territory (FCT) of Nigeria.

Methods: Deaths reported in 15 secondary and tertiary FCT hospitals occurring from January 1, 2005 and December 31, 2008 were identified by a retrospective review of hospital records conducted by the Nigeria Field Epidemiology and Laboratory Program (NFELTP). Data extracted from the records included sociodemographics, geographic area of residence and underlying cause-of-death information.

Results: A total of 4,623 deaths occurred in the hospitals. Overall, the top five causes of death reported were: HIV 951 (21%), road traffic accidents 422 (9%), malaria 264 (6%), septicemia 206 (5%), and hypertension 194 (4%). The median age at death was 30 years (range: 0-100); 888 (20%) of deaths were among those less than one year of age. Among children < 1 year, low birth weight and infections were responsible for the highest proportion 131 (15%) of reported mortality.

Conclusion: Many of the leading causes of mortality identified in this study are preventable. Infant mortality is a large public health problem in FCT hospitals. Although these findings are not representative of all FCT deaths, they may be used to quantify mortality in that occurs in FCT hospitals. These data combined with other mortality surveillance data can provide evidence to inform policy on public health strategies and interventions for the FCT.

Keywords: Hospital; Nigeria; causes of death; mortality; surveillance.

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Figures

Figure 1
Figure 1
Percent distribution of total deaths by leading cause group and sex, Federal Capital Territory (FCT), Nigeria Hospitals, 2005-2008
Figure 2
Figure 2
Percentage of total deaths by 10 leading causes for adults aged 15 and older, Federal Capital territory, Nigeria Hospitals, 2005-2008

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