PMID: 9431757Aug 1, 1997Paper

Trends of morbidity in general medicine at United Bulawayo Hospitals, Bulawayo, Zimbabwe

The Central African Journal of Medicine
T K MudiayiM L Gelman

Abstract

To determine the trends of the 10 most common diseases in the Medical Department. Retrospective descriptive study of patients' discharge summaries. United Bulawayo Hospital, tertiary level hospital and referral centre for district hospitals. All patients admitted and discharged from the medical wards from 1987 to 1994, excluding all those who died. Number of discharges, patients' origin, paying status, diagnoses, staffing levels, reasons for transfer out. The top 10 diseases encountered in 12,280 patients were: pneumonia, HIV/AIDS, pulmonary tuberculosis, hypertension, Diabetes mellitus, malaria, gastro-enteritis, congestive cardiac failure secondary to cardiomyopathy, congestive cardiac failure secondary to hypertension, and asthma. They respectively accounted for 11% and 49% of all hospital and departmental admissions. Most disease prevalences increased from 1987 to 1994, with HIV/AIDS showing the sharpest rise. Tuberculosis was the most frequent disease and hypertension proved to be the leading non communicable disease. A positive diagnosis was made in 76% of cases. Patients' median age was 37 years and sex ratio M/F was 1.7:1. Staffing levels and bed capacity remained unchanged despite an increasing number of patients. Of t...Continue Reading

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