Source: Annual Congress 2002 - Important lung infections worldwide
Disease area: Respiratory infections

Abstract

Aim : To document the impact of HIV on admissions, disease profile and mortality in medical wards at a tertiary hospital in South Africa
Methods : Hospital discharge summaries from Jan 1994 - Dec 2000 were analysed.
Results :

year	Total HIV+	HIV+Paed	HIV+nonMed/nonPaed	HIV+medicine	in hosp. mortality
1994	1041	172	107	762	226
1995	1936	431	217	1288	416
1996	2326	575	210	1541	501
1997	4092	935	306	2851	970
1998	4030	924	420	2686	926
1999	4575	983	376	3216	1099
2000	5117	915	446	3756	1251
Total	23117	4935	2082	16100	5489 23.7%

For all years medical mortality accounted for 75 % of total HIV mortality. In the year 2000 HIV related mortality occurred in a median of 6 days and accounted for 60 % of all mortality in medical wards. Gender specific cumulative mortality demonstrated that 50% of women died by the age of 29 and 56 % of men by the age of 34.
In 2000, the commonest reason for admission was Tuberculosis - 1582
( 46.9 % ) and the most frequent cause of mortality - 38.5 %.
Conclusion : These data represent the largest survey on the impact of HIV over time in South Africa and is a serious indictment of the human impact and health policies of the country. The utilisation of resources of tertiary hospitals and the burden of Tuberculosis with its contribution to mortality is clearly demonstrated.

Rating:

Share or cite this content

Citations should be made in the following way:
E. M. Irusen, U. G. Lalloo (Tygerberg, Durban, South Africa). Rising admisssions and mortality at a tertiary hospital in KwaZulu Natal,South Africa. Eur Respir J 2002; 20: Suppl. 38, 3805

Member's Comments

No comment yet.

Related content which might interest you: Death rates in patients during and after MDR-TB treatment in a semi rural area of South Africa Source: Annual Congress 2011 - Risk factors and treatment outcomes in multidrug- and extensively drug-resistant tuberculosis Year: 2011 Trends in hospital-based management of acute asthma from a teaching hospital in South Asia Source: Eur Respir J 2005; 26: Suppl. 49, 508s Year: 2005 Prevalence and characteristic of drug-resistant tuberculosis patients in South Halmahera District, eastern Indonesia Source: Virtual Congress 2020 – Tuberculosis and adverse events in different populations Year: 2020 Prevalence of bronchial hyperresponsiveness in a low-income urban area of Cape Town, South Africa Source: Eur Respir J 2005; 26: Suppl. 49, 379s Year: 2005 The use of antibiotics in primary care: a cross-sectional survey of a rural city in South Turkey Source: Eur Respir J 2007; 30: Suppl. 51, 124s Year: 2007 Incidence of latent tuberculosis infection(LTBI) among high risk healthcare workers at a tertiary referral hospital in South Korea. Source: International Congress 2017 – Migrants and screening Year: 2017 Performance outcomes of a standardized LAM antigen-detected test in TB suspects recruited in Cape Town, South Africa Source: Annual Congress 2008 - Clinical epidemiology of tuberculosis Year: 2008 Prognosis and outcome in patients with extremely drug resistant tuberculosis from the Western Cape province, South Africa Source: Annual Congress 2008 - Outcomes of tuberculosis treatment Year: 2008 Traditional healers, treatment delay, performance status and death from tuberculosis in rural South Africa Source: Eur Respir J 2005; 26: Suppl. 49, 428s Year: 2005 Tuberculosis care among refugees arriving in Europe: a ERS/WHO Europe Region survey of current practices Source: Eur Respir J 2016; 48: 808-817 Year: 2016 Drug resistance and HIV rates are high in Eastern European patients with Tuberculosis in a South East London Hospital Source: International Congress 2019 – Extra-pulmonary tuberculosis and comorbidities Year: 2019 TB program for refugees in Russian North Caucasus Source: Eur Respir J 2002; 20: Suppl. 38, 163s Year: 2002 Inequalities in access to TB services in an eastern county of England Source: Annual Congress 2010 - Tuberculosis epidemiology Year: 2010 Changes in fatal and near-fatal asthma in an urban area of South Africa from 1980-1997 Source: Eur Respir J 2001; 18: 33-37 Year: 2001 Risk factors for bronchial hyperresponsiveness in Cape Town, South Africa: results from a community survey Source: Eur Respir J 2006; 28: Suppl. 50, 232s Year: 2006 Mycobacterial disease in south west Scotland Source: Eur Respir J 2004; 24: Suppl. 48, 419s Year: 2004 The travel burden for patients diagnosed with lung cancer at a District General Hospital in South East London. Source: Virtual Congress 2020 – Management issues in thoracic oncology Year: 2020 Culture conversion rates of multi-drug resistant (MDR-TB) patients treated in the community versus an inpatient setting in a rural area of the Western Cape (WC) of South Africa Source: Annual Congress 2012 - Pros and cons of MDR- and XDR-TB treatment Year: 2012 South australian asthma surveillance Source: Annual Congress 2009 - Epidemiology of asthma Year: 2009 Tuberculosis-related mortality in southeast Essex Source: Eur Respir J 2007; 30: Suppl. 51, 519s Year: 2007