Medical causes of admissions to hospital among adults in Africa: A systematic review and 2003

Global Health Action

Volumn 6, Issue 1, 2013, Pages

  Etyang, Anthony O ^a   Scott, John Anthony Gerard ^a,b  

^a KENYA MEDICAL RESEARCH INSTITUTE   (Kenya)

^b UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

Adults; Africa; Cause of death; Health; ICD; Medical admissions; Transition

Indexed keywords

ADULTS; AFRICA; AFRICA SOUTH OF THE SAHARA; CAUSE OF DEATH; COMMUNICABLE DISEASE; HEALTH; HOSPITAL MANAGEMENT; HOSPITAL SUBDIVISIONS AND COMPONENTS; HOSPITALIZATION; HUMAN; ICD; MEDICAL ADMISSIONS; MORTALITY; REVIEW; STATISTICS; TRANSITION;

ADULTS; AFRICA; CAUSE OF DEATH; HEALTH; ICD; MEDICAL ADMISSIONS; TRANSITION;

AFRICA SOUTH OF THE SAHARA; CAUSE OF DEATH; COMMUNICABLE DISEASES; HOSPITAL ADMINISTRATION; HOSPITAL MORTALITY; HOSPITALIZATION; HUMANS; PERSONNEL ADMINISTRATION, HOSPITAL;

MLCS; MLOWN;

EID: 84879689647     PISSN: None     EISSN: 16549880     Source Type: Journal    
DOI: 10.3402/gha.v6i0.19090     Document Type: Article

References (83)

