• African health sciences · Jun 2022

    Multicenter Study

    Central laboratory and point-of-care cardiac marker testing capacity of tertiary hospitals in Nigeria - a multicenter study.

    • Ijeoma Angela Meka, Ochuko Otokunefor, Asuquo Ene, Olugbenga Olalekan Ojo, Mohammed Manu, Emmanuel Chidiebere Okwara, Daniel Oshi, Martin Chukwuka Ugonabo, and Isah Adagiri Yahaya.
    • University of Nigeria Faculty of Medical Sciences, Chemical Pathology.
    • Afr Health Sci. 2022 Jun 1; 22 (2): 247256247-256.

    BackgroundCardiovascular diseases are major contributors to morbidity and mortality. It is generally recognized that cardiac markers are of particular benefit in the evaluation of patients with suspected Acute Coronary Syndrome (ACS). Tertiary hospitals, mainly teaching hospitals, are expected to be optimally equipped to offer these services. The study therefore aimed at determining the central laboratory and point-of-care cardiac marker testing capacity of tertiary hospitals in Nigeria.MethodA cross-sectional survey was carried out in government-owned tertiary hospitals in Nigeria. Data were collected using semi-structured self-administered questionnaires, and analyzed using Stata version 13 (Stata Corp., USA).ResultsA total of 34 hospitals participated in the study. The mean (SD) age of respondents was 43.68 (5.2) years. A total of 19 (55.88%) hospitals were found to have a functional cardiac marker testing facility, either in the form of point-of-care, central laboratory testing or both. Of those without a facility, lack of funds to procure equipment was the major reason given. In hospitals with a testing facility, most testing devices were located in the Central laboratory.ConclusionCardiac marker testing capacity of tertiary hospitals in Nigeria, both in the form of point-of-care and central laboratory testing, was found to be barely adequate. Improvement is needed in this area for better diagnosis and evaluation of patients who need the tests.© 2022 Meka IA et al.

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