The burden of inpatient neurologic disease in two Ethiopian hospitals

J. H. Bower, J. Asmera, M. Zebenigus, P. Sandroni, S. M. Bower, G. Zenebe

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

OBJECTIVES: To define the burden of inpatient neurologic disease seen in Ethiopian teaching hospitals. METHODS: We reviewed records of all medical inpatients admitted over a 6-month period to two teaching hospitals, one with and one without neurologists. RESULTS: Neurologic cases made up 18.0% and 24.7% of all medical admissions. The mortality rates were 21.8% and 34.7%. Noninfectious diseases were 36.7% and 31.7% of neurologic cases, but unknown etiologies made up 42.2% and 29.0% of all cases. Of total cases, only 42.9% and 24.1% had at least a high level of diagnostic certainty. CONCLUSIONS: Patients with neurologic disease make up a substantial minority of medical inpatients in Ethiopia. Noninfectious neurologic disease is at least as common as infectious neurologic disease. Reaching a well-defined final diagnosis occurs in only a minority of cases. Areas for improving the mortality rate include improving the barriers to diagnostic certainty and increasing treatment options for Ethiopian patients.

Original languageEnglish (US)
Pages (from-to)338-342
Number of pages5
JournalNeurology
Volume68
Issue number5
DOIs
StatePublished - Jan 2007

ASJC Scopus subject areas

  • Clinical Neurology

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    Bower, J. H., Asmera, J., Zebenigus, M., Sandroni, P., Bower, S. M., & Zenebe, G. (2007). The burden of inpatient neurologic disease in two Ethiopian hospitals. Neurology, 68(5), 338-342. https://doi.org/10.1212/01.wnl.0000252801.61190.e8