1. Phillips M, Feachem RG, Murray CJ, Over M, Kjellstrom T. Adult health: a legitimate concern for developing countries. Am J Public Health 1993; 83: 1527-30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8238671
2. Jamison DT, Feachem RG, Malegapuru WM, Bos ER, Baingana FK, et al., eds. Disease and mortality in sub-Saharan Africa. Washington, DC: World Bank; 2006.
3. World Bank. World development report 1993-investing in health. Washington, DC: World Bank. Available from: http://files.dcp2.org/pdf/WorldDevelopmentReport1993.pdf [cited 5 June 2011].
4. Rajaratnam JK, Marcus JR, Flaxman AD, Wang H, Levinrector A, Dwyer L, et al. Neonatal, postnatal, childhood, and under-5 mortality for 187 countries, 1970-2010: a systematic analysis of progress towards millennium development goal 4. Lancet 2010; 375: 1988-2008. DOI: 10.1016/S0140-6736(10) 60703-9.
5. You D, Jones G, Hill K, Wardlaw T, Chopra M. Levels and trends in child mortality, 1990-2009. Lancet 2010; 376: 931-3. DOI: 10.1016/s0140-6736(10)61429-8.
6. United Nations Department of Economic and Social Affairs. World population prospects: the 2008 revision. Geneva: United Nations; 2009. Available from: http://www.un.org/esa/population/publications/popnews/Newsltr_87.pdf [cited 5 June 2011].
7. UNAIDS, WHO, UNICEF (2004). Children on the brink 2004: a joint report on orphan estimates and program strategies. Washington, DC: USAID. Available from: data.unaids.org/publications/./unicef_childrenonthebrink2004_en.pdf [cited 10 June 2011].
8. Kitange HM, Machibya H, Black J, Mtasiwa DM, Masuki G, Whiting D, et al. Outlook for survivors of childhood in sub- Saharan Africa: adult mortality in Tanzania. Adult morbidity and mortality project. BMJ 1996; 312: 216-20. Available from http://www.ncbi.nlm.nih.gov/pubmed/8563587
9. Mathers CD, Fat DM, Inoue M, Rao C, Lopez AD. Counting the dead and what they died from: an assessment of the global status of cause of death data. BullWorld Health Organ 2005; 83: 171-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15798840
10. Rajaratnam JK, Marcus JR, Levin-rector A, Chalupka AN, Wang H, Dwyer L, et al. Worldwide mortality in men and women aged 15-59 years from 1970 to 2010: a systematic analysis. Lancet 2010; 375: 1704-20. DOI: 10.1016/S0140-6736(10)60517-X.
11. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJL. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet 2006; 367: 1747-57. DOI: 10.1016/S0140-6736(06)68770-9.
12. Koyanagi A, Shibuya K. What do we really know about adult mortality worldwide? Lancet 2010; 375: 1668-70. DOI: 10.1016/s0140-6736(10)60629-0.
13. Cooper RS, Osotimehin B, Kaufman JS, Forrester T. Disease burden in sub-Saharan Africa: what should we conclude in the absence of data? Lancet 1998; 351: 208-10. DOI: 10.1016/S0140-6736(97)06512-4.
14. WHO. Global status report on noncommunicable diseases: Geneva: World Health Organization; 2010. Available from: http://www.who.int/nmh/publications/ncd_report2010/en/[cited 8 June 2011].
15. Maher D, Smeeth L, Sekajugo J. Health transition in Africa: practical policy proposals for primary care. Bull World Health Organ 2010; 88: 943-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21124720
16. Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P, et al. Priority actions for the non-communicable disease crisis. Lancet 2011; 377: 1438-47. DOI: 10.1016/S0140-6736(11)60393-0.
17. Law T, Lavis J, Hamandi A, Cheung A, El-Jardali F. Climate for evidence-informed health systems: a profile of systematic review production in 41 low-and middle-income countries, 1996-2008. J Health Res Policy 2012; 17: 4-10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21967823
18. Beaglehole R, Horton R. Chronic diseases: global action must match global evidence. Lancet 2010; 376: 1619-21. DOI: 10. 1016/S0140-6736(10)61929-0.
19. Moisi JC, Nokes DJ, Gatakaa H, Williams TN, Bauni E, Levine OS, et al. Sensitivity of hospital-based surveillance for severe disease: a geographic information system analysis of access to care in Kilifidistrict, Kenya. Bull World Health Organ 2011; 89: 102-11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21346921
20. Arcury TA, Gesler WM, Preisser JS, Sherman J, Spencer J, Perin J. The effects of geography and spatial behavior on health care utilization among the residents of a rural region. Health Serv Res 2005; 40: 135-56. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21346921
21. WHO. International statistical classification of diseases and health related problems. Geneva: World Health Organization; 2004. Available from: http://apps.who.int/classifications/apps/icd/icd10online/[cited 16 June 2011].
22. Grimes DA, Schulz KF. Descriptive studies: what they can and cannot do. Lancet 2002; 359: 145-9. DOI: 10.1016/S0140-6736 (02)07373-7.
23. Hennekens C, Buring J. Epidemiology in medicine. Boston, MA: Little Brown and Company; 1987.
24. Vandenbroucke JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Stuart J, et al. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. PLoS Medicine 2007; 4: e297. Available from: http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.0040297
25. Lester FT. The Pattern of adult medical admissions in Addis Ababa, Ethiopia. East Afr Med J 1976; 53: 620-34. Available from: http://www.ncbi.nlm.nih.gov/pubmed/1017396
26. Amsel M, Matewos A. The changing pattern of diseases in the mid 1990's: experience of a teaching hospital in North Western Ethiopia. Ethiop J Health Dev 1999; 13: 1-7.
27. Barr RD. A two-year prospective analysis of emergency admissions to an adult medical unit at the Kenyatta National Hospital, Nairobi. East Afr Med J 1972; 49: 772-82. Available from: http://www.ncbi.nlm.nih.gov/pubmed/4666003
28. Brown KGE. Analysis of admissions to the adult medical wards at Queen Elizabeth Central Hospital, Blantyre, Malawi. East Afr Med J 1975; 52: 509-28. Available from: http://www.ncbi.nlm.nih.gov/pubmed/1192992
