A Review of Medical Admissions at the Ahmadu Bello University Teaching Hospital (ABUTH) Zaria, Nigeria

Abstract

Background: In-patient records are useful tools for medical audits of the workload and efficiency of our hospitals. These data could go a  long way in hospital allocations of both human and material resources, and planning. The aim of the study was to assess the pattern and  outcome of admission at the medical inpatients at the Ahmadu Bello University Teaching Hospital (ABUTH) Zaria, Nigeria.

Methodology: A retrospective survey of admission patterns, morbidity profile, and mortalities in the medical wards of ABUTH Zaria, was  undertaken from October 2012 to October 2019, using ward records. Morbidity and Mortality data were assessed for both male and  female medical wards within the period under review. Data were analyzed using SPSS version 25.

Results: The mean age of patients was  44.17± 19.33. Male: Female ratio = 2.6:1. Civil servants, Traders and Farmers were the predominant occupations of the patients 815/4448  (18.3%), 578/4448 (13.0%), and 547/4448 (12.3%) respectively. About 45.2% of the patients were unemployed. Among the years under review, 2013 had the highest admission rate 19.6% while March and October were the highest months of admissions in comparison to  other months of the year. The most frequent admissions were Stroke 465/4448 (10.5%), followed by CKD 266/4448 (6.0), and then Sepsis  261/4448 (5.9%), which were commoner among traders. The mean duration of Hospital stay was 9.16 ± 13.57 days. The overall mortality  rate was 21.8% the odds for death among males were higher, OR: 5.092, 95% CI: 4.116- 6.299, P <0.001.

Conclusion: Males at productive  age form the bulk of the medical admissions with a higher risk of mortality at ABUTH Zaria and stroke was found to be the commonest  case.