A Retrospective Evaluation of Patients Hospitalized in the Internal Medicine Department at the Turkey Recep Tayyip Erdogan Somalia Mogadishu Training and Research Hospital

Öznur Sarı; Ahmed Muhammad Bashir

doi:10.46310/tjim.899718

Research Article

Year 2021, Volume: 3 Issue: 4, 177 - 187, 29.10.2021

Öznur Sarı , Ahmed Muhammad Bashir

https://doi.org/10.46310/tjim.899718

Cited By: 3

Abstract

References

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2. Hill NR, Fatoba ST, Oke JL, et al. Global Prevalence of Chronic Kidney Disease – A Systematic Review and Meta-Analysis. PLoS One. 2016;11(7):1-18. doi:10.1371/journal.pone.0158765
3. Ene-Iordache B, Perico N, Bikbov B, et al. Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): a cross-sectional study. Lancet Glob Heal. 2016;4(5):e307-19. doi:10.1016/S2214-109X(16)00071-1
4. Ojo A. Addressing the global burden of chronic kidney disease through clinical and translational research. Trans Am Clin Climatol Assoc. 2014;125:226-229.
5. Stanifer JW, Muiru A, Jafar TH, Patel UD. Chronic kidney disease in low- and middle-income countries. Nephrol Dial Transplant Off Publ Eur Dial Transpl Assoc - Eur Ren Assoc. 2016;31(6):868-874. doi:10.1093/ndt/gfv466
6. Sacchetti A, Stuccio N, Panebianco P, Torres M. ED hemodialysis for treatment of renal failure emergencies. Am J Emerg Med. 1999;17(3):305-307. doi:10.1016/S0735-6757(99)90131-6
7. Lee J, Lee JP, An JN, et al. Factors Affecting the Referral Time to Nephrologists in Patients With Chronic Kidney Disease: A Prospective Cohort Study in Korea. Medicine (Baltimore). 2016;95(19):e3648. doi:10.1097/MD.0000000000003648
8. Gele AA, Pettersen KS, Kumar B, Torheim LE. Diabetes Risk by Length of Residence among Somali Women in Oslo Area. J Diabetes Res. 2016;2016:5423405. doi:10.1155/2016/5423405
9. Joseph JJ, Echouffo-Tcheugui JB, Golden SH, et al. Physical activity, sedentary behaviors and the incidence of type 2 diabetes mellitus: the Multi-Ethnic Study of Atherosclerosis (MESA). BMJ Open Diabetes Res &amp; Care. 2016;4(1):e000185. doi:10.1136/bmjdrc-2015-000185
10. American Diabetes Association (ADA). Standard of medical care in diabetes - 2017. Diabetes Care. 2017;40 (sup 1)(January):s4-s128. doi:10.2337/dc17-S003
11. Fedeli U, Ferroni E, Pigato M, Avossa F, Saugo M. Causes of mortality across different immigrant groups in Northeastern Italy. PeerJ. 2015;3:e975. doi:10.7717/peerj.975
12. Lok ASF, McMahon BJ. Chronic hepatitis B: Update 2009. Hepatology. 2009;50(3):661-662. doi:10.1002/hep.23190
13. Rossi C, Shrier I, Marshall L, et al. Seroprevalence of chronic hepatitis B virus infection and prior immunity in immigrants and refugees: a systematic review and meta-analysis. PLoS One. 2012;7(9):e44611. doi:10.1371/journal.pone.0044611
14. Alter MJ. Epidemiology and prevention of hepatitis B. Semin Liver Dis. 2003;23(1):39-46. doi:10.1055/s-2003-37583
15. Yuyun MF, Sliwa K, Kengne AP, Olga A, Bukhman G. Cardiovascular Diseases in Sub-Saharan Africa Compared to High-Income Countries : An Epidemiological Perspective. 2020;15(1):1-18.
16. Mind ONMY. Tackling the Growing Burden of ardiovascular Diseases in Sub-Saharan Africa. 2018:2449-2451. doi:10.1161/CIRCULATIONAHA.118.037367
17. Hamid S, Groot W, Pavlova M. Trends in cardiovascular diseases and associated risks in sub-Saharan Africa: a review of the evidence for Ghana, Nigeria, South Africa, Sudan and Tanzania. Aging Male. 2019;22(3):169-176. doi:10.1080/13685538.2019.1582621
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21. Aden JA, Ahmed HJ, Östergren PO. Causes and contributing factors of maternal mortality in Bosaso District of Somalia. A retrospective study of 30 cases using a Verbal Autopsy approach. Glob Health Action. 2019;12(1). doi:10.1080/16549716.2019.1672314
22. Pacagnella RC, Cecatti JG, Parpinelli MA, et al. Delays in receiving obstetric care and poor maternal outcomes: results from a national multicentre cross-sectional study. BMC Pregnancy Childbirth. 2014;14:159. doi:10.1186/1471-2393-14-159
23. Say L, Chou D, Gemmill A, et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob Heal. 2014;2(6):323-333. doi:10.1016/S2214-109X(14)70227-X
24. Castro R, Campero L, Hernández B, Langer A. A study on maternal mortality in Mexico through a qualitative approach. J Womens Health Gend Based Med. 2000;9(6):679-690. doi:10.1089/15246090050118206
25. Samb B, Desai N, Nishtar S, et al. Prevention and management of chronic disease: a litmus test for health-systems strengthening in low-income and middle-income countries. Lancet (London, England). 2010;376(9754):1785-1797. doi:10.1016/S0140-6736(10)61353-0
26. WHO. Global status report on noncommunicable diseases 2014. World Health. 2014:176. doi:ISBN 9789241564854
27. World TF, Assembly H, Activity P. WHA58.22 Cancer prevention and control. :103-107.
28. Meyskens FLJ, Mukhtar H, Rock CL, et al. Cancer Prevention: Obstacles, Challenges and the Road Ahead. J Natl Cancer Inst. 2016;108(2). doi:10.1093/jnci/djv309
29. Fitzmaurice C, Abate D, Abbasi N, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol. 2019;5(12):1749-1768. doi:10.1001/jamaoncol.2019.2996
30. Wang H, Naghavi M, Allen C, et al. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1459-1544. doi:10.1016/S0140-6736(16)31012-1
31. Khan MA, Ahmed M, Anil S, Walley J. Strengthening the delivery of asthma and chronic obstructive pulmonary disease care at primary health-care facilities: study design of a cluster randomized controlled trial in Pakistan. Glob Health Action. 2015;8:28225. doi:10.3402/gha.v8.28225
32. Jumbe Marsden E, Wa Somwe S, Chabala C, Soriano JB, Vallès CP, Anchochea J. Knowledge and perceptions of asthma in Zambia: a cross-sectional survey. BMC Pulm Med. 2016;16:33. doi:10.1186/s12890-016-0195-3

