Artikel ; Online: The spectrum, prevalence and in-hospital outcomes of cardiovascular diseases in a South African district hospital: a retrospective study.
Cardiovascular journal of Africa
2021 Band 32, Heft 5, Seite(n) 237–242
Abstract: Introduction: The increasing prevalence of cardiovascular risk factors in South African rural communities is well reported. However, the prevalence of cardiovascular disease (CVD) leading to hospital admission and related in-hospital mortality in rural ... ...
| Abstract | Introduction: The increasing prevalence of cardiovascular risk factors in South African rural communities is well reported. However, the prevalence of cardiovascular disease (CVD) leading to hospital admission and related in-hospital mortality in rural and semi-rural hospitals is unknown. Methods: We conducted a retrospective review of hospital records for patients admitted to the Department of Internal Medicine at Dora Nginza Hospital in Port Elisabeth, South Africa between 1 April and 31 October 2016. The study focused on patients who received a primary diagnosis of CVD. Results: During the seven-month study period, 4 884 patients were admitted to the unit, 1 325 of whom received a primary diagnosis of CVD, giving a prevalence of 27%. Patients with CVD had a mean (standard deviation) age of 60 (± 15) years, 32% of this patient population was younger than 55 years and 65% were female. Furthermore, 94% had a background medical history of systemic hypertension and 30% of diabetes mellitus. The three leading cardiovascular causes of hospital admission were stroke (38%), hypertensive heart disease plus heart failure (33%), and hypertensive emergency/urgency (18%). In-hospital outcome: 12.4% of patients admitted for CVD died during the index hospitalisation and strokes were responsible for 70% of the deaths. Conclusions: The prevalence of CVD in this cohort was high and accounted for significant morbidity and mortality. Systemic hypertension was a leading risk factor in our cohort and we need to intensify efforts to diagnose and treat systemic hypertension. |
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| Mesh-Begriff(e) | Aged ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/mortality ; Cardiovascular Diseases/therapy ; Female ; Heart Failure/diagnosis ; Heart Failure/epidemiology ; Hospital Mortality ; Hospitalization/statistics & numerical data ; Hospitals, District ; Humans ; Hypertension/diagnosis ; Hypertension/epidemiology ; Male ; Middle Aged ; Prevalence ; Retrospective Studies ; Risk Factors ; Socioeconomic Factors ; South Africa/epidemiology ; Stroke/complications ; Stroke/epidemiology |
| Sprache | Englisch |
| Erscheinungsdatum | 2021-06-10 |
| Erscheinungsland | South Africa |
| Dokumenttyp | Journal Article |
| ZDB-ID | 2383233-2 |
| ISSN | 1680-0745 ; 1996-3467 ; 1015-9657 ; 1995-1892 |
| ISSN (online) | 1680-0745 ; 1996-3467 |
| ISSN | 1015-9657 ; 1995-1892 |
| DOI | 10.5830/CVJA-2021-016 |
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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