TY - JOUR
T1 - Contribution of noncommunicable diseases to medical admissions of elderly adults in Africa
T2 - A prospective, Cross-Sectional study in Nigeria, Sudan, and Tanzania
AU - Akinyemi, Rufus O.
AU - Izzeldin, Isameldin M.H.
AU - Dotchin, Catherine
AU - Gray, William K.
AU - Adeniji, Olaleye
AU - Seidi, Osheik A.
AU - Mwakisambwe, Josephine J.
AU - Mhina, Carl J.
AU - Mutesi, Florence
AU - Msechu, Helen Z.
AU - Mteta, Kien A.
AU - Ahmed, Mayada A.M.
AU - Hamid, Shahd H.M.
AU - Abuelgasim, Nazik A.A.
AU - Mohamed, Sumia A.A.
AU - Mohamed, Ashraf Y.O.
AU - Adesina, Fidelis
AU - Hamzat, Mohammed
AU - Olunuga, Taiwo
AU - Maro, Venance P.
AU - Walker, Richard
PY - 2014/8
Y1 - 2014/8
N2 - 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.
AB - 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.
KW - Africa
KW - elderly
KW - geriatric
KW - hospital admissions
KW - low-income countries
KW - noncommunicable disease
UR - http://www.scopus.com/inward/record.url?scp=84906091264&partnerID=8YFLogxK
U2 - 10.1111/jgs.12940
DO - 10.1111/jgs.12940
M3 - Article
C2 - 25041242
AN - SCOPUS:84906091264
SN - 0002-8614
VL - 62
SP - 1460
EP - 1466
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 8
ER -