Master of EM & Critical Care Nursing

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    MAGNITUDE AND ASSOCIATED FACTORS OF EARLY MORTALITY AMONG DEATHS IN ADULT EMERGENCY DEPARTMENT, AT PUBLIC HOSPITALS, HAWASSA, SIDAMA, ETHIOPIA,2023.
    (Hawassa University, 2023-11) GELANE GELETO
    Background: early mortality defined as death with 72 hours of emergency department presentation. In low-income countries with limited resources, adult emergency department mortality remains high. The majority (59.8%) of those deaths occur within the first three days of admission to the emergency department in Ethiopia. Previously, only single-center studies at tertiary hospitals were conducted in Ethiopia. Objective: to assess the magnitude and associated factors of early mortality among deaths in adult emergency departments at selected public hospitals in Hawassa, Sidama, Ethiopia, from January 2021 to December 2022. Methods: An institutional-based cross-sectional study design was applied. A systematic random sampling technique was used to select 369 charts of patients who died in adult emergency departments of selected public hospitals in two years. The data was collected using a pre-tested data abstraction tool entered into the Kobo toolbