scholarly journals A Year Retrospective Study on the Morbidity and Mortality Pattern of Covid-19 Patients in an Isolation Facility in Benin City, Nigeria

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Endurance O. Evbayekha ◽  
Ovie Okorare ◽  
Okelue E. Okobi ◽  
Gabriel Alugba ◽  
Nnenna A. Ukoha ◽  
...  
Keyword(s):  
Severity Of Illness ◽  
Adverse Outcomes ◽  
Morbidity And Mortality ◽  
Treatment Facility ◽  
Mortality Pattern ◽  
Benin City ◽  
Duration Of Hospitalization ◽  
Study Population ◽  
Edo State ◽  
Isolation Facility

A year after detecting the first COVID-19 case in Nigeria, data on the trend and pattern of morbidity and mortality are still emerging. Therefore, this study identifies the outcome of patients with COVID-19 in an isolation and treatment facility in Nigeria. This was a retrospective analysis of medical records for 327 laboratory-confirmed cases of COVID-19 patients in Stella Obasanjo Hospital, Benin, Edo state, South-south Nigeria. Extracted data included age, sex, comorbidities, the severity of illness, duration of hospitalization. Data was analyzed using the IBM SPSS version 22 software. Values <0.05 were regarded as significant. The majority of the study population were males (63.2%), and the mean age was 44.5 years. 146 participants had at least one comorbidity, with hypertension (61.5%) and diabetes (17.1%) being the most common. The mortality rate was (12.5%), and a higher proportion of patients with comorbidities died compared to those with no comorbidity. The trend of the morbidity and mortality pattern of patients with COVID-19 within the isolation and treatment facility showed higher adverse outcomes among those who presented with comorbid illnesses. Therefore, public enlightenment, vaccination, early detection, and targeted care for COVID-19 cases, especially those with comorbidities, are recommended.

scholarly journals Disclosure of errors in optometric practice in Nigeria

2017 ◽  
Vol 76 (1) ◽  
Author(s):  
Jennifer A. Ebeigbe ◽  
Donald S. Iperepolu
Keyword(s):  
Work Experience ◽  
Professional Lives ◽  
Human Beings ◽  
Eye Care ◽  
Group Discussions ◽  
Benin City ◽  
Adult Participants ◽  
Study Population ◽  
Edo State ◽  
Additional Charges

Background: Human beings are prone to making mistakes, whether in their personal or professional lives. Errors in health care are not uncommon. However, it is not certain if public and professional expectations of disclosure of these errors are met in everyday practice by practitioners.Objective: The purpose of this study was to investigate patients’ and optometrists’ attitudes towards disclosure of errors in eye care.Method: This was a qualitative study conducted in Benin City, Edo State, Nigeria, using focus group discussions (FGDs) and in-depth interviews (IDIs). The study population comprised 24 patients aged 18–42 years, with a mean age (±s.d.) of 38 ± 2.2 years, and 16 eye-care practitioners (ECPs), with a minimum of 5 years’ work experience. The optometrists were aged between 32 and 50 years with a mean age (±s.d.) of 42 ± 2.1 years. Three FGDs were conducted with the adult participants, while 16 IDIs were conducted with ECPs.Results: All participants agreed that errors do occur in eye care. Poor communication between doctors and patients, patients lying to doctors and negligence on the doctor’s part were some of the reasons given for the occurrence of errors in optometric practice. Most of the practitioners (14) agreed that major errors should be disclosed when they occur. While many of the patients (20) would want detailed information about the error, a few (4) would prefer the doctor to rectify the error rather than explaining it to them. Practitioners reported fear of litigation as a factor that could discourage them from disclosing errors. Eighteen patients reported litigation as a last resort, in the event of an error. Both parties agreed that errors caused emotional distress to them and also added that additional charges incurred should be borne by whichever party was the cause of the error.Conclusion: Errors are an unfortunate part of clinical practice. However, if patients were truthful and open in communication with their doctors and if doctors practiced within the ambit of ethical principles, the occurrence of serious errors should be few and far between.

scholarly journals A clinico-epidemiological profile study of venereal genital dermatoses in a tertiary hospital in southern Nigeria: A 5-year review

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Madubuko Cynthia Roli ◽  
Adejumo Oluseyi Ademola
Keyword(s):  
Demographic Data ◽  
Tertiary Hospital ◽  
Anogenital Wart ◽  
Benin City ◽  
Vaginal Secretions ◽  
Study Population ◽  
Edo State ◽  
Epidemiological Profile ◽  
The University ◽  
Profile Study

