Pattern and trends of respiratory diseases in an outpatient setting: a five-year review in a tertiary hospital in South-South, Nigeria

Authors

  • Airenakho Emorinken Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria; Department of Medicine, Ambrose Alli University, Ekpoma, Edo State, Nigeria
  • Oluwaseun R. Agbadaola Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
  • Blessyn O. Akpasubi Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
  • Asuwemhe J. Ugheoke Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria; Department of Medicine, Ambrose Alli University, Ekpoma, Edo State, Nigeria
  • Mercy O. Dic-Ijiewere Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria. https://orcid.org/0000-0002-6225-6963
  • Hannah O. Izirein Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria https://orcid.org/0000-0002-8274-1464
  • Chidinma U. Ibeji Department of Internal Medicine, Uyoun Al Jawa General Hospital, Al Qassim, Saudi Arabia https://orcid.org/0000-0003-4945-7987
  • John C. Barrah Surgical Department, BMI Hendon Hospital, London, United Kingdom
  • Jessy G. Irumudomon Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria

DOI:

https://doi.org/10.18203/2320-6012.ijrms20231602

Keywords:

Nigeria, Outpatient, Pattern, Respiratory diseases

Abstract

Background: Limited information exists on the epidemiology of respiratory diseases in South-South Nigeria, especially regarding changing risk factors. This study aimed to assess the frequency and pattern of respiratory diseases in an adult outpatient clinic in a teaching hospital in South-South Nigeria.

Methods: Medical records of newly referred patients with respiratory diseases who received care at the chest clinic of Irrua Specialist Teaching Hospital from January 2018 to December 2022 were retrospectively reviewed.

Results: The study included 655 patients (mean age: 54.7±18.7 years). The majority of cases occurred in the 41-60 age group, and 55.4% were female. Non-communicable respiratory diseases accounted for 60.9% of cases, while communicable respiratory diseases accounted for 39.1%. The most common respiratory diseases observed were bronchial asthma (22.6%), tuberculosis (21.1%), chronic obstructive pulmonary disease (19.2%), pneumonia (11.1%), interstitial lung diseases (6.7%), and lung cancer (4.1%). Less common respiratory diseases included pulmonary aspergilloma (1.5%), pleural-related diseases (0.8%), hypersensitivity pneumonitis (0.8%), and obstructive sleep apnoea syndrome (0.6%). The study's annual trend showed a gradual increase in the number of respiratory cases, reaching a low point in 2020. Significant differences were found in the age and gender distribution of the top six respiratory diseases (p <0.001).

Conclusions: This study provides valuable insights into the demographic and disease patterns of respiratory diseases in an outpatient setting, informing targeted prevention and treatment measures for these conditions.

Author Biographies

Oluwaseun R. Agbadaola, Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria

 

 

Blessyn O. Akpasubi, Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria

 

 

Asuwemhe J. Ugheoke, Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria; Department of Medicine, Ambrose Alli University, Ekpoma, Edo State, Nigeria

 

 

Mercy O. Dic-Ijiewere, Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.

 

 

 

 

Hannah O. Izirein, Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria

 

 

Chidinma U. Ibeji, Department of Internal Medicine, Uyoun Al Jawa General Hospital, Al Qassim, Saudi Arabia

 

 

John C. Barrah, Surgical Department, BMI Hendon Hospital, London, United Kingdom

 

 

Jessy G. Irumudomon, Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria

 

 

References

Forum of International Respiratory Societies. The Global Impact of Respiratory Diseases-Third Edition, 2021. Available at: https://www.firsnet.org/images/publications/FIRS_Master_09202021.pdf. Accessed 8 January 2023.

Pinnock H, Sheikh A. Primary care research and clinical practice: respiratory disease. Postgrad Med J. 2009;85(1000):74-9.

Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the global burden of disease study 2019. Lancet. 2020;396(10258):1204-22.

World Health Organisation. Global Status Report on noncommunicable diseases, 2022. Available at https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed 3 January 2023.

Bousquet J, Kiley J, Bateman ED, Viegi G, Cruz AA, Khaltaev N, et al. Prioritised research agenda for prevention and control of chronic respiratory diseases. Eur Respir J. 2010;36(5):995-1001.

World Health Organisation. Household air pollution, 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/household-air-pollution-and-health. Accessed 6 January 2023.

World Health Organisation. The top 10 causes of death, 2020. Available at: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death. Accessed 6 January 2023.

Burney P, Jarvis D, Perez-Padilla R. The global burden of chronic respiratory disease in adults. Int J Tuberc Lung Dis. 2015;19(1):10-20.

Desalu OO, Oluwafemi JA, Ojo O. Respiratory diseases morbidity and mortality among adults attending a tertiary hospital in Nigeria. J Bras Pneumol. 2009;35(8):745-52.

Umoh VA, Otu A, Okpa H, Effa E. The Pattern of Respiratory Disease Morbidity and Mortality in a Tertiary Hospital in Southern-Eastern Nigeria. Pulm Med. 2013;2013:581973.

