The pattern of diabetic admissions in UCTH Calabar, South Eastern Nigeria: A five year review

Background: The world's adult population is increasing rapidly. This increase is expected to lead to an increase in the prevalence of diabetes especially in developing countries like Nigeria. Diabetes places a large burden on the society more so when it becomes complicated. Thisstudy is designed to provide information on hospitalisation trends and their outcomes among diabetic patients.Methods: This was a 5 year retrospective analysis of hospitalisation trends and outcomes among diabetics admitted into the medical wards of UCTH Calabar between January 2006 and December 2010. Information was obtained from their case files and data was analysed using SPSS version 18 soft ware.Results: A total of 3490 patients were admitted into the medical wards during the period under review. Diabetes accounted for 360 (9.64%) of admissions. The average age of the subjects was 48.5 ± 14.0 years. The mean duration of Diabetes was 11 ± 7.2 years (range 1-32 years). HHS was the most frequent indication for admission (35.8%) followed by DKA (21.7%) and diabetic foot syndrome (15.8%). The duration of hospitalisation ranged from 1 to 150 days with an average of 18.7 ± 18.8 days. Mean duration of hospitalisation was longest for diabetic foot syndrome (38.5 ± 36.4 days) and least for UTI (7.3 ± 5.0 days). Three hundred and nine patients (85.8%) were treated and discharged while 48 (13.3%) left against medical advice and 3 (0.8%) died while on admission. A majority of patients who left against medical advice were admitted for DFS (50.0%). 53.3% of the patients had blood pressure above 140/90 on admission and 69% of the subjects were non-compliant with their treatment.Conclusion: Diabetes is a major cause of hospitalisation in our hospitals and most of the complications are preventable. With proper patient education and adherence to management, the burden of DM can be reduced in our society

Predictors of hypertension in an urban HIV-infected population at the University of Calabar Teaching Hospital, Calabar, Nigeria

Henry Ohem Okpa,1 Elvis Mbu Bisong,2 Ofem Egbe Enang,1 Emmanuel Monjok,2,3 Ekere James Essien3 1Department of Internal Medicine, 2Department of Family Medicine, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria; 3Institute of Community Health, University of Houston, Texas Medical Center, Houston, TX, USA Background: The introduction of highly active antiretroviral therapy (HAART) has remarkably improved the prognosis of human immunodeficiency virus (HIV)-infected patients, at the expense of the development of long-term complications such as cardiovascular and renal diseases. Hypertension (HTN) is a major risk factor for cardiovascular diseases and its associated mortality. In this study, we aimed to determine the prevalence of HTN and to identify possible predictors among HIV-infected patients attending the HIV Special Treatment Clinic at the University of Calabar Teaching Hospital, Calabar.Materials and methods: A cross-sectional study was carried out over a 5-month period from February to July 2016. A total of 112 HIV-infected persons were consecutively recruited and their blood pressures were measured in two consecutive clinic visits. They were compared with the HIV-negative control group (n=309). Data collected were analyzed with SPSS 18, and statistical significance was set at P<0.05.Results: There was a female preponderance in both the HIV-infected individuals and HIV-negative control group (57.5% vs. 57.4%). The mean ages were 39.3 and 33.9 years in HIV-infected and HIV-negative subjects, respectively. The risk factors that were associated with HTN in both groups were older age (>40 years), increased weight and body mass index (BMI), and presence of obesity. Male sex and duration of exposure to HAART and CD4 count levels >200 cells/mm3 were associated with HTN in HIV-infected patients, whereas the absence of family history of HTN was significantly associated with HTN in both groups. However, in a multivariate logistic regression, the predictors of HTN in both groups are absence of family history of HTN and older age in HIV-infected patients and HIV-negative subjects, respectively.Conclusion: Traditional risk factors such as older age, increased BMI, and obesity were linked to HTN in both HIV-infected and HIV-negative subjects, but higher CD4 count level and cumulative HAART exposure were associated with HTN in HIV-positive individuals. In a multivariate logistic regression, the predictors of HTN in both groups are absence of family history of HTN and older age in HIV-infected patients and HIV-negative subjects, respectively. Keywords: hypertension, urban, HIV, population, Calabar, Nigeri

Self-Assessed Health Status and Morbidity Experiences among College Students in Nigeria: A Study of Federal College of Education, Obudu

Self reported or self rated health is a situation of determining ones health status. Studies relating to it are scarce in Africa. The present study examined its prevalence and its relationship with actual experience of morbidity. From the study, it was found that self rated health status is not common in Nigeria. There was a significant relationship between self rated health status and actual experience of morbidity. Further study involving clinical testing is recommended to establish a policy framework for self accessed health status in order to reduce morbidity amongst college students in Nigeria and Obudu in particular