Browsing by Author "Oluboyo, PO"

Now showing 1 - 8 of 8
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    An audit of Spirometry at the University of Ilorin Teaching Hospital, Ilorin, Nigeria (2002—2009).
    (Usmanu Danfodiyo University, Sokoto, 2010) Desalu, OO; Salami, AK; Fawibe, AE; Oluboyo, PO
    Background: Spirometry is a noninvasive and cost-effective physiologic test that greatly complements other investigative procedures in evaluation of respiratory conditions. This study was aimed at auditing the spirometry performed at the University of Ilorin Teaching Hospital (UITH) Ilorin, Nigeria, and highlighting some of the challenges associated with the procedure. Methods: We reviewed and analyzed the record of spirometry performed at the cardiopulmonary unit of the hospital from June 2002 to December 2009. Results: A total of 119 patients had spirometry tests from 2002 to 2009 and their age ranged from 15 to 85 years with a mean of 47.6 ± 14.8 years. There were 69 (58%) males and the male:female ratio was 1.4:1. More than half (65%) of the tests were in patients <50 years old. The rate of spirometry performed annually increased from 12 (10.1%) in 2002 to 31 (26.1%) in year 2009. Evaluation of bronchial asthma was the most common indication for spirometry (43 patients; 36.1%). Majority of the requests (84 patients; 70.6%) were from adult respiratory physicians. The identified challenges were lack of awareness of the range of diseases that could be investigated by spirometry, lack of skills in interpreting the results, lack of time and delays in replacing exhausted consumables and faulty components of spirometer. Conclusion: Gradually, the trend of spirometry request is increasing in UITH; however, a wider acceptability could be achieved for this test by raising the level of awareness and improving the skills of all doctors on the usefulness and interpretation of spirometry
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    Bacterial pneumonia in AIDS patients
    (West African Journal of Medicine, 2006) Salami, AK; Olatunji, PO; Oluboyo, PO; Akanbi II, AA; Fawibe, EA
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    General Practitioner (GP)-reported Follow-up Visits among Asthma Patients in North Central Nigeria
    (Usmanu Danfodiyo University, Sokoto, 2011) Fawibe, AE; Joseph, KJ; Olaosebikan, OF; Salami, AK; Oluboyo, PO; Desalu, OO
    Background: Despite the benefits of regular follow-up in the long-term care of asthma, no previous study has reported on it among asthma patients in Nigeria. Objective: This survey was designed to evaluate GP-reported follow-up visits among asthma patients in North Central Nigeria. Methods: It was a cross-sectional survey conducted among GPs in three North Central states of Nigeria. Results: Overall, 48.3% of the GPs reported that their patients usually come for follow-up visits. About 63.6%, 40.0%, and 55.3% of the GPs in Kwara, Kogi, and Niger states, respectively, reported that their patients came for follow-up visits in the month prior to this study. Less than two-third of GPs in both private (55.1%) and public (56.8%) hospitals reportedly attended to patients on follow-up visits. About 46.5%, 37.5%, and 52.0% of the GPs who attended to patients <1 week, 1-2 weeks and >2 weeks prior to the study reported that their patients came for follow-up visits. There was significant difference (P = 0.04) in the reported follow-up visits by GPs who attended to ≥10 asthma patients compared to others. None of the nine GPs who reportedly treated ≥ 10 patients in the preceding month of the study attended to any patient on follow-up visits. Conclusion: The GP-reported rates of follow-up visits in patients that are accessing asthma care from GPs practicing in the North Central part of Nigeria are low. Further studies to identify barriers to follow-up visits and how to correct them are therefore recommended.
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    The Profiles and outcome of Unilateral Tuberculous Lung Destruction in Ilorin. Nigeria.