Adeoti AO, Olusesan Fadare J, Adekunle Ajayi E, Adekeye KA, Akolawole MA. Respiratory-related medical admissions in a tertiary institution in South-Western Nigeria. J Gen Pract. 2018;6(01).1000352.

Adeniyi B, Ilesanmi O, Fadare S, Akinyugha A, Erhabor G. Pattern of respiratory diseases among patients seen at the emergency unit of a tertiary health facility in South-West Nigeria. Niger J Health Sci. 2016;16(1):22.

Desalu OO, Ojo OO, Busari OA, Fadeyi A. Pattern of respiratory diseases seen among adults in an emergency room in a resource-poor nation health facility. Pan Afr Med J. 2011;9:24.

Ehondor OT, Agboje UO. Pattern and outcomes of admission of patients with respiratory diseases seen at the emergency unit of a tertiary hospital in southern Nigeria. J Global Biosci. 2020;9(2):6807-18.

Akanbi MO, Ukoli CO, Erhabor GE, Akanbi FO, Gordon SB. The burden of respiratory disease in Nigeria. Mera: Afr J Respir Med. 2009;4(1):10-7.

Akani AB, Dienye PO, Okokon IB. Respiratory symptoms amongst females in a fishing settlement in the Niger Delta, Nigeria. Afr J Prim Health Care Fam Med. 2011;3(1):152.

Emorinken A, Dic-Ijiewere MO, Olugbemide O, Atiri A, Oiwoh SO, Akpasubi BO, et al. Medical admissions in a rural teaching hospital in southern Nigeria: a retrospective review. Niger Med J. 2022;63(5):

Alasia DD, Umoh VA. Pattern and trends of respiratory disease: a six year review of ambulatory services in a tertiary hospital in Port Harcourt, Nigeria. Am J Med Sci Med. 2020;8(2):39-45.

Ojuawo OB, Desalu OO, Aladesanmi AO, Opeyemi CM, Azeez AT, Fawibe AE, et al. Outpatient burden of adult respiratory diseases in University of Ilorin Teaching Hospital, Nigeria. Niger J Clin Pract. 2022;25(8):1233-8.

Dubey A, Sharma P. Profile of respiratory problems in patients attending a tertiary care center OPD - A study from central India. Int J Med Res Rev. 2015;3(7):743-7.

Mehrotra A, Chernew M, Linetsky D, Hatch H, Cutler D. The Impact of the COVID-19 Pandemic on Outpatient Visits: A Rebound Emerges, 2020. 364-72. Available at https://www.commonwealthfund.org/publications/2020/apr/impact-covid-19-outpatient-visits. Accessed 29 March 2023.

Gordon SB, Bruce NG, Grigg J, Hibberd PL, Kurmi OP, Lam K, Bong H, et al. Respiratory risks from household air pollution in low- and middle-income countries. Lancet Respir Med. 2014;2(10):823-60.

Soriano JB, Kendrick PJ, Paulson KR, Gupta V, Abrams EM, Adedoyin RA, et al. Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Respir Med. 2020;8(6):585-96.

Adeniyi BO, Awokola BI, Irabor I, Obaseki DO, Ayeni EO, Alele BK, et al. Pattern of Respiratory Disease Admissions among Adults at Federal Medical Centre, Owo, South-West, Nigeria: A 5-Year Review. Ann Med Health Sci Res. 2017;7(2):96-101.

Snow KJ, Sismanidis C, Denholm J, Sawyer SM, Graham SM. The incidence of tuberculosis among adolescents and young adults: a global estimate. Eur Respir J. 2018;51(2):1702352.

Sharma BB, Singh S, Sharma KK, Sharma AK, Suraj KP, Mahmood T, et al. Proportionate clinical burden of respiratory diseases in Indian outdoor services and its relationship with seasonal transitions and risk factors: The results of SWORD survey. PLoS One. 2022;17(8):e0268216.

Binegdie AB, Meme H, El Sony A, Haile T, Osman R, Miheso B, et al. Chronic respiratory disease in adult outpatients in three African countries: a cross-sectional study. Int J Tuberc Lung Dis. 2022;26(1):18-25.

Dharmage SC, Perret JL, Custovic A. Epidemiology of asthma in children and adults. Front Pediatr. 2019;7:246.

Pinkerton KE, Harbaugh M, Han MK, Jourdan Le Saux C, Van Winkle LS, Martin WJ, et al. Women and lung disease. sex differences and global health disparities. Am J Respir Crit Care Med. 2015;192(1):11-6.

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Published

2023-05-29

How to Cite

Emorinken, A., Agbadaola, O. R., Akpasubi, B. O., Ugheoke, A. J., Dic-Ijiewere, M. O., Izirein, H. O., Ibeji, C. U., Barrah, J. C., & Irumudomon, J. G. (2023). Pattern and trends of respiratory diseases in an outpatient setting: a five-year review in a tertiary hospital in South-South, Nigeria. International Journal of Research in Medical Sciences, 11(6), 1919–1925. https://doi.org/10.18203/2320-6012.ijrms20231602

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Original Research Articles