Patterns of Mortality Occurrence in a Cardiology Unit of a Low-Income Country: A Critical Analysis at the YaoundéCentral Hospital

• 作者: Liliane Mfeukeu Kuaté Mazou Ngou Temgoua Hamadou Ba Chris Nadège Nganou Doriane Mbono Bidias Ndongo Joel Nouktadie Tochie Eugene Sobngwi
• 来源期刊: 心血管病(英文)
• 学科: 医学
• 关键词: Mortality Occurrence Low Income Country Yaoundé Central Hospital Criti-cal Analysis
• 年，卷（期）: 2021,（2）
• 页码范围: 126-134
• 页数: 9页
• 分类号: R54

摘要

<strong>Background:</strong> <span style="font-family:Verdana;">In-hospital mortality is high in low-income countries. Currently, little is known in Cameroon concerning the characteristics of patients who die in cardiology units. Our objectives were to determine the in-hospital mortality rate;describe </span><span style="font-family:Verdana;">th</span><span style="font-family:;" "=""><span style="font-family:Verdana;">e general characteristics of death patients, and factors associated with mortality. </span><b><span style="font-family:Verdana;">Material and Methods: </span></b><span style="font-family:Verdana;">We conducted a retrospective cross-sectional study by reviewing the medical records of all patients admitted to the cardiology unit of the Yaoundé Central Hospital (CHY) between January 2018 </span></span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;">January 2019. The files of all death patients were studied for socio-demographical, clinical and therapeutical variables. Bivariate analysis was conducted to order to check the association between independents variables and time of death. A p-value <</span><span style="font-family:Verdana;"> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">0.05 was considered statistically significant. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">A total number of 860 patients were admitted in the cardiology unit of CHY during the study period. Amongst the 860 patients admitted 78 had a fatal outcome, hence, an in-hospital mortality rate of 9.06%. The male gender was predominant amongst the deceased patients (n = 45). The mean age at death was 69 ± 15.19 years. The median time before death was 6 days and they ranged between 1 to 25 days. Hypertension was the most frequent comorbidity (65.4%). Stroke was the principal cause of admission (40.3%), whereas the main presenting complaint was dyspnea (26.9%). Before being admitted to the cardiology department, the majo