TITLE:
Mortality in Cardiology in Sub-Saharan Africa: Case of the Cardiology Department of the Teaching Hospital Sylvanus Olympio of Lome
AUTHORS:
Afassinou Yaovi Mignazonzon, Dola Kossi Edem, Pessinaba Soulemane, Atta Borgatia, Pio Machihude, Baragou Soodougoua, Damorou Findibe
KEYWORDS:
Mortality Rate, Cardiology, CHU Sylvanus Olympio
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.13 No.8,
August
10,
2023
ABSTRACT: Background: Cardiovascular disease is the leading cause of
death worldwide. The specificities of cardiology mortality in Togo are not well
known. The objective of this study was to determine the profile of deaths in
the cardiology department of the Sylvanus Olympio Teaching Hospital (CHU SO) in
Lome. Materials and Methods: This was a cross-sectional study conducted
over a period of 06 years, from January 1, 2015 to December 31, 2021, in the
cardiology department of the Sylvanus Olympio Teaching Hospital in Lome. In
this study, we included all medical records of patients who died in hospital in
the cardiology department during the study period. Results: During the study period, 2762 patients were hospitalized
in the cardiology unit at CHU SO. We recorded 112 deaths meeting our criteria,
for an intrahospital mortality rate of 4.19%. The average age of patients was
53.79 ± 18.27 years. Hypertension was present in 47.3%. Sickness insurance
coverage was not available for 94.64% of those who died. The major
cardiovascular diseases observed were myocardium in 43.75% whose dilated
cardiomyopathy accounted for 71.42%; and rhythmic lesions in 34.82%. Biological
infectious syndrome (56.25%), renal failure (48.21%), anemia (47.27%), lung
infection (32.14%), hyponatremia (33.04%) were the main comorbidities observed.
Among the circumstances of death, sudden death was found in 32.14%, cardiogenic
shock in 20.54% and septic shock in 13.39%. Conclusion: The profile
of deaths in the cardiology department of the CHU SO reveals that myocardial
injuries are more present with circumstances of death dominated by sudden
death.