General surgical problems encountered in the Hajj pilgrims

OBJECTIVE: The study was conducted to evaluate the pattern of general surgical admissions for future planning of staff, cost and other needs of these hospitals.

METHODS: The study was conducted in 2 major hospitals in the Holy Shrine in 2 consecutive Hajj years 1423, 1424 (2003, 2004). All general surgical admissions, except those who died in the emergency room or were received dead, were included in the study.

RESULTS: A total of 177 patients were admitted in both hospitals in 2 Hajj seasons. There were 139 males and 38 females with mean age of 52.7 years. Acute appendicitis and diabetic foot were the most common cause of admissions. Patients who received operative treatment totalled 87 (49.1%) and 69 (39%) were managed conservatively, while 20 (11.3%) left against medical advice. One patient was referred to higher center immediately after admission.

CONCLUSION: The pilgrims are a peculiar class of patients. They should receive the best possible care but keeping in view their special needs. Furthermore, this study will help in future organization of such facilities.