Pattern of gynaecological admissions in Aminu Kano Teaching Hospital: A three year review
Abstract
Concept: Gynaecological admissions form a large proportion of the number of admissions in any Obstetrics and Gynaecological department of our hospitals.
Aims and Objectives:This study was conducted in gynaecology ward of AKTH, Kano to review the gynaecological admissions, mortality and efficiency of hospital facility utilization over a period of 36 months (January 2006 to December 2008).
Methodology: This is a retrospective review of all patients admitted into the gynecology ward between January, 2006 and December, 2008. Information obtained on socio-dermographic characteristics, diagnosis, hospital stay, bed occupancy, etc were collated and analysed.
Results: There were 1717 admissions over the study period, out of which 1225 (71.3%) were emergencies and 494(28.7%) were elective admission for surgery giving an emergency/elective ratio of about 2.5:1. There were 50.5 patients per bed per year with bed occupancy of 13.8%. The commonest diseases responsible for gynaecological admission were abortions (23.1%), followed by medical complications of early pregnancy (19%), gynaeclogical malignancy (11.4%), ectopic pregnancy
(6.7%), infertility (5.2%) and pelvic inflammatory disease (3.5%).
All the deaths occurred in the emergency group (2.4%). The highest fatality was contributed by gynaecological malignancies, which accounted for 71.4 % of all gynaecological deaths with carcinoma of the cervix as the
leading cause (33.2%), followed by ovarian cancer (28.6%). Postabortal sepsis was the third most common cause, contributing 16.7% fatality.
Conclusion: Management should improve admission policy, understanding of patient needs in order to increase acceptance of our services.
Key Words: Bed occupancy, gynaecological admissions, AKTH, Kano.
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