Characterization of the intensive care unit (ICU) admissions in the Benue State University Teaching Hospital.

Today, intensive care units (ICUs) of most hospitals in developed countries have become separate departments staffed by career intensive care physicians or intensivists from various fields of medicine. In Nigeria, however, ICUs are still part of the anaesthesia department and critical care constitutes a significant part of the workload and responsibilities of anesthetists. This study was carried out to ascertain the types of disease conditions that were brought into the ICU for management at the Benue State University Teaching Hospital (BSUTH), interventions undertaken as well as the outcome of such admissions. A total of 125 patients were evaluated. The age bracket between 21 and 30 years recorded the highest figure of 28 accounting for 22.4% of the study population. This was followed by the age bracket between 31 and 40 years with 24 representing 19.2%. The study population was made up of 81 males and 44 females making up 64.8% and 35.2%, respectively. The most frequent conditions occasioning ICU admissions are post laparotomy (24.8%), head injury (18.4%), and burns (11.2%). A total of 289 interventions in various combinations were carried out on these patients. Of these, monitoring of the patients was undertaken 106 times, representing 36.7%. Oxygen therapy followed closely with 102 (35.3%). The lowest number of days spent by patients in the ICU in this study, was 1, while the longest was 35 with a mean of 5.97 days ± 7.76 days. Majority of the patients, 68, were discharged from the ICU to the wards making up 54.4% of the study population. This was closely followed by those that died, 50, accounting for 40.0% of the study population. This study has established that in our ICU, the most common indications for admission were post-laparotomy, head injury and burns. Also, it has been observed that most of the patients underwent haemodynamic monitoring and oxygen therapy. Finally, while most patients admitted were discharged to the wards, a good number also died in the ICU.

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Mortality of tetanus at the Lagos University Teaching Hospital, Nigeria

Tropical Doctor ◽

10.1258/0049475054620806 ◽

2005 ◽

Vol 35 (3) ◽

pp. 178-181 ◽

Cited By ~ 14

Author(s):

F I Ojini ◽

M A Danesi

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Teaching Hospital ◽

Case Fatality Rate ◽

Case Fatality ◽

Developed Countries ◽

University Teaching ◽

Age Group ◽

Fatality Rate ◽

Medical Wards

Records of 349 tetanus patients, aged 10 years and above, admitted to the Lagos University Teaching Hospital, Nigeria, between 1990 and 1999 were reviewed. The male:female ratio was 1.98:1, and the ages were between 10 and 88 years, with a mean age of 29.8 years. The overall case fatality rate (CFR) of tetanus was 36.96% (33.19% for men and 44.44% for women). The CFR is similar to that previously reported in the hospital, but higher than that reported from Europe and North America. The lowest CFR was in the 10-19-year age group, and there was a trend towards increasing CFR with increasing age. Tetanus patients in the intensive care unit (ICU) had a significantly higher CFR than those in the medical wards. Unlike in developed countries, where management of tetanus in ICU has resulted in a decrease in CFR, the CFR of tetanus at the Lagos University Teaching Hospital has not significantly reduced over the years.

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Pattern of Head Injury in the Emergency Department of the Delta State University Teaching Hospital, Oghara, Nigeria

British Journal of Medicine and Medical Research ◽

10.9734/bjmmr/2016/25409 ◽

2016 ◽

Vol 15 (4) ◽

pp. 1-6

Author(s):

A Bock-Oruma ◽

D Odatuwa-Omagbemi ◽

J Ikubor

Keyword(s):

Emergency Department ◽

Head Injury ◽

Teaching Hospital ◽

University Teaching ◽

State University ◽

Delta State University

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Malaria Infection as a Leading Cause of Febrile Seizures among Children with Seizures in Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria

Journal of Pediatric Neurology ◽

10.1055/s-0039-1685485 ◽

2019 ◽

Author(s):

Oluwasola Oke ◽

Adebukola Ajite ◽

Oluwadare Oluwayemi ◽

Oladele Olatunya ◽

Ezra Ogundare ◽

...

Keyword(s):

Teaching Hospital ◽

Malaria Infection ◽

Febrile Seizures ◽

Developed Countries ◽

Pediatric Emergency ◽

University Teaching ◽

State University ◽

Common Cause ◽

Index Study ◽

A Prospective Study

Febrile seizure (FS) is among the leading cause of pediatric admissions in developing countries.The etiologic patterns of FS among children attending Pediatric Emergency of Ekiti State Teaching Hospital in Ado Ekiti were studied. A prospective study of children who had FS was carried out. A prevalence of 2.9% was found and malaria was the leading cause of FS in 111 (85.4%) patients. Seventy-eight (60%) of the 130 patients with FS had their seizure occurring within the first 24 hours of onset of fever. Malaria was the most common cause of fever precipitating FS in the index study. Prevention of malaria and prompt management of fever will reduce the prevalence and improve the outcome of FS. The overall prevalence of FS is similar to developed countries and the etiology is similar to other studies from Nigeria.

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Decision-Delivery Interval for Emergency Caesarean Section at the Rivers State University Teaching Hospital

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2020/v32i1630618 ◽

2020 ◽

pp. 1-2

Author(s):

S. Eli ◽

D. G. B. Kalio ◽

A. Dan- Jumbo ◽

J. Ikimalo

Keyword(s):

Caesarean Section ◽

Teaching Hospital ◽

Developed Countries ◽

Fetal Outcome ◽

Emergency Caesarean Section ◽

University Teaching ◽

State University ◽

Cephalopelvic Disproportion ◽

Emergency Caesarean ◽

Rivers State

Decision-Delivery interval when carrying out emergency caesarean section (EmCS) cannot be over-emphasized especially with regards to maternal and fetal outcome. There are variety of factors that may contribute to these intervals such as logistics, personal delay, delay in obtaining of informed consent, lack of blood, and availability of theatre space. Aim: To determine the decision-delivery interval and causes of delay in EmCS at the Rivers State University Teaching Hospital (RSUTH). Methods: It was prospective study conducted at the RSUTH between July 1, 2018 to January 31, 2019. Information was obtained using a self structured questionnaire and analyzed using version SPSS 25. Results: There were 481 patients admitted into labour ward for the period under review of which 71(14.8 %) had EmCS. The mean age was 31 years. The commonest indication for EmCS was Cephalopelvic disproportion (CPD) represented by 23 (32.4%) of the subjects. The average time for decision - delivery interval was 1 to 2 hours represented by 29 (40.8%). The shortest decision - delivery interval was less than 30 minutes 1(1.3%).The decision – delivery interval time greater than 5 hours were 9 (12.7%). The 3 commonest reasons for delay with respect to average decision – delivery intervals were personal delay 21 (20.8%), logistics 19 (18.8%) and lack of blood 13 (12.9%). Conclusion: The study revealed that the average decision - delivery interval was 1 – 2 hours represented by 40.5% of the subjects. This was relatively long when compared to developed countries of the world. The commonest reason for delay in carrying out EmCS was personal delay (20.8%). The commonest indication for EmCS was CPD (32.4%). Addressing the reasons for the decision – delivery interval will help improve our practice and reduce adverse effects to mother and baby.

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