Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 May 11;64(2):183-195.
eCollection 2023 Mar-Apr.

The Pattern of Cardiac Disease Admissions and Outcomes among Medical Admissions in St. Paul Hospital Millennium Medical College: A Retrospective Study

Mekoya D Mengistu  1   2
Affiliations

The Pattern of Cardiac Disease Admissions and Outcomes among Medical Admissions in St. Paul Hospital Millennium Medical College: A Retrospective Study

Mekoya D Mengistu. Niger Med J. .

Abstract

Background: The epidemic of cardiovascular diseases (CVD) is a global phenomenon, and approximately 80% of all cardiovascular-related deaths occur in low and middle-income countries including Ethiopia. The aim of this study was to determine the pattern of cardiac admission and its outcome among the annual medical admissions in Addis Ababa.

Method: This was a retrospective, cross-sectional study to evaluate the pattern of cardiac diseases and outcomes among medical admissions at St Paul Specialized Hospital Millennium Medical College from the 1st of Jan 2020 to the 1st of Jan 2021.

Results: The proportion of cardiac admission was 26% among 1,165 medical admissions. The most common cardiac admission was advanced congestive heart failure (CHF) (74% (224)), followed by hypertensive heart disease (HHD) (48.5%) and valvular heart disease (VHD)(23.5%), respectively. Chronic Rheumatic valvular heart disease (CRVHD) was 91.5% of the total VHD and was significantly higher among rural residents and younger populations (p<0.001). Over 12% of CRVHD patients were complicated with cardio-embolic stroke, constituting one-third of the total annual ischemic stroke admissions. Hypertension ((54%,) (164)) was the leading risk factor and was more common among urban residents (p=0.001). The mean duration of total hospital stay was 18.33 days. In-hospital mortality was 23.8% and was associated with shorter hospital stays (p<0.001). The most common immediate cause of death was sepsis of chest focus with multiorgan failure(27.8%), followed by fatal arrhythmia (20.8%) and brain herniation (15.3%), respectively.

Conclusion: Cardiac diseases are common in the study area causing significant mortality among medical admissions. Therefore, early risk assessment, adequate disease control, and stringent inpatient care should be among the priorities to reduce cardiovascular morbidity and mortality.

Keywords: Admission; Ethiopia; Pattern of Cardiac Diseases.

PubMed Disclaimer

Conflict of interest statement

The author declared that there is no conflict of interest in this work.

Figures

Figure 1:
Figure 1:
Major causes of congestive heart failure among cardiac patients at St Paul Specialized Hospital Millennium Medical College
Figure 2:
Figure 2:
The major precipitating factor for CHF(class III and IV) patients admitted to medical ward and ICU of St Paul Hospital Millennium Medical College. *Acute PTE, SBE, and thyrotoxicosis
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. GBD 2017. Causes of Death Collaborators. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018 Nov 10; 392: 1736-1788. doi: 10.1016/S0140-6736(18)32203-7. - DOI - PMC - PubMed
    1. Yuyun MF, Sliwa K, Kengne AP, Mocumbi AO, Bukhman G. Cardiovascular Diseases in Sub-Saharan Africa Compared to High-Income Countries: An Epidemiological Perspective. Global Heart. 2020; 15: 15. DOI: 10.5334/gh.403 - DOI - PMC - PubMed
    1. United Nations. Political declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases. 2011. Accessed on May 2022 from https://www.un.org/ga/search/view_doc.asp?symbol=A/RES/70/1&Lang=E
    1. United Nations. Transforming our World: The 2030 Agenda for Sustainable Development. 2015. Accessed in May 2022 from https://sustainabledevelopment.un.org/content/documents/21252030%20Agend...
    1. Gersh BJ, Sliwa K, Mayosi BM, Yusuf S. The epidemic of cardiovascular disease in the developing world: global implications. European Heart Journal. 2010; 31:642–648 - PubMed

LinkOut - more resources