Browsing by Author "Yusuf, I.A."

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    38.Prevalence an d predictors of peripheral artery disease among hypertensive patients in a tertiary hospital in north - central Nigeria
    (Kenyan Medical Association., 2023) Yusuf, I.A.; Akinlade, O.M.; Awodun, O.R; Yusuf, W.O.; Ogunmodede, James Ayodele; Kolo, P.M.
    Objective: The objective of the study was to determine the prevalence of peripheral artery disease and its predictors among hypertensive patients attending the University of Ilorin Teaching Hospital. Design: Hospital-based comparative cross-sectional study. Setting: General outpatient clinic and cardiology clinic Participants:150 hypertensive patients and 150 normotensive patients were recruited. Main outcome measures: The participants were physically examined, and their blood samples were taken for analysis. Ankle-brachial index was determined among the participants using a handheld Doppler machine. Data obtained were analyzed using SPSS 20 computer software package. Results: The prevalence of peripheral artery disease among the hypertensive subjects and normotensive patients were 20% and 3.3% respectively. The predictors of peripheral artery disease were age of the patient (OR, 1.04; 95% CI, 1.01 - 1.08), duration of hypertension (OR, 1.08; 95% CI, 1.02 - 1.15), abnormal body mass index (OR, 1.10; 95% CI, 1.02 - 1.20), low-density lipoprotein cholesterol (OR, 3.41; 95% CI, 1.17 - 9.97) and total cholesterol (OR, 5.56; 95% CI, 2.33 - 13.27). Conclusion: Peripheral artery disease is a common complication among hypertensive patients studied. The predictors of peripheral artery disease among Objective: The objective of the study was to determine the prevalence of peripheral artery disease and its predictors among hypertensive patients attending the University of Ilorin Teaching Hospital. Design: Hospital-based comparative cross-sectional study. Setting: General outpatient clinic and cardiology clinic Participants:150 hypertensive patients and 150 normotensive patients were recruited. Main outcome measures: The participants were physically examined, and their blood samples were taken for analysis. Ankle-brachial index was determined among the participants using a handheld Doppler machine. Data obtained were analyzed using SPSS 20 computer software package. Results: The prevalence of peripheral artery disease among the hypertensive subjects and normotensive patients were 20% and 3.3% respectively. The predictors of peripheral artery disease were age of the patient (OR, 1.04; 95% CI, 1.01 - 1.08), duration of hypertension (OR, 1.08; 95% CI, 1.02 - 1.15), abnormal body mass index (OR, 1.10; 95% CI, 1.02 - 1.20), low-density lipoprotein cholesterol (OR, 3.41; 95% CI, 1.17 - 9.97) and total cholesterol (OR, 5.56; 95% CI, 2.33 - 13.27). Conclusion: Peripheral artery disease is a common complication among hypertensive patients studied. The predictors of peripheral artery disease among these patients were age, duration of hypertension, obesity and dyslipidemia
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    The Indirect victims of COVID-19: perception of non- COVID-19 patients about the effect of closure of the medical outpatient services on their health.
    (West African College Of Physicians, 2022) Ogunmodede, James Ayodele; Ogunmodede, A.J.; Dele-Ojo, B.F; Bello, A.H.; Bolarinwa, O.A.; Bojuwoye, M.O.; Yusuf, I.A.; Abiola, T.S; Olokoba, A.B.; Kolo, P.M.
    BACKGROUND: In order to reduce COVID-19 transmission and protect healthcare workers, the outpatient departments (OPDs) in many hospitals worldwide were closed down in the early days of the pandemic. Patients being managed for chronic medical illnesses who subsequently suffered reduced access to healthcare have been described as “the patients left behind”. AIM: The study aimed at assessing the impact of the closure of the Medical OPD in University of Ilorin Teaching Hospital (UITH) on the health and perceived well-being of patients with chronic medical illnesses. METHODS: A cross-sectional study of 180 patients with chronic medical illnesses attending the MOPD in UITH. RESULTS: Mean age of participants was 50.2±18.2years, 92 (51.1%) were male, median duration of attending MOPD was 21 months (IQR 12-36). 92 patients (51.1%) perceived a negative affectation of their well-being by the closure of MOPD. Being >50 years was associated with a perception of negative affectation of well-being (P=0.042). 140 patients (77.8%) had clinic appointments that fell within the period under review. 67(69.3%) of the 97 patients who had medical complaints during the period could not reach a doctor and this was associated with a perception of negative affectation of their wellbeing. The commonest action they took was to do nothing (28.3%), three (4.5%) resorted to herbal concoctions. 19 (29.9%) felt their complaints were urgent. CONCLUSION: Our study identifies that patients with chronic medical illness are potential victims of COVID-19 related disruption of healthcare services. Healthcare managers in Nigeria must develop alternatives such as telemedicine that sustain face-to-face medical interaction during eventualities.
