Main Article Content
Gynaecological In-Patient Audit in a Nigerian Tertiary Health Institution
Abstract
Objective: To determine the demographic, disease pattern and outcome of management of gynaecological in-patient.
Materials and Metrhods: A retrospective case record review of all gynaecological admissions at Federal Medical Centre Abakaliki, over a two- year period (January 2000 to December 2001.)
Results: Up to 9.9 percent of the hospital admissions were to gynaecology. The commonest indication for admission varies among the different age groups. Among the adolescents, early pregnancy complications i.e. abortions and ectopic gestation (70%) and acute pelvic inflammatory diseases (10.7%) were predominant while gynaecological malignancies (83.3%) were more after 60 years. Majority of them presented at the hospital in deplorable clinical state with sepsis, severe anaemia and advanced genital cancers. Ignorance and poverty were the major reasons for late presentation. The mean duration of hospital stay was 15.2 ± 5 days and considerable number of days were unnecessarily lost during investigations. The re-admission rate was 1.2% and patients with advanced genital cancers, recurrent pelvic inflammatory disease and abortion complications were more likely to be re-admitted. Default in outpatient clinic follow-up and non-compliance with medications at home were risk factors for re-admission. Gynaecological in-patient constituted 20% of the total hospital mortality.
Conclusion: Information, education and counseling on reproductive health and provision of affordable health services will increase the utilization of hospital facilities and reduce mortality among these women.
Key Words: Gynaecology, inpatient, Audit, Nigeria.
Journal of College of Medicine 2005: 9(2): 116-118
Materials and Metrhods: A retrospective case record review of all gynaecological admissions at Federal Medical Centre Abakaliki, over a two- year period (January 2000 to December 2001.)
Results: Up to 9.9 percent of the hospital admissions were to gynaecology. The commonest indication for admission varies among the different age groups. Among the adolescents, early pregnancy complications i.e. abortions and ectopic gestation (70%) and acute pelvic inflammatory diseases (10.7%) were predominant while gynaecological malignancies (83.3%) were more after 60 years. Majority of them presented at the hospital in deplorable clinical state with sepsis, severe anaemia and advanced genital cancers. Ignorance and poverty were the major reasons for late presentation. The mean duration of hospital stay was 15.2 ± 5 days and considerable number of days were unnecessarily lost during investigations. The re-admission rate was 1.2% and patients with advanced genital cancers, recurrent pelvic inflammatory disease and abortion complications were more likely to be re-admitted. Default in outpatient clinic follow-up and non-compliance with medications at home were risk factors for re-admission. Gynaecological in-patient constituted 20% of the total hospital mortality.
Conclusion: Information, education and counseling on reproductive health and provision of affordable health services will increase the utilization of hospital facilities and reduce mortality among these women.
Key Words: Gynaecology, inpatient, Audit, Nigeria.
Journal of College of Medicine 2005: 9(2): 116-118
