Jurnal Internasional Afrika vol.9 issue.4 2019
African Journal of Emergency Medicine
The burden of acute coronary syndrome, heart failure, and stroke among emergency department admissions in Tanzania: A retrospective observational study
Dublin Core
Title
Jurnal Internasional Afrika vol.9 issue.4 2019
African Journal of Emergency Medicine
The burden of acute coronary syndrome, heart failure, and stroke among emergency department admissions in Tanzania: A retrospective observational study
African Journal of Emergency Medicine
The burden of acute coronary syndrome, heart failure, and stroke among emergency department admissions in Tanzania: A retrospective observational study
Subject
Acute coronary syndrome
Heart failure
Stroke
Sub-Saharan Africa
Heart failure
Stroke
Sub-Saharan Africa
Description
Introduction: The prevalence of cardiovascular disease in sub-Saharan Africa is substantial and growing. Much
remains to be learned about the relative burden of acute coronary syndrome (ACS), heart failure, and stroke on
emergency departments and hospital admissions.
Methods: A retrospective chart review of admissions from September 2017 through March 2018 was conducted
at the emergency department of a tertiary care center in northern Tanzania. Stroke admission volume was
compared to previously published data from the same hospital and adjusted for population growth.
Results: Of 2418 adult admissions, heart failure and stroke were the two most common admission diagnoses,
accounting for 294 (12.2%) and 204 (8.4%) admissions, respectively. ACS was uncommon, accounting for 9
(0.3%) admissions. Of patients admitted for heart failure, uncontrolled hypertension was the most commonly
identified etiology of heart failure, cited in 124 (42.2%) cases. Ischemic heart disease was cited as the etiology in
only 1 (0.3%) case. Adjusting for population growth, the annual volume of stroke admissions increased 70-fold
in 43 years, from 2.9 admissions per 100,000 population in 1974 to 202.2 admissions per 100,000 in 2017.
Conclusions: The burden of heart failure and stroke on hospital admissions in Tanzania is substantial, and the
volume of stroke admissions is rising precipitously. ACS is a rare diagnosis, and the distribution of cardiovascular
disease phenotypes in Tanzania differs from what has been observed outside of Africa. Further research is needed
to ascertain the reasons for these differences.
remains to be learned about the relative burden of acute coronary syndrome (ACS), heart failure, and stroke on
emergency departments and hospital admissions.
Methods: A retrospective chart review of admissions from September 2017 through March 2018 was conducted
at the emergency department of a tertiary care center in northern Tanzania. Stroke admission volume was
compared to previously published data from the same hospital and adjusted for population growth.
Results: Of 2418 adult admissions, heart failure and stroke were the two most common admission diagnoses,
accounting for 294 (12.2%) and 204 (8.4%) admissions, respectively. ACS was uncommon, accounting for 9
(0.3%) admissions. Of patients admitted for heart failure, uncontrolled hypertension was the most commonly
identified etiology of heart failure, cited in 124 (42.2%) cases. Ischemic heart disease was cited as the etiology in
only 1 (0.3%) case. Adjusting for population growth, the annual volume of stroke admissions increased 70-fold
in 43 years, from 2.9 admissions per 100,000 population in 1974 to 202.2 admissions per 100,000 in 2017.
Conclusions: The burden of heart failure and stroke on hospital admissions in Tanzania is substantial, and the
volume of stroke admissions is rising precipitously. ACS is a rare diagnosis, and the distribution of cardiovascular
disease phenotypes in Tanzania differs from what has been observed outside of Africa. Further research is needed
to ascertain the reasons for these differences.
Creator
Julian T. Hertz, Francis M. Sakita, Alexander T. Limkakeng, Blandina T. Mmbaga, Lambert T. Appiah, John A. Bartlett, Sophie W. Galson
Source
https://doi.org/10.1016/j.afjem.2019.07.001
Date
12 July 2019
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Julian T. Hertz, Francis M. Sakita, Alexander T. Limkakeng, Blandina T. Mmbaga, Lambert T. Appiah, John A. Bartlett, Sophie W. Galson, “Jurnal Internasional Afrika vol.9 issue.4 2019
African Journal of Emergency Medicine
The burden of acute coronary syndrome, heart failure, and stroke among emergency department admissions in Tanzania: A retrospective observational study,” Repository Horizon University Indonesia, accessed April 20, 2025, https://repository.horizon.ac.id/items/show/1787.
African Journal of Emergency Medicine
The burden of acute coronary syndrome, heart failure, and stroke among emergency department admissions in Tanzania: A retrospective observational study,” Repository Horizon University Indonesia, accessed April 20, 2025, https://repository.horizon.ac.id/items/show/1787.