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    Rehospitalization rate and predictors of rehospitalization in heart failure patients in north central Nigeria
    (College of Health Sciences, University of Ilorin, Nigeria, 2022) Ogunmodede, James Ayodele; Kolo, P.M.; Dele-Ojo, B.F; Yusuf, I.A.; Salau, I.L.; Katibi, I.A.; Omotoso, A.B.
    INTRODUCTION Heart failure (HF) is a major cause of morbidity and mortality worldwide. It imposes considerable strain on patients through the burden of recurrent rehospitalizations.. OBJECTIVES The objective of the study was to determine the rehospitalization rate of heart failure patients managed over a 3-year period in our Centre, identify factors predictive of rehospitalization and determine the survival curve for 6-month among our patients. METHODS A retrospective cohort study of patients with HF managed in our Hospital between 2014 and 2017. RESULTS 148 patients who had complete data were studied. 25.7% of patients were rehospitalized at least once during the study period. 16.2% were rehospitalised by 6 months. Only age was found to be predictive of 6-month rehospitalization OR 1.03, (CI 1.004-1.056), p=0.024 suggesting that every one year increase in age is predictive of a three percent increase in likelihood of rehospitalisation. The Kaplan-Meier survival curve for 6-month rehospitalization among rehospitalized patients is shown below. CONCLUSION The rehospitalization rates among our patients are slightly higher among other reported rates in our environment. In the resource-constrained setting we practice issues of treatment affordability and availability of novel medications and treatment strategies are important considerations to reduce rehospitalization in HFpatients.
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    The Indirect Victims of COVID-19: Perception of Non-COVID-19 Patients about the Effect of Closure of the Medical Outpatient Services on their Health
    (West African College of Physicians, 2022-04) Ogunmodede, James Ayodele; Bolarinwa, Oladimeji Akeem; Ogunmodede, Adebusola Jane; Bojuwoye, Matthew Olumuyiwa; Bello, Abiodun Hamza; Dele-Ojo, Bolade F; Yusuf, I.A.; Abiola, T.S.; Olokoba, Abdulfatai Bamidele; Kolo, Philip Manma
    Background: In order to reduce COVID-19 transmission and protect healthcare workers, the outpatient departments (OPDs) in many hospitals worldwide were closed down in the early days of the pandemic. Patients being managed for chronic medical illnesses who subsequently suffered reduced access to healthcare have been described as “the patients left behind”. Aim: The study aimed at assessing the impact of the closure of the Medical OPD in University of Ilorin Teaching Hospital (UITH) on the health and perceived well-being of patients with chronic medical illnesses. Methods: A cross-sectional study of 180 patients with chronic medical illnesses attending the MOPD in UITH. Results: Mean age of participants was 50.2±18.2years, 92 (51.1%) were male, median duration of attending MOPD was 21 months (IQR 12-36). 92 patients (51.1%) perceived a negative affectation of their well-being by the closure of MOPD. Being >50 years was associated with a perception of negative affectation of well-being (P=0.042). 140 patients (77.8%) had clinic appointments that fell within the period under review. 67(69.3%) of the 97 patients who had medical complaints during the period could not reach a doctor and this was associated with a perception of negative affectation of their wellbeing. The commonest action they took was to do nothing (28.3%), three (4.5%) resorted to herbal concoctions. 19 (29.9%) felt their complaints were urgent. Conclusion: Our study identifies that patients with chronic medical illness are potential victims of COVID-19 related disruption of healthcare services. Healthcare managers in Nigeria must develop alternatives such as telemedicine that sustain face-to-face medical interaction during eventualities