A Retrospective Evaluation of Patients Hospitalized in the Internal Medicine Department at the Turkey Recep Tayyip Erdogan Somalia Mogadishu Training and Research Hospital

Year 2021, Volume: 3 Issue: 4, 177 - 187, 29.10.2021

Öznur Sarı , Ahmed Muhammad Bashir

https://doi.org/10.46310/tjim.899718

Cited By: 3

Abstract

Introduction:
Data on patient diagnosis and treatment experiences are minimal in internal medicine clinics in Somalia. This study intends to examine the diagnostic distributions, demographic characteristics, and clinical effects of hospitalized patients treated at Mogadishu Somalia Turkey Recep Tayyip Erdogan Training and Research Hospital.
Method:
The demographic characteristics, diagnosis, duration of hospital stay and mortality rates of patients hospitalized at Turkey Recep Tayyip Erdogan Somalia Mogadishu Training and Research Hospital between January 2017 and June 2019 were analyzed.
Results:
The study included 3,246 patients, 1,759 (54.2%) males and 1,487 (45.8%) females with an average age of 50.82±19.25 (18-101) years. When evaluating hospitalization indications, the most common causes of hospitalization were chronic (29.4%) and acute kidney failure (14.8%) and other complications associated with these conditions. Other important diseases requiring hospitalization were diabetes mellitus-related conditions (11.9%), anemia (5.2%), hypertensive complications (3.5%), respiratory diseases (4.2%), contagious hepatitis (2.1%), cancer-related hospitalization situations (3.6%), infectious diseases (3.3%), respiratory diseases (3%), and cardiovascular diseases (3%).
Patient mortality rates were 38.6% in the general intensive care unit, 35.9% in emergency intensive care unit and 25.5% in the internal medicine department. Higher mortality rates were observed in emergency and general intensive care patients relative to patients in the internal medicine ward [OR:7.4 (5.7-9.7), OR: 10.4 (8.2-13.3)].
Conclusion: In fragile healthcare systems like Somalia, morbidity and mortality are very high, and potential implementation of successful primary care management plans will dramatically minimize the burden associated with healthcare by reducing the incidence and severity of CKD, DM, HT, and CVD.

Keywords

Somalia;, CKD;, DM;, HT;, internal diseases;, intensive care

References

1. Martin-Canavate R, Custodio E, Yusuf A, Molla D, Fasbender D, Kayitakire F. Malnutrition and morbidity trends in Somalia between 2007 and 2016: Results from 291 cross-sectional surveys. BMJ Open. 2020;10(2). doi:10.1136/bmjopen-2019-033148
2. Hill NR, Fatoba ST, Oke JL, et al. Global Prevalence of Chronic Kidney Disease – A Systematic Review and Meta-Analysis. PLoS One. 2016;11(7):1-18. doi:10.1371/journal.pone.0158765
3. Ene-Iordache B, Perico N, Bikbov B, et al. Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): a cross-sectional study. Lancet Glob Heal. 2016;4(5):e307-19. doi:10.1016/S2214-109X(16)00071-1
4. Ojo A. Addressing the global burden of chronic kidney disease through clinical and translational research. Trans Am Clin Climatol Assoc. 2014;125:226-229.
5. Stanifer JW, Muiru A, Jafar TH, Patel UD. Chronic kidney disease in low- and middle-income countries. Nephrol Dial Transplant Off Publ Eur Dial Transpl Assoc - Eur Ren Assoc. 2016;31(6):868-874. doi:10.1093/ndt/gfv466
6. Sacchetti A, Stuccio N, Panebianco P, Torres M. ED hemodialysis for treatment of renal failure emergencies. Am J Emerg Med. 1999;17(3):305-307. doi:10.1016/S0735-6757(99)90131-6
7. Lee J, Lee JP, An JN, et al. Factors Affecting the Referral Time to Nephrologists in Patients With Chronic Kidney Disease: A Prospective Cohort Study in Korea. Medicine (Baltimore). 2016;95(19):e3648. doi:10.1097/MD.0000000000003648
8. Gele AA, Pettersen KS, Kumar B, Torheim LE. Diabetes Risk by Length of Residence among Somali Women in Oslo Area. J Diabetes Res. 2016;2016:5423405. doi:10.1155/2016/5423405
9. Joseph JJ, Echouffo-Tcheugui JB, Golden SH, et al. Physical activity, sedentary behaviors and the incidence of type 2 diabetes mellitus: the Multi-Ethnic Study of Atherosclerosis (MESA). BMJ Open Diabetes Res &amp; Care. 2016;4(1):e000185. doi:10.1136/bmjdrc-2015-000185
10. American Diabetes Association (ADA). Standard of medical care in diabetes - 2017. Diabetes Care. 2017;40 (sup 1)(January):s4-s128. doi:10.2337/dc17-S003
11. Fedeli U, Ferroni E, Pigato M, Avossa F, Saugo M. Causes of mortality across different immigrant groups in Northeastern Italy. PeerJ. 2015;3:e975. doi:10.7717/peerj.975
12. Lok ASF, McMahon BJ. Chronic hepatitis B: Update 2009. Hepatology. 2009;50(3):661-662. doi:10.1002/hep.23190
13. Rossi C, Shrier I, Marshall L, et al. Seroprevalence of chronic hepatitis B virus infection and prior immunity in immigrants and refugees: a systematic review and meta-analysis. PLoS One. 2012;7(9):e44611. doi:10.1371/journal.pone.0044611
14. Alter MJ. Epidemiology and prevention of hepatitis B. Semin Liver Dis. 2003;23(1):39-46. doi:10.1055/s-2003-37583
15. Yuyun MF, Sliwa K, Kengne AP, Olga A, Bukhman G. Cardiovascular Diseases in Sub-Saharan Africa Compared to High-Income Countries : An Epidemiological Perspective. 2020;15(1):1-18.
16. Mind ONMY. Tackling the Growing Burden of ardiovascular Diseases in Sub-Saharan Africa. 2018:2449-2451. doi:10.1161/CIRCULATIONAHA.118.037367
17. Hamid S, Groot W, Pavlova M. Trends in cardiovascular diseases and associated risks in sub-Saharan Africa: a review of the evidence for Ghana, Nigeria, South Africa, Sudan and Tanzania. Aging Male. 2019;22(3):169-176. doi:10.1080/13685538.2019.1582621
