INTRODUCTION: This study aimed to describe the epidemiology and outcomes of @entity1321 at a tertiary hospital in Ghana over time. METHODS: Records of all @entity1 admitted to a tertiary hospital from 2007 to 2011 with @entity1321 were identified using ICD-9 codes. Sociodemographic and clinical data were compared to a previously published series of intestinal obstructions from 1998 to 2003. Factors contributing to longer than expected hospital stays and @entity204 were further examined. RESULTS: Of the 230 records reviewed, 108 @entity1 (47%) had obstructions due to adhesions, 50 (21%) had @entity3313 , 22 (7%) had an ileus from perforation and 14 (6%) had intussusception. @entity547 fell from the 1st to the 8th most common cause of obstruction. @entity1 with @entity1321 were older in 2007-2011 compared to those presenting between 1998 and 2003 (p < 0.001); conditions associated with older age (e.g. @entity5 ) were more frequently encountered (p < 0.001). Age over 50 years was strong factor of in-hospital @entity204 (adjusted OR 14.2, 95% CI 1.41-142.95). CONCLUSION: Efforts to reduce @entity547 backlog and expand the surgical workforce may have had an effect on @entity1321 epidemiology in Ghana. Increasing aging-related pathology and a higher risk of @entity204 in elderly @entity1 suggest that improvement in geriatric surgical care is urgently needed.

Changing Epidemiology of XXXX in Ghana: Signs of Increasing Surgical Capacity and an Aging Population.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity3313 :: ('MESH:D045822', 'Disease') :: ['volvulus'] @entity5 :: ('MESH:D009369', 'Disease') :: ['volvulus and neoplasia'] @entity1321 :: ('MESH:D007415', 'Disease') :: ['intestinal obstruction'] @entity547 :: ('MESH:D006547', 'Disease') :: ['Hernia', 'hernia'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity1321 :: (MESH:D007415,Disease) :: ['Intestinal Obstruction']
