Endocrine-related diseases in the emergency unit of a Tertiary Health Care Center in Lagos: A study of the admission and mortality patterns.

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dc.contributor.authorAnyanwu, A.C
dc.contributor.authorOdeniyi, I.A
dc.contributor.authorFasanmade, O.A
dc.contributor.authorAdewunmi, A.J
dc.contributor.authorAdegoke, O.A
dc.contributor.authorMojeed, A
dc.contributor.authorOlofin, K
dc.contributor.authorOhwovoriole, A.E
dc.date.accessioned2019-11-08T16:05:10Z
dc.date.available2019-11-08T16:05:10Z
dc.date.issued2013
dc.descriptionStaff publicationsen_US
dc.description.abstractIntroduction: Non-communicable diseases are emerging as an important component of the burden of diseases in developing countries. Knowledge on admission and mortality patterns of endocrine-related diseases will give insight into the magnitude of these conditions and provide effective tools for planning, delivery, and evaluation of health-care needs relating to endocrinology. Materials and Methods: We retrieved medical records of patients that visited the emergency unit of the Lagos University Teaching hospital, over a period of 1 year (March 2011 to February 2012) from the hospital admissions and death registers. Information obtained included: Age, gender, diagnosis at admission and death, co-morbidities. Diagnoses were classified as endocrine-related and non-endocrine related diseases. Records with incomplete data were excluded from the study. Results: A total of 1703 adult medical cases were seen; of these, 174 were endocrine-related, accounting for 10.2% of the total emergency room admission in the hospital. The most common cause of endocrine-related admission was hyperglycaemic crises, 75 (43.1%) of cases; followed by diabetes mellitus foot syndrome, 33 (19.0%); hypoglycaemia 23 (13.2%) and diabetes mellitus related co-morbidities 33 (19.0%). There were 39 endocrine-related deaths recorded. The result revealed that 46.1% of the total mortality was related to hyperglycaemic emergencies. Most of the mortalities were sepsis-related (35.8%), with hyperglycaemic crises worst affected (71.42%). However, the case fatalities were highest in subjects with thyrotoxic crisis and hypoglycaemic coma. Conclusion: Diabetic complications were the leading causes of endocrine-related admissions and mortality in this health facility. The co-morbidity of sepsis and hyperglycaemia may worsen mortality in patients who present with hyperglycaemic crises. Hence, evidence of infection should be sought early in such patients and appropriate therapy instituted.en_US
dc.identifier.citationAnyanwu AC, Odeniyi IA, Fasanmade OA, Adewunmi AJ, Adegoke O, Mojeed AC, et al. Endocrine-related diseases in the emergency unit of a Tertiary Health Care Center in Lagos: A study of the admission and mortality patterns. Niger Med J 2013; 54:254-7en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/6800
dc.language.isoenen_US
dc.relation.ispartofseriesNiger Med J;Vol.54
dc.subjectAdmissionen_US
dc.subjectDiabetesen_US
dc.subjectEndocrine Related Diseasesen_US
dc.subjectHyperglycaemiaen_US
dc.subjectHypoglycaemiaen_US
dc.subjectEmergencyen_US
dc.subjectMortalityen_US
dc.subjectResearch Subject Categories::MEDICINEen_US
dc.titleEndocrine-related diseases in the emergency unit of a Tertiary Health Care Center in Lagos: A study of the admission and mortality patterns.en_US
dc.typeArticleen_US
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