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http://hdl.handle.net/123456789/13387
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Title: | Current trends in admissions and outcomes of cardiac diseases in Ghana |
Authors: | Appiah, Lambert Tetteh Sarfo, Fred Stephen Agyemang, Charles Tweneboah, Humphrey O. Appiah, Nana Akua B.A. Bedu-Addo, George Opare-Sem, Ohene |
Keywords: | Cardiac Disease CVDs Ghana Heart failure Hypertension IHD SSA |
Issue Date: | 2017 |
Publisher: | Clinical Cardiology |
Citation: | Clinical Cardiology, 2017;40:783–788;DOI: 10.1002/clc.22753 |
Abstract: | Cardiovascular diseases (CVDs) pose a major burden in Africa, but data on temporal trends in
disease burden are lacking. We assessed trends in CVD admissions and outcomes in central
Ghana using a retrospective analysis of data from January 2004 to December 2015 among
patients admitted to the medical wards of a tertiary medical center in Kumasi, Ghana. Rates of
admissions and mortality were expressed as CVD admissions and deaths divided by the total
number of medical admissions and deaths, respectively. Case fatality rates per specific cardiac
disease diagnosis were also computed. Over the period, there were 4226 CVD admissions, with
a male-to-female ratio of 1.1 to 1. There was a progressive increase in percentage of CVD
admissions from 4.6% to 8.2%, representing an 78% increase, between 2004 and 2014. Of the
2170 CVD cases whose data were available, the top 3 causes of CVD admissions were heart
failure (HF; 88.3%), ischemic heart disease (IHD; 7.2%), and dysrhythmias (1.9%). Of all HF
admissions, 52% were associated with hypertension. IHD prevalence rose by 250% between
2005 and 2015. There were 976 deaths (23%), with an increase in percentage of hospital
deaths that were cardiovascular in nature from 3.6% to 7.3% between 2004 and 2014, representing
a 102% increase. Cardiac disease admissions and mortality have increased progressively
over the past decade, with HF as the most common cause of admission. Once rare, IHD is
emerging as a significant contributor to the CVD burden in sub-Saharan Africa. |
Description: | An article published in Clinical Cardiology, 2017;40:783–788;DOI: 10.1002/clc.22753 |
URI: | http://hdl.handle.net/123456789/13387 |
Appears in Collections: | College of Health Sciences
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