18. Ministry of National Planning and Development: Somaliland In Figure 2015. 2015.
19. Organization WH. Noncommunicable Diseases Country Profiles 2018. World Health Organization; 2018.
20. Leontine Alkema, Elena Broaddus, Doris Chou DH, Colin Mathers, Ann-Beth Moller, Lale Say SZ. Trends in maternal mortality 2010 - 2015, WHO. WHO Doc. 2015:92.
21. Aden JA, Ahmed HJ, Östergren PO. Causes and contributing factors of maternal mortality in Bosaso District of Somalia. A retrospective study of 30 cases using a Verbal Autopsy approach. Glob Health Action. 2019;12(1). doi:10.1080/16549716.2019.1672314
22. Pacagnella RC, Cecatti JG, Parpinelli MA, et al. Delays in receiving obstetric care and poor maternal outcomes: results from a national multicentre cross-sectional study. BMC Pregnancy Childbirth. 2014;14:159. doi:10.1186/1471-2393-14-159
23. Say L, Chou D, Gemmill A, et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob Heal. 2014;2(6):323-333. doi:10.1016/S2214-109X(14)70227-X
24. Castro R, Campero L, Hernández B, Langer A. A study on maternal mortality in Mexico through a qualitative approach. J Womens Health Gend Based Med. 2000;9(6):679-690. doi:10.1089/15246090050118206
25. Samb B, Desai N, Nishtar S, et al. Prevention and management of chronic disease: a litmus test for health-systems strengthening in low-income and middle-income countries. Lancet (London, England). 2010;376(9754):1785-1797. doi:10.1016/S0140-6736(10)61353-0
26. WHO. Global status report on noncommunicable diseases 2014. World Health. 2014:176. doi:ISBN 9789241564854
27. World TF, Assembly H, Activity P. WHA58.22 Cancer prevention and control. :103-107.
28. Meyskens FLJ, Mukhtar H, Rock CL, et al. Cancer Prevention: Obstacles, Challenges and the Road Ahead. J Natl Cancer Inst. 2016;108(2). doi:10.1093/jnci/djv309
29. Fitzmaurice C, Abate D, Abbasi N, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol. 2019;5(12):1749-1768. doi:10.1001/jamaoncol.2019.2996
30. Wang H, Naghavi M, Allen C, et al. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1459-1544. doi:10.1016/S0140-6736(16)31012-1
31. Khan MA, Ahmed M, Anil S, Walley J. Strengthening the delivery of asthma and chronic obstructive pulmonary disease care at primary health-care facilities: study design of a cluster randomized controlled trial in Pakistan. Glob Health Action. 2015;8:28225. doi:10.3402/gha.v8.28225
32. Jumbe Marsden E, Wa Somwe S, Chabala C, Soriano JB, Vallès CP, Anchochea J. Knowledge and perceptions of asthma in Zambia: a cross-sectional survey. BMC Pulm Med. 2016;16:33. doi:10.1186/s12890-016-0195-3

There are 32 citations in total.

Details

Primary Language	English
Subjects	Internal Diseases
Journal Section	Original Articles
Authors	Öznur Sarı 0000-0003-2234-8190 Ahmed Muhammad Bashir 0000-0002-7992-506X
Publication Date	October 29, 2021
Submission Date	March 19, 2021
Acceptance Date	May 23, 2021
Published in Issue	Year 2021 Volume: 3 Issue: 4

Cite

EndNote	Sarı Ö, Bashir AM (October 1, 2021) A Retrospective Evaluation of Patients Hospitalized in the Internal Medicine Department at the Turkey Recep Tayyip Erdogan Somalia Mogadishu Training and Research Hospital. Turkish Journal of Internal Medicine 3 4 177–187.

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