29. Edginton ME, Hodkinson J, Seftel HC. Disease patterns in a South African rural Bantu population, including a commentary on comparisons with the pattern in urbanized Johannesburg Bantu. S Afr Med J 1972; 46: 968-76. Available from: http://www.ncbi.nlm.nih.gov/pubmed/5066429
30. Patel KM, Lwanga SK. A study of medical admissions to Mulago Hospital, Kampala. East Afr Med J 1971; 48: 76-84. Available from: http://www.ncbi.nlm.nih.gov/pubmed/5088515
31. Turner PP. The pattern of disease as seen by medical admissions to the Coast Province General Hospital in 1960. East Afr Med J 1962; 39: 121-135. Available from: http://www.ncbi.nlm.nih.gov/pubmed/13923226
32. Williams E, Hayes R, Smith P. Admissions to a rural hospital in the West Nile District of Uganda over a 27-year period. J Trop Med Hyg 1986; 89: 193-211. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3783813
33. Huerga H, Vasset B, Prados E. Adult and paediatric mortality patterns in a referral hospital in Liberia 1 year after the end of the war. Trans R Soc Trop Med Hyg 2009; 103: 476-84. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19243803
34. Kakembo A, Walker B, Walker A. Causes of admission of African patients to Gelukspan Hospital. East Afr Med J 1996; 73: 746-51. Available from: http://www.ncbi.nlm.nih.gov/8997867
35. McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia. WHO vitamin and mineral nutrition information system, 1993-2005. Public Health Nutr 2009; 12: 444-54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18498676
36. Adekunle O, Olatunde I, Abdullateef R. Causes and pattern of death in a tertiary health institution in south western Nigeria. Niger Postgrad Med J 2008; 15: 247-50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19169342
37. Dean MP, Gear JS. Medical admissions to Hillbrow Hospital, Johannesburg, by discharge diagnosis. S Afr Med J 1986; 69: 672-3. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3704853
38. Marszalek J, De Villiers PJT. Morbidity profile of admissions to GF Jooste Hospital, Manenberg, Cape Town. S A Fam Pract 2006; 48: 15.
39. Mudiayi TK, Onyanga-Omara A, Gelman ML. Trends of morbidity in general medicine at United Bulawayo Hospitals, Bulawayo, Zimbabwe. Cent Afri J Med 1997; 43: 213-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9431757
40. Walker ARP, Walker BF, Dunn MJ, Dunn SE. Causes of admissions of rural African patients to Murchison Hospital, Natal, South Africa. J R Soc Health 1994; 114: 33-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8164243
41. Pavlica D. Analysis of medical admissions to the Armed Forces Hospital in Addis Ababa from January 1966 to January 1970. Ethiop Med J 1970; 8: 193-200. Available from: http://www.ncbi.nlm.nih.gov/pubmed/5522102
42. Adetuyibi A, Akisanya JB, Onadeko BO. Analysis of the causes of death on the medical wards of the University College Hospital, Ibadan over a 14-year period (1960-1973). Trans R Soc Trop Med Hyg 1976; 70: 466-73. Available from: http://www.ncbi.nlm.nih.gov/pubmed/841650
43. Shaper AG, Shaper L. Analysis of medical admissions to Mulago Hospital, 1957. East Afr Med J 1958; 35: 647-77. Available from: http://www.ncbi.nlm.nih.gov/pubmed/13630217
44. Griffiths ML. A comparison of admissions to a semirural hospital between the years 1959/1960 and 1977/1978. S Afr Med J 1981; 59: 983-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7244910
45. Ndjeka N, Ogunbanjo G. Disease patterns in the medical wards of a rural South African hospital. SA Fam Pract 2004; 45: 10-1.
46. Reeve PA, Falkner MJ. Disease patterns in a rural black population. S Afr Med J 1986; 69: 551-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3704872
47. Akoria O, Unuigbe E. A 6-month review of medical admissions in a Nigerian teaching hospital. Int J Health Res 2010; 2: 123-30.
48. Ike S. The pattern of admissions into the medical wards of the University of Nigeria Teaching Hospital, Enugu (2). Niger J Clin Pract 2008; 11: 185-92. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19140351
49. Pobee JO. A review of the causes of death in adult medical wards of Korle Bu Teaching Hospital, Accra, Ghana. Afr J Med Sci 1976: 79-85. Available from: http://www.ncbi.nlm.nih.gov/pubmed/829710
50. WHO. Working together for health; the world health report 2006. Geneva: World Health Organization; 2006. Available from: http://www.who.int/whr/2006/en/[cited 5 July 2011].
51. Kigozi IM, Dobkin LM, Martin JN, Geng EH, Muyindike W, Emenyonu NI, et al. Late-disease stage at presentation to an HIV clinic in the era of free antiretroviral therapy in Sub- Saharan Africa. J Acquir Immune Defic Syndr 2009; 52: 280-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19521248
52. Barbarinia G, Barbaro G. Incidence of the involvement of the cardiovascular system in HIV infection. AIDS 2003; 17: S46-50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12870530
53. Kesselring A, Gras L, Smit C, van Twillert G, Verbon A, de Wolf F, et al. Immunodeficiency as a risk factor for non-AIDSdefining malignancies in HIV-1-infected patients receiving combination antiretroviral therapy. Clin Infect Dis 2011; 52: 1458-65. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21628488
54. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet 2005; 365: 217-23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15652604
55. Mbanya JC, Motala AA, Sobongwi E, Assah FK, Enoru ST. Diabetes in sub-Saharan Africa. Lancet 2010; 375: 2254-66. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20609971
56. Tollman SM, Kahn K, Sartorius B, Collinson MA, Clark SJ, Garenne ML. Implications of mortality transition for primary health care in rural South Africa: a population-based surveillance study. Lancet 2008; 372: 893-901. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18790312
