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Medical causes of death in a teaching hospital in South-Eastern Nigeria: A 16 year review.
[typhoid]
Most
developing
regions
of
the
world
are
undergoing
gradual
epidemiological
transition
resulting
in
high
burden
of
both
communicable
and
noncommunicable
diseases
.
This
affects
the
pattern
of
death
in
this
region
.
The
objective
of
this
study
is
to
determine
the
causes
of
death
in
the
medical
wards
of
the
University
of
Nigeria
Teaching
Hospital
,
Ituku
/
Ozalla
,
Enugu
,
South
-
East
Nigeria
from
1995
to
2010
.
Data
were
collected
retrospectively
from
January
1995
to
December
2010
.
Statistical
Package
for
Social
Sciences
(
SPSS
Inc
.
Chicago
,
IL
,
USA
)
version
17
.
0
was
used
.
Simple
descriptive
statistics
were
done
.
Student
's
t-test
was
used
to
compare
means
of
continuous
variables
,
while
Chi
-square
test
was
used
to
test
significance
of
differences
between
two
proportions
.
The
mortality
rate
was
22
.
8
%
(
6250
/
27
,
514
)
admissions
.
The
male
to
female
ratio
was
1
.
7
:
1
.
Infections
(
20
.
2
%
)
were
the
most
common
cause
of
death
.
However
,
chronic
kidney
disease
was
the
single
most
common
disease
entity
causing
death
(
12
.
3
%
)
.
Other
important
causes
of
death
in
order
of
prevalence
were
cerebrovascular
accident
(
10
.
5
%
)
,
acquired
immune
deficiency
syndrome
and
tuberculosis
either
alone
or
as
co
-infection
(
10
.
3
%
)
,
heart
failure
(
8
.
8
%
)
,
chronic
liver
disease
(
7
.
0
%
)
,
septicemia
(
6
.
5
%
)
,
respiratory
failure
(
5
.
3
%
)
,
diabetes
mellitus
(
4
.
6
%
)
,
cardiac
arrhythmias
(
2
.
9
%
)
,
and
primary
liver
cell
carcinoma
(
2
.
7
%
)
.
There
were
few
deaths
from
tetanus
,
malaria
,
typhoid
fever
,
and
coronary
artery
disease
.
Mortality
is
high
in
our
medical
wards
and
reflects
the
emerging
trend
of
mixed
disease
spectrum
comprising
communicable
and
noncommunicable
diseases
.
Diseases
Validation
Diseases presenting
"common cause"
symptom
achondroplasia
acute rheumatic fever
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
child syndrome
coats disease
congenital adrenal hyperplasia
congenital toxoplasmosis
cushing syndrome
erdheim-chester disease
esophageal adenocarcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
pendred syndrome
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
zellweger syndrome
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