Pattern of Admission and Outcome at Accident and Emergency Unit of a Tertiary Institution in South-eastern Nigeria: A 2-Year Retrospective Study
Promise Udoka Asogwa *
Enugu State University Teaching Hospital, Parklane, Nigeria.
Michael Chinweuba Abonyi
Enugu State University Teaching Hospital, Parklane, Nigeria.
Goeffrey Okike Okorie
Enugu State University Teaching Hospital, Parklane, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Aim: To determine the pattern of admission and outcome at accident and emergency unit of Enugu state university teaching hospital.
Study Design: A retrospective analytical study.
Place and Duration: Accident and emergency unit, Enugu state university teaching hospital. From January, 2022 to March, 2024.
Methodology: This is a retrospective study involving abstraction of data from patients records at accident and emergency unit of Enugu State University Teaching Hospital between January 2022 and March, 2024. A total of 5062 patients were admitted within the period, and percentages of medical, surgical and gynaecological cases were determined.
Results: There were 2856 (56.4%) males and 2206 (43.6%) females with a M:F ratio of 1.3:1. Stroke was the commonest medical case (15%) while trauma from road traffic accident was the commonest surgical case (9%).
58.3% were medical cases, 31% were surgical while obstetrics and gynaecological cases were 1.3%. Unclassified cases were 9.3%. For the patients’ outcome, 57.6% of the cases were admitted to the wards, 40% were discharged from Accident and emergency unit, 27% died while 8% signed against medical advice.
Conclusion: Presentation at the accident and emergency units of teaching hospitals in the south-eastern region is high with poor clinical outcomes hence the urgent need for improved care of patients for better outcome.
Keywords: Pattern of admission, outcome, accident /emergency esut hospital