57. Byass P. The imperfect world of global health estimates. PLoS Medicine 2010; 7: e1001006.
58. Perel P, Miranda JJ, Ortiz Z, Casas JP. Relation between the global burden of disease and randomized clinical trials conducted in Latin America published in the five leading medical journals. PLoS ONE 2008; 3: e1696. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18301772
59. Sridhar D, Batniji R. Misfinancing global health: a case for transparency in disbursements and decision making. Lancet 2008; 372: 1185-91. DOI: 10.1016/S0140-6736(08)61485-3.
60. Anonymous. Impact of the expanded AIDS surveillance case definition on AIDS case reporting - United States, first quarter, 1993. MMWR Morb Mortal Wkly 1993; 42: 308-10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8474424
61. International Working Group. Integrated management of adolescent and adult illness (IMAI). Geneva: World Health Organization; 2002. Available from: http://www.who.int/hiv/pub/imai/en/index.html [cited 12 July 2011].
62. Hatano S. Experience from a multicenter stroke register: a preliminary report. Bull World Health Organ 1976; 54: 541-53. Available from: http://www.ncbi.nlm.nih.gov/pubmed/1088404
63. World Health Organization (2006). Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: a report of a WHO/IDF consultation. Geneva: World Health Organization. Available from: http://whqlibdoc.who.int/publications/2006/9241594934_eng.pdf [cited 12 July 2011].
64. Adeyi OA. Pathology Services in developing countries: the west African experience. Arch Pathol Lab Med 2011; 135: 183-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21284434
65. Lemiere C, Herbst CH, Jahanshahi N, Smith E. Reducing geographical imbalances of health workers in Sub-Saharan Africa: a labor market perspective on what works, what does not, and why. Washington, DC: World Bank; 2011. Available from: http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2011/01/07/000333038_20110107020314/Rendered/PDF/588430NWP0Heal101public10BOX353816B.pdf [cited 22 July 2011].
66. UN Habitat. State of the world's cities: trends in sub-Saharan Africa. Nairobi: United Nations Human Settlements Program; 2004. Available from http://ww2.unhabitat.org/mediacentre/sowckit.asp [cited 22 July 2011].
67. Damasceno A, Cotter G, Dzudie A, Sliwa K, Mayosi BM. Heart failure in sub-Saharan Africa: time for action. J Am Coll Cardiol 2007; 50: 1688-93. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17950152
68. WHO/Health Metrics Network. Framework and standards for country health information systems. 2nd ed. Geneva: World Health Organization; 2008. Available from: http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf [cited 12 July 2011].
69. Kowal P, Kahn K, Ng N, Naidoo N, Abdullah S, Bawah A, et al. Ageing and adult health status in eight lower-income countries: the INDEPTH WHO-SAGE collaboration. Glob Health Action 2011; 3: 11-22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20959878
70. Holmes MD, Dalal S, Volmink J, Adebamowo CA, Njelekela M, Fawzi F, et al. Non-communicable diseases in Sub-Saharan Africa: the case for cohort studies. PLoS Medicine 2010; 7: e1000244. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20485489
71. Pakenham-Walsh N, Priestley C. Towards equity in global health knowledge. QJM 2002; 95: 469-73. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12096152
72. Reyburn H, Mbatia R, Drakeley C, Carneiro I, Mwakasungula E, Mwerinde O, et al. Overdiagnosis of malaria in patients with severe febrile illness in Tanzania: a prospective study. BMJ 2004; 329: 1212. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15542534
73. WHO. Manual of the international statistical classification of diseases, injuries, and causes of death. Bull World Health Org Suppl 1953; 7: 1-55. Available from: http://www.ncbi.nlm.nih.gov/pubmed/13032790
74. Mullan F, Frehywot S, Omaswa F, Buch E, Chen C, Greysen SR, et al. Medical schools in sub-Saharan Africa. Lancet 2010; 6736: 1-9. DOI: 10.1016/S0140-6736(10)61961-7.
75. Rich EC, Gifford G, LuxenbergM, Dowd B. The relationship of house staffexperience to the cost and quality of inpatient care. JAMA 1990; 263: 953-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2299762
76. Mullan F, Frehywot S. Non-physician clinicians in 47 sub- Saharan African countries. Lancet 2007; 370: 2158-63. DOI: 10.1016/S0140-6736(07)60785-5.
77. Agomuoh DI, Unachukwu CN. Pattern of diseases among medical admissions in Port Harcourt, Nigeria. Niger Med Pract 2008; 51: 45-50.
78. Bardgett HP, Beeching NJ. Increase in hospital mortality from non-communicable disease and HIV-related conditions in Bulawayo, Zimbabwe, between 1992 and 2000. Trop Doct 2006; 36: 129-31. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16884612
79. Gill GV. Changing patterns of medical disease in Soweto, South Africa 1981-1990. Trop Doct 1995; 25: 171-2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7502326
80. Harries AD, Richard S, Wirima J. Medical admissions to Kamuzu Central Hospital, Lilongwe Malawi in 1986: comparison with admissions to Queen Elizabeth Central Hospital, Blantyre in 1973. Trop Geogr Med 1990; 42: 274-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2293437
81. Odenigbo C, Oguejiofor O. Pattern of medical admissions at the Federal Medical Centre, Asaba - a two year review. Niger J Clin Pract 2009; 12: 395-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20329679
82. Osuafor TO, Ele PU. The pattern of admissions in the medical wards of Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi. Orient J Med 2004; 16: 11-5.
83. Tambwe M, Mbala M, Lusamba DN, M'buyamba-Kabangu JR. Morbidity and mortality in hospitalised Zairean adults. S Afr Med J 1995; 85: 74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7597537