TRENDS INACUTE EMERGENCYROOM HYPERTENSION RELATED DEATHS:ANAUTOPSYSTUDY

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dc.contributor.authorMbakwem, AC
dc.contributor.authorOke, DA
dc.contributor.authorAjuluchukwu, JNA
dc.contributor.authorAbdulkareem, FB
dc.contributor.authorAle, O
dc.contributor.authorOdunlami, K
dc.date.accessioned2020-07-03T16:00:28Z
dc.date.available2020-07-03T16:00:28Z
dc.date.issued2009
dc.description.abstractIntroduction: Hypertension is associated with increased morbidity and mortality. Paradigm shift and novel drugsthatgobeyondbloodpressurecontrolhavedebutedinthelastdecadegloballyandinNigeria. The study thereforeproposedtoinvestigatetheeffectoftheaboveifanyonhypertensionrelatedacutedeathsinpatients admitted to the emergency room of the Lagos University Teaching Hospital. Method: Autopsy reports for bodies deposited from the medical emergency room(ER) were reviewed. Details ofthetimeofadmission,timeofdeathandbloodpressurestatuspriortotheeventwereobtained. Subjects were batched into two groups 1982 1991 and 1992 2001 based on periods of paradigm shift in hypertension diagnosis and management. Result: There were 297 hypertension related deaths but 252 were analyzed.Therewere168(66.7%) males and 84(33.3%) females (M: F 2:1) and mean age was 47.33±12.18years (14-85yr). Two thirds of the subjects (65.5%) were =50yrs of age. The mean duration of admission was 5.88±6.41hours. One third (35.3%) died within an hour of admission. The commonest causes of death were stroke (52.8%) and heart failure 103(40.9%).Intra cerebralhemorrhagewasthecommonesttypeofstrokeseen,69(52.3%).There were fewer cases of acute deaths in the second decade under review 95(37.7%)vs.157(62.3%),p=0.02and strokes during this period,47(49.47)Vs86(54.78),p=0.06. Conclusion: There is a trend towards reduction of hypertension related acute deaths. However stroke remains a major cause of acute hypertensive death and the patients are still dying youngen_US
dc.identifier.citationNigerian Journal of Clinical Practice March 2009 Vol 12(1):15-19en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/8557
dc.language.isoenen_US
dc.publisherNigerian Journal of Clinical Practiceen_US
dc.subjectTrends;Hypertension;AcuteDeathsen_US
dc.titleTRENDS INACUTE EMERGENCYROOM HYPERTENSION RELATED DEATHS:ANAUTOPSYSTUDYen_US
dc.typeArticleen_US
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