TRENDS OF CARDIOVASCULAR DISEASE MORTALITY IN GHANA: A CASE STUDY OF MORTALITY CASES AT KORLE BU TEACHING HOSPITAL

ABSTRACT Globally, more people die from cardiovascular diseases (CVDs) annually than from any other cause (WHO, 2011). In Ghana, CVDs accounted for one of the top three causes of death in 2010 after diarrhoeal and HIV/AIDS. Despite this, Ghana has no effective surveillance system in place to monitor the disease. Although hospital data may partly help in monitoring the mortality from the disease, most of these data are not analysed and interpreted. The goal of the study was to examine the trend in CVD mortality among autopsy cases from Korle Bu Teaching Hospital (KBTH), from 2006 to 2010. All cardiovascular deaths diagnosed at autopsy in the 5-year period from the beginning of January 2006 to the end of December 2010 located in the autopsy logbooks of the Department of Pathology, KBTH, were analysed for this study. The study showed that a total of 20,706 autopsy cases were done at KBTH within the five-year period. Out of this, 1,417 cases were incomplete and hence, a total of 19,289 cases were used in the analysis. The results showed that CVDs constituted about one-fifth of all causes of deaths from autopsy cases at KBTH within the 5-year period. Also, the findings show that females had higher odds of death from CVDs compared to males. Congestive heart failure was a major cause of CVDs deaths and it had the highest contribution to the years of potential life lost (YPLL) to CVDs. Therefore, there is need for population-based surveillance system put in place to monitor CVDs mortality and effort should be made at ensuring that developing policies for the disease is not based on mere extrapolations but on actual data.