Patterns of Mortality Occurrence in a Cardiology Unit of a Low-Income Country: A Critical Analysis at the YaoundéCentral Hospital

作     者：Liliane Mfeukeu Kuaté Mazou Ngou Temgoua Hamadou Ba Chris Nadège Nganou Doriane Mbono Bidias Ndongo Joel Nouktadie Tochie Eugene Sobngwi Liliane Mfeukeu Kuaté;Mazou Ngou Temgoua;Hamadou Ba;Chris Nadège Nganou;Doriane Mbono;Bidias Ndongo;Joel Nouktadie Tochie;Eugene Sobngwi

作者机构：Faculty of Medicine and Biomedical Sciences University of Yaoundé 1 Yaoundé Cameroon Cardiology Unit Central Hospital of Yaoundé Yaoundé Cameroon 

出 版 物：《World Journal of Cardiovascular Diseases》 (心血管病（英文）)

年 卷 期：2021年第11卷第2期

页      面：126-134页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Mortality Occurrence Low Income Country Yaoundé Central Hospital Criti-cal Analysis 

摘      要：Background: In-hospital mortality is high in low-income countries. Currently, little is known in Cameroon concerning the characteristics of patients who die in cardiology units. Our objectives were to determine the in-hospital mortality rate;describe the general characteristics of death patients, and factors associated with mortality. Material and Methods: We conducted a retrospective cross-sectional study by reviewing the medical records of all patients admitted to the cardiology unit of the Yaoundé Central Hospital (CHY) between January 2018 andJanuary 2019. The files of all death patients were studied for socio-demographical, clinical and therapeutical variables. Bivariate analysis was conducted to order to check the association between independents variables and time of death. A p-value 0.05 was considered statistically significant. Results: A total number of 860 patients were admitted in the cardiology unit of CHY during the study period. Amongst the 860 patients admitted 78 had a fatal outcome, hence, an in-hospital mortality rate of 9.06%. The male gender was predominant amongst the deceased patients (n = 45). The mean age at death was 69 ± 15.19 years. The median time before death was 6 days and they ranged between 1 to 25 days. Hypertension was the most frequent comorbidity (65.4%). Stroke was the principal cause of admission (40.3%), whereas the main presenting complaint was dyspnea (26.9%). Before being a