Analysis of admissions in a West African urology centre: A crux in urologic capacity building

Abstract

Background: Adequate acquaintance with urologic admissions and interventions offered to patients in a community over a span of time is an invaluable framework for capacity building and health care planning. We undertook a 3-year appraisal of admissions with interventions as a tool for further urologic capacity building at the Abubakar Imam Urology Centre Kano, Nigeria. Patients and Methods: Records of all the admissions between January 2012 and December 2014 were retrieved. The suitable data were extracted, analyzed, and displayed using the Statistical Package for the Social Sciences version 21. Results: One thousand five hundred and four patients were admitted and treated; male-to-female ratio was 13:1. The patient's mean age was 50.1 years (±23.3). The most common admitting diagnosis was benign prostatic hyperplasia (BPH) followed by urethral stricture then urolithiasis. Malignancies and congenital anomalies were 4 th and 5 th , respectively. The mean hospital stay was 9.77 (±6.1) days. Overall mortality recorded was 8.17%. Conclusion: The study recognized BPH and its complications as the dominating determinants of admissions and mortality, respectively. Heightened health awareness is required to subdue the strain of delayed complicated presentations to the center. The study underscores the need for further capacity building in the center to advance minimal hospital stay, morbidity, and mortality among the inpatients.