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Comparing indications for cardiovascular admissions into a Nigerian and an Israeli Hospital
Ogba Joseph Ukpabi1, Kelechukwu Uwanurochi1
1Department of Internal Medicine, Cardiology Unit, Federal Medical Centre, Umuahia, Abia State, Nigeria.
Insights
Cardiovascular disease admissions differ significantly between Nigerian and Israeli hospitals. Hypertension and heart failure were common in Nigeria, while ischemic heart disease was more prevalent in Israel, highlighting disparities in cardiovascular care.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- The global epidemiologic profile is shifting, with increasing cardiovascular risk factors.
- This study examines cardiovascular admissions in Nigerian and Israeli hospitals to understand these changes.
Purpose of the Study:
- To compare the spectrum and patterns of cardiovascular admissions.
- To identify differences in cardiovascular disease prevalence between Nigeria and Israel.
Main Methods:
- Retrospective analysis of patient admission records.
- Data collected from Federal Medical Centre (FMC), Umuahia, Nigeria, and Sheba Medical Centre, Israel.
Main Results:
- Ischemic heart disease (IHD) was the leading cause of admission in Israel, but uncommon in Nigeria.
- Hypertension and heart failure (HF) were the primary reasons for cardiovascular admissions in Nigeria.
- A limited range of cardiovascular diseases (CVDs) was observed in the Nigerian hospital, suggesting diagnostic capacity differences.
Conclusions:
- The Israeli hospital had a higher volume of cardiovascular admissions than the Nigerian hospital.
- Hypertension and HF predominated in Nigeria, while hypertension and IHD were key in Israel.
- Further research is recommended to track cardiovascular admission trends in developing nations during epidemiological transitions.
Background:
Changing epidemiologic profile with increase in cardiovascular risk factors is well documented in literature. Our study sought to see how this is reflected in cardiovascular admissions into medical wards of a Nigerian and an Israeli hospital.
Objective:
To compare the range and pattern of cardiovascular admissions encountered in a Nigerian hospital and an Israel hospital.
Methods:
This was a retrospective study of admission records of patients admitted into both Federal Medical Centre (FMC), Umuahia, Abia State, Nigeria, and Sheba Medical Centre, Israel.
Results:
Ischemic heart disease (IHD) was the most prevalent among the Israeli hospital's admissions but ranks very low as an indication for admission in Nigeria. The most common causes of admission in Nigeria were hypertension and heart failure (HF). The spectrum of cardiovascular diseases (CVDs) was very limited in the Nigerian hospital, indicating disparity in diagnostic capacity.
Conclusion:
There were more patients with CVD as a cause of medical admission in the Israel hospital as compared to the Nigerian hospital. Hypertension and HF were prevalent indications for CVD in FMC, Umuahia, Nigeria, while hypertension and IHD were the prevalent indications for admission in Sheba Medical Centre, Israel. Future studies are needed to monitor spectrum and frequency of cardiovascular admissions in view of evolving epidemiological transition in developing countries.
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