We have located links that may give you full text access.
Evaluation of Documentation of Admissions into A Geriatrics Unit in Nigeria: 2014-2018.
West African Journal of Medicine 2021 January
BACKGROUND AND AIMS: The Geriatrics Unit in University of Benin Teaching Hospital (UBTH), Nigeria was established in March 2014 to provide specialized healthcare to older persons. We undertook a review of admissions into the unit in order to characterize disease patterns, identify gaps and make recommendations for service improvement.
METHODS: Admissions from April 1, 2014, to March 31, 2018, were classified into age groups. Diseases were classified using the International Classification of Diseases (ICD-10 CM). Challenges with documentation were identified and summarized.
RESULTS: All documentation and data extraction were manually done; some data sources were hard to reach. A total of 835 elderly patients were admitted during the period under review, of whom 51.8% were females. Almost half of patients (48.1%) were aged 60-74 years; 15% were 85 years and above. "Sepsis, unspecified organism" (ICD-10 code A41.9) was the leading single diagnosis (10.2%). Pneumonia (ICD-10 code J18) and urinary tract infection (ICD-10 code N39.0) were the most frequent infections that caused sepsis. Diabetes and hypertension contributed 16.8% and 3.9%, respectively. Delirium, vascular dementia and Alzheimer's disease accounted for 4%, 0.8% and 0.3%, respectively.
CONCLUSIONS: This evaluation enabled the description of disease patterns in our geriatrics unit, and revealed documentation gaps. Based on our findings, we argue for interventions to improve documentation and to reduce the burden of infections, diabetes and hypertension which were the major causes of disease in older persons in our unit.
METHODS: Admissions from April 1, 2014, to March 31, 2018, were classified into age groups. Diseases were classified using the International Classification of Diseases (ICD-10 CM). Challenges with documentation were identified and summarized.
RESULTS: All documentation and data extraction were manually done; some data sources were hard to reach. A total of 835 elderly patients were admitted during the period under review, of whom 51.8% were females. Almost half of patients (48.1%) were aged 60-74 years; 15% were 85 years and above. "Sepsis, unspecified organism" (ICD-10 code A41.9) was the leading single diagnosis (10.2%). Pneumonia (ICD-10 code J18) and urinary tract infection (ICD-10 code N39.0) were the most frequent infections that caused sepsis. Diabetes and hypertension contributed 16.8% and 3.9%, respectively. Delirium, vascular dementia and Alzheimer's disease accounted for 4%, 0.8% and 0.3%, respectively.
CONCLUSIONS: This evaluation enabled the description of disease patterns in our geriatrics unit, and revealed documentation gaps. Based on our findings, we argue for interventions to improve documentation and to reduce the burden of infections, diabetes and hypertension which were the major causes of disease in older persons in our unit.
Full text links
Related Resources
Trending Papers
Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical Research in Cardiology : Official Journal of the German Cardiac Society 2024 April 12
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
Efficacy and safety of pharmacotherapy in chronic insomnia: A review of clinical guidelines and case reports.Mental Health Clinician 2023 October
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app