A Retrospective Evaluation of Patients Hospitalized in the Internal Medicine Department at the Turkey Recep Tayyip Erdogan Somalia Mogadishu Training and Research Hospital

Authors : Öznur SARI, Ahmed Muhammad BASHİR

Pages : 177-187

Doi:10.46310/tjim.899718

View : 40 | Download : 15

Publication Date : 2021-10-29

Article Type : Research Paper

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 insert ignore into journalissuearticles values(54.2%); males and 1,487 insert ignore into journalissuearticles values(45.8%); females with an average age of 50.82±19.25 insert ignore into journalissuearticles values(18-101); years. When evaluating hospitalization indications, the most common causes of hospitalization were chronic insert ignore into journalissuearticles values(29.4%); and acute kidney failure insert ignore into journalissuearticles values(14.8%); and other complications associated with these conditions. Other important diseases requiring hospitalization were diabetes mellitus-related conditions insert ignore into journalissuearticles values(11.9%);, anemia insert ignore into journalissuearticles values(5.2%);, hypertensive complications insert ignore into journalissuearticles values(3.5%);, respiratory diseases insert ignore into journalissuearticles values(4.2%);, contagious hepatitis insert ignore into journalissuearticles values(2.1%);, cancer-related hospitalization situations insert ignore into journalissuearticles values(3.6%);, infectious diseases insert ignore into journalissuearticles values(3.3%);, respiratory diseases insert ignore into journalissuearticles values(3%);, and cardiovascular diseases insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(5.7-9.7);, OR: 10.4 insert ignore into journalissuearticles values(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.
Keywords : Somalia, CKD, DM, HT, internal diseases, intensive care

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