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The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the COVID-19 pandemic: A cross sectional descriptive study

Globally, respiratory diseases cause 10 million deaths every year. With the COVID-19 pandemic, the burden of respiratory illness increased and led to significant morbidity and mortality in both high- and low-income countries. This study assessed the burden and trend of respiratory conditions among p...

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Autores principales: Ndumwa, Harrieth P., Mboya, Erick A., Amani, Davis Elias, Mashoka, Ramadhani, Nicholaus, Paulina, Haniffa, Rashan, Beane, Abi, Mfinanga, Juma, Sunguya, Bruno, Sawe, Hendry R., Baker, Tim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021642/
https://www.ncbi.nlm.nih.gov/pubmed/36962777
http://dx.doi.org/10.1371/journal.pgph.0000781
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author Ndumwa, Harrieth P.
Mboya, Erick A.
Amani, Davis Elias
Mashoka, Ramadhani
Nicholaus, Paulina
Haniffa, Rashan
Beane, Abi
Mfinanga, Juma
Sunguya, Bruno
Sawe, Hendry R.
Baker, Tim
author_facet Ndumwa, Harrieth P.
Mboya, Erick A.
Amani, Davis Elias
Mashoka, Ramadhani
Nicholaus, Paulina
Haniffa, Rashan
Beane, Abi
Mfinanga, Juma
Sunguya, Bruno
Sawe, Hendry R.
Baker, Tim
author_sort Ndumwa, Harrieth P.
collection PubMed
description Globally, respiratory diseases cause 10 million deaths every year. With the COVID-19 pandemic, the burden of respiratory illness increased and led to significant morbidity and mortality in both high- and low-income countries. This study assessed the burden and trend of respiratory conditions among patients presenting to the emergency department of Muhimbili National Hospital in Tanzania and compared with national COVID-19 data to determine if this knowledge may be useful for the surveillance of disease outbreaks in settings of limited specific diagnostic testing. The study used routinely collected data from the electronic information system in the Emergency Medical Department (EMD) of Muhimbili National Hospital in Tanzania. All patients presenting to the EMD in a 2-year period, 2020 and 2021 with respiratory conditions were included. Descriptive statistics and graphical visualizations were used to describe the burden of respiratory conditions and the trends over time and to compare to national Tanzanian COVID-19 data during the same period. One in every four patients who presented to the EMD of the Muhimbili National Hospital had a respiratory condition– 1039 patients per month. Of the 24,942 patients, 52% were males, and the median age (IQR) was 34.7 (21.7, 53.7) years. The most common respiratory diagnoses were pneumonia (52%), upper respiratory tract infections (31%), asthma (4.8%) and suspected COVID-19 (2.5%). There were four peaks of respiratory conditions coinciding with the four waves in the national COVID-19 data. We conclude that the burden of respiratory conditions among patients presenting to the EMD of Muhimbili National Hospital is high. The trend shows four peaks of respiratory conditions in 2020–2021 seen to coincide with the four waves in the national COVID-19 data. Real-time hospital-based surveillance tools may be useful for early detection of respiratory disease outbreaks and other public health emergencies in settings with limited diagnostic testing.
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spelling pubmed-100216422023-03-17 The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the COVID-19 pandemic: A cross sectional descriptive study Ndumwa, Harrieth P. Mboya, Erick A. Amani, Davis Elias Mashoka, Ramadhani Nicholaus, Paulina Haniffa, Rashan Beane, Abi Mfinanga, Juma Sunguya, Bruno Sawe, Hendry R. Baker, Tim PLOS Glob Public Health Research Article Globally, respiratory diseases cause 10 million deaths every year. With the COVID-19 pandemic, the burden of respiratory illness increased and led to significant morbidity and mortality in both high- and low-income countries. This study assessed the burden and trend of respiratory conditions among patients presenting to the emergency department of Muhimbili National Hospital in Tanzania and compared with national COVID-19 data to determine if this knowledge may be useful for the surveillance of disease outbreaks in settings of limited specific diagnostic testing. The study used routinely collected data from the electronic information system in the Emergency Medical Department (EMD) of Muhimbili National Hospital in Tanzania. All patients presenting to the EMD in a 2-year period, 2020 and 2021 with respiratory conditions were included. Descriptive statistics and graphical visualizations were used to describe the burden of respiratory conditions and the trends over time and to compare to national Tanzanian COVID-19 data during the same period. One in every four patients who presented to the EMD of the Muhimbili National Hospital had a respiratory condition– 1039 patients per month. Of the 24,942 patients, 52% were males, and the median age (IQR) was 34.7 (21.7, 53.7) years. The most common respiratory diagnoses were pneumonia (52%), upper respiratory tract infections (31%), asthma (4.8%) and suspected COVID-19 (2.5%). There were four peaks of respiratory conditions coinciding with the four waves in the national COVID-19 data. We conclude that the burden of respiratory conditions among patients presenting to the EMD of Muhimbili National Hospital is high. The trend shows four peaks of respiratory conditions in 2020–2021 seen to coincide with the four waves in the national COVID-19 data. Real-time hospital-based surveillance tools may be useful for early detection of respiratory disease outbreaks and other public health emergencies in settings with limited diagnostic testing. Public Library of Science 2022-12-09 /pmc/articles/PMC10021642/ /pubmed/36962777 http://dx.doi.org/10.1371/journal.pgph.0000781 Text en © 2022 Ndumwa et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ndumwa, Harrieth P.
Mboya, Erick A.
Amani, Davis Elias
Mashoka, Ramadhani
Nicholaus, Paulina
Haniffa, Rashan
Beane, Abi
Mfinanga, Juma
Sunguya, Bruno
Sawe, Hendry R.
Baker, Tim
The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the COVID-19 pandemic: A cross sectional descriptive study
title The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the COVID-19 pandemic: A cross sectional descriptive study
title_full The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the COVID-19 pandemic: A cross sectional descriptive study
title_fullStr The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the COVID-19 pandemic: A cross sectional descriptive study
title_full_unstemmed The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the COVID-19 pandemic: A cross sectional descriptive study
title_short The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the COVID-19 pandemic: A cross sectional descriptive study
title_sort burden of respiratory conditions in the emergency department of muhimbili national hospital in tanzania in the first two years of the covid-19 pandemic: a cross sectional descriptive study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021642/
https://www.ncbi.nlm.nih.gov/pubmed/36962777
http://dx.doi.org/10.1371/journal.pgph.0000781
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