부산대학교 도서관

Non-communicable diseases represent the second common cause of death in Sub-Saharan Africa (SSA) accounting for 50% of deaths in several countries. Furthermore, 80% of cardiovascular diseases (CVD) deaths occurs in low and middle-income countries. Data regarding the characteristic of patients with CVDs are scarce in SSA. To describe hospital admission for CVD and care components in 17 in SSA countries. We conducted a transversal and longitudinal study in CV departments of 37 hospitals (public and private) in 17 SSA countries. The February study is an ongoing observatory included all inpatients in February from each year since 2016. Data including socio-demographic and clinical characteristics, CV risk factors, causes of admission, medication and length of stay were collected during hospitalization by the investigating physicians. Patient wealth index was assessed by physicians as low, middle and high according to patient capacity to afford hospitalization. All analyses were performed with random effect on countries and through scripts developed in the R software 4.0.3. Overall, 4360 in-hospital patients were included in the February study, the mean age was 56.7 ± 16.8 years, and 56.4 % were men. Individual wealth index was low, middle and high in 1158 (27.7%), 1812 (43.4%) and 1203 (28.8%) patients, respectively. The main cause of hospital admission was heart failure (41.5%)(figure) followed by acute coronary syndrome (11.9%) and stroke (11%). Causes of admission varied significantly across countries and over years. Overall, 73.8% of patients had at least one CV risk factors and hypertension (≥ 140±90mmHg) was noticed in 55.2% of patients. Average length of stay was 10 days. Mortality rate was 11% and did not vary over time but was significantly different according to patient wealth index (p<0.05) consistent by sex, age, and type of hospital.The February observatory provides reliable data in SAA. High rate of hospitalization mortality remain open to investigation.