Venereal genital dermatoses are cutaneous morbidities contracted and transmitted by sexual contact. They are caused by microorganisms that survive on the skin or mucous membranes, or that are transmitted via semen, vaginal secretions, or blood during sexual intercourse. Data on pattern of presentation and diagnoses of venereal genial dermatoses are limited in Nigeria. The aim of this study was to determine the pattern of presentation of venereal genital dermatoses over a 5-year period in the University of Benin Teaching Hospital (UBTH), Benin City, Edo State, Nigeria. Information extracted from patients’ medical records included socio-demographic data, duration of symptom, distribution of lesions, symptomatology and diagnoses of the venereal genital dermatoses. There were 121 patients with venereal genital dermatoses amongst 1600 new cases seen over the 5-year period constituting a prevalence of 7.6%. The male:female ratio of the study population was 1.5:1 and their mean age was 26.2 ± 10.5 years. The predominant symptoms at presentation were abnormal genital growth in 108 (89.3%), genital ulcer in 12 (9.9%), and genital pain in 11 (9.1%). The common venereal genital dermatoses were anogenital warts in 108 (89.3%) and genital herpes in 11 (9.1%). Venereal genital dermatoses are a relatively common dermatological presentation in UBTH and anogenital wart was the most common type. Venereal genital dermatoses were more common in the young age group and males. The most predominant site of affectation was the vulva in females and penis in males.

Morbidity and mortality of patients with haemophilia in Germany 2007/2008

2009 ◽  
Vol 29 (S 01) ◽  
pp. S7-S12
Author(s):  
M. Spannagl ◽  
W. Schramm ◽  
H. Krebs ◽  
Keyword(s):  
Causes Of Death ◽  
Severity Of Illness ◽  
Von Willebrand Disease ◽  
Morbidity And Mortality ◽  
Haemophilia A ◽  
Hiv Status ◽  
Von Willebrand ◽  
Existing Data

SummarySince 1978 an annual multicentric survey regarding the epidemiology of patients suffering of haemophilia is performed with support of haemophilia treating centres of any size. Again the actual compilation is resting upon a broad database returning to over 30 years of inquiry well representing both the actual and retrospective status of mortality. Prompted was exclusively information about patients with haemophilia A, B and von Willebrand disease. In particular anonymous data concerning the last 12 months about number of treated patients, type and severity of illness, HIV-status and detailed information about causes of death was inquired. This data was merged with existing data and analyzed statistically. In the 2007/2008 survey, a total

Short- and long-term outcomes of preterm spontaneous twin anemia-polycythemia sequence

2020 ◽  
Vol 48 (4) ◽  
pp. 329-334
Author(s):  
Soo Jin Han ◽  
Seung Mi Lee ◽  
Sohee Oh ◽  
Subeen Hong ◽  
Jeong Won Oh ◽  
...  
Keyword(s):  
Cord Blood ◽  
Neonatal Morbidity ◽  
Adverse Outcomes ◽  
Control Group ◽  
Long Term Outcomes ◽  
Neurodevelopmental Outcomes ◽  
Monochorionic Twin ◽  
Increased Risk ◽  
Study Population

AbstractBackgroundIn monochorionic twin pregnancy, placental anastomosis and inter-twin blood transfusion can result in specific complications, such as twin-twin transfusion syndrome (TTTS) and twin anemia-polycythemia sequence (TAPS). It is well established that adverse outcomes are increased in TTTS, but reports on the neonatal and long-term outcomes of TAPS are lacking. The objective of this study was to evaluate the neonatal and neurodevelopmental outcomes in spontaneous TAPS.MethodsThe study population consisted of monochorionic twin pregnancies with preterm birth (24–37 weeks of gestation) between November 2003 and December 2016 and in which cord blood was taken at the time of delivery. According to the result of hemoglobin in cord blood, the study population was divided into two groups: a spontaneous TAPS group and a control group. Neonatal and neurodevelopmental outcomes were compared between the two groups.ResultsDuring the study period, 11 cases were diagnosed as spontaneous TAPS (6.4%). The TAPS group had lower gestational age at delivery and had a higher risk for cesarean delivery. However, neonates with TAPS were not at an increased risk for neonatal mortality and significant neonatal morbidity. In addition, the frequency of severe cerebral lesion during the neonatal period and the risk of cerebral palsy at 2 years of age were not different between the two groups.ConclusionThe spontaneous TAPS diagnosed by postnatal diagnostic criteria was not associated with the increased risk of adverse neonatal and neurodevelopmental outcomes. Further studies are needed to evaluate the morbidity of antenatally diagnosed TAPS.

scholarly journals Survey dataset on the types, prevalence and causes of deviant behavior among secondary school adolescents in some selected schools in Benin City, Edo State, Nigeria

