Turkish Journal of Internal Medicine (Oct 2021)
A Retrospective Evaluation of Patients Hospitalized in the Internal Medicine Department at the Turkey Recep Tayyip Erdogan Somalia Mogadishu Training and Research Hospital
Abstract
Introduction: Data on patient diagnosis and treatment experiences are minimal in internal medicine clinics in Somalia. This study intends to examine the diagnostic distributions, demographic characteristics, and clinical effects of hospitalized patients treated at Mogadishu Somalia Turkey Recep Tayyip Erdogan Training and Research Hospital. Method: The demographic characteristics, diagnosis, duration of hospital stay and mortality rates of patients hospitalized at Turkey Recep Tayyip Erdogan Somalia Mogadishu Training and Research Hospital between January 2017 and June 2019 were analyzed. Results: The study included 3,246 patients, 1,759 (54.2%) males and 1,487 (45.8%) females with an average age of 50.82±19.25 (18-101) years. When evaluating hospitalization indications, the most common causes of hospitalization were chronic (29.4%) and acute kidney failure (14.8%) and other complications associated with these conditions. Other important diseases requiring hospitalization were diabetes mellitus-related conditions (11.9%), anemia (5.2%), hypertensive complications (3.5%), respiratory diseases (4.2%), contagious hepatitis (2.1%), cancer-related hospitalization situations (3.6%), infectious diseases (3.3%), respiratory diseases (3%), and cardiovascular diseases (3%). Patient mortality rates were 38.6% in the general intensive care unit, 35.9% in emergency intensive care unit and 25.5% in the internal medicine department. Higher mortality rates were observed in emergency and general intensive care patients relative to patients in the internal medicine ward [OR:7.4 (5.7-9.7), OR: 10.4 (8.2-13.3)]. Conclusion: In fragile healthcare systems like Somalia, morbidity and mortality are very high, and potential implementation of successful primary care management plans will dramatically minimize the burden associated with healthcare by reducing the incidence and severity of CKD, DM, HT, and CVD.
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