    (West Africa College of Physicians and Surgeons, 2011) Fawibe, AE; Salami, AK; Oluboyo, PO; Desalu, OO; Odeigah, LO
    Background: Unilateral tuberculous lung destruction is a serious chronically disabling and often fatal complication of pulmonary tuberculosis. A few previous studies have dealt with some aspects of this entity among Nigerians with pulmonary tuberculosis but these studies may not truly reflect its current trends. Objective: To describe the presenting profiles and outcome of unilateral tuberculous lung destruction among patients with pulmonary tuberculosis. Methods: The study was a chart review of the medical records of adult patients with pulmonary tuberculosis complicated by unilateral lung destruction seen between January 1999- December 2008. Data extracted included demographic, and outcome of treatment. The clinical features, sputum results and illustrative cases are presented. Results: Unilateral lung destruction complicated 74(1.3%) of 5,926 pulmonary tuberculosis cases seen over the review period. Most cases occurred in males [45(60.8%)] and they were predominantly [51(68.9%)] below 40 years of age. Most of them [52(70.2%)] presented after six months of symptoms. Forty-seven (63.5%) of them had had previous exposure to antituberculosis drugs. The left lung was affected in 49 (66.2%) patients. Only 25 (33.8%) of them were cured while the adjusted mortality rate was 25.5%. Male gender, presence of dyspnoea on mild exertion and right ventricular failure were significantly associated with increased mortality. Conclusion: Unilateral tuberculous lung destruction has unacceptably high mortality rate which can be prevented by patient presenting early to the hospital, prompt diagnosis and strict adherence to the standard treatment.
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    Sickle Cell Chronic Lung Disease among Young adult Nigerians.
    (West Africa College of Physicians and Surgeons, 2010) Fawibe, AE; Oluboyo, PO; Salami, AK
    Background: Sickle cell chronic lung disease (SCLD) is often underappreciated by health care providers because its exact prevalence and methods of diagnosis have not been well studied. Objective: To describe the pattern of SCLD among young adult Nigerians with sickle cell anaemia (SCA).its exact prevalence and methods of diagnosis have not been well studied. Objective: To describe the pattern of SCLD among young adult Nigerians with sickle cell anaemia (SCA). Methods: Ninety (43 males and 47 females) patients with SCA who were selected by balloting and 90 (54 males and 36 females) healthy subjects with normal adult haemoglobin were studied. Their ventilatory function test (spirometry and peak expiratory flow rates), radiological and electocardiographic parameters were obtained and analyzed for SCLD. Results: Seventeen (18.9%) of the patients had SCLD. Majority (94.1%) of them were in stage1 disease, 5.9% in stage two, and none in the more advanced stages3 and 4. The number of patients with SCLD increased with increasing age. SCLD was associated with more than five previous hospital admissions: 82.4%, (OR of 10.02; CI:4.51 to 22.22) and presence of symptoms suggesting previous acute chest syndrome: dyspnoea in 58.8% (OR of 33.33, CI 7.39 to 150.30); chest pain in 94.1%, (OR of 81.33, CI 9.83 to 672.85); and cough in 47.1%, (OR of 64.00, CI 7.15 to 572.60). Conclusion: SCLD may not be a rare event in Nigeria. Therefore efforts should be made to diagnose it in the early asymptomatic stage so as to offer effective intervention therapy to halt progression to the more disabling advanced stages.
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    Utilisation of spirometry among hospitalised patients with clinical findings of COPD in a tertiary hospital in Nigeria.
    (National Postgraduate Medical College of Nigeria, 2011) Desalu, OO; Salami, AK; Fawibe, AE; Oluboyo, PO
    Aims and objective: The aim of this study was to determine the rate of spirometry utilisation among hospitalised patients with clinical findings of chronic obstructive pulmonary disease (COPD) in a tertiary hospital in Nigeria. Patients and Methods: A case record review of hospitalised patients with clinical findings of COPD from January 2002 to June 2009 from the record of the cardiopulmonary unit of the University of Ilorin Teaching Hospital Ilorin, Nigeria was carried out. Age and sex, hospital stay, admitting physician, and outcome of admission were obtained. Results: A total of 228 patients were hospitalised with clinical findings of COPD, 185 (81.1%) were males and 43(18.9 %) were females. The rate of utilisation of spirometry in hospitalised patients (228) with clinical findings of COPD was 8.3%. More than half of those that had spirometry were aged ≥65 years. Majority (16; 84.2%) of those that underwent spirometry were under the care of the pulmonologist (p<0.001). Age, sex, total days of hospitalisation of patients were not significantly associated with utilisation of spirometry. Conclusions The utilisation of spirometry among hospitalised patients with clinical findings of COPD in this study was very low when compared to the developed countries. Our study has highlighted the experience of a low income country and the need to increase the awareness of the role of spirometry in the evaluation of COPD among doctors
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    Ventilatory function in young adult Nigerians with sickle cell anaemia
    (Pan African Thoracic Society, 2006-09) Fawibe, AE; Oluboyo, PO; Salami, AK