Data in Brief ◽  
2018 ◽  
Vol 20 ◽  
pp. 101-107 ◽  
Author(s):  
Sheila A. Bishop ◽  
Hilary I. Okagbue ◽  
Olumuyiwa A. Oludayo ◽  
Olasunmbo O. Agboola ◽  
Michael C. Agarana ◽  
...  
Keyword(s):  
Secondary School ◽  
Deviant Behavior ◽  
Benin City ◽  
Edo State

Complex and irregular heart rate dynamics in fetuses compromised by maternal anemia as a high-risk pregnancy

2015 ◽  
Vol 43 (6) ◽  
Author(s):  
Young-Sun Park ◽  
Jeong-Kyu Hoh
Keyword(s):  
Heart Rate ◽  
High Risk ◽  
Approximate Entropy ◽  
Risk Groups ◽  
Adverse Outcomes ◽  
Maternal Anemia ◽  
Risk Pregnancy ◽  
Heart Rate Dynamics ◽  
Study Population ◽  
Normal Controls

AbstractTo examine how complex and irregular fetal heart rate (FHR) dynamics differ between fetuses of normal pregnancies and those of pregnancies complicated by maternal anemia (MA), and to place this in the context of high-risk pregnancies.Our study population consisted of 97 pregnant women affected by MA, 118 affected by pregnancy-induced hypertension (PIH), 88 affected by gestational diabetes mellitus (GDM), 53 with preterm premature rupture of membranes (pPROM), and 356 normal pregnancies as controls. We calculated approximate entropy (ApEn), sample entropy (SampEn), and correlation dimension (CD) to quantify irregularity and the chaotic dynamics of each FHR time series.The ApEn in the fetuses of the MA and PIH groups was significantly lower than that of the normal controls (P<0.05). The SampEn was significantly lower in the high-risk groups, except for the pPROM group, than in the normal controls (P<0.05). The CD in the PIH and severe MA groups was significantly lower than that of the normal controls (P<0.05, respectively). In the MA group, the dynamic indices showed a highly significant positive correlation with hemoglobin (Hb) levels (P<0.0001).The decreased complexity and/or irregularity in the FHR from pregnancies with MA may reflect abnormalities in the complex, integrated cardiovascular control. The irregularity and complexity of the FHR increased together with Hb levels in pregnancies with MA. Our data suggest that the integrity of the nervous system in the fetuses compromised by severe MA might result directly in adverse outcomes.

scholarly journals Association Between Room Location and Adverse Outcomes in Hospitalized Patients

2018 ◽  
Vol 12 (2) ◽  
pp. 21-29 ◽  
Author(s):  
Anoop Mayampurath ◽  
Christopher Ward ◽  
John Fahrenbach ◽  
Cynthia LaFond ◽  
Michael Howell ◽  
...  
Keyword(s):  
Critical Illness ◽  
Severity Of Illness ◽  
Adverse Outcomes ◽  
Sensitivity Analyses ◽  
Additional Risk Factor ◽  
Inhospital Mortality ◽  
Additional Risk ◽  
Increased Risk ◽  
Euclidean Distances ◽  
Time Of Admission

Objective: To investigate whether a patient’s proximity to the nurse’s station or ward entrance at time of admission was associated with increased risk of adverse outcomes. Method: We conducted a retrospective cohort study of consecutive adult inpatients to 13 medical–surgical wards at an academic hospital from 2009 to 2013. Proximity of admission room to the nurse’s station and to the ward entrance was measured using Euclidean distances. Outcomes of interest include development of critical illness (defined as cardiac arrests or transfer to an intensive care unit), inhospital mortality, and increase in length of stay (LOS). Results: Of the 83,635 admissions, 4,129 developed critical illness and 1,316 died. The median LOS was 3 days. After adjusting for admission severity of illness, ward, shift, and year, we found no relationship between proximity at admission to nurse’s station our outcomes. However, patients admitted to end of the ward had higher risk of developing critical illness (odds ratio [ OR] = 1.15, 95% confidence interval [CI] = [1.08, 1.23]), mortality ( OR = 1.16, 95% CI [1.03, 1.33]), and a higher LOS (13-hr increase, 95% CI [10, 15] hours) compared to patients admitted closer to the ward entrance. Similar results were observed in sensitivity analyses adjusting for isolation room patients and considering patients without room transfers in the first 48 hr. Conclusions: Our study suggests that being away from the nurse’s station did not increase the risk of these adverse events in ward patients, but being farther from the ward entrance was associated with increase in risk of adverse outcomes. Patient safety can be improved by recognizing this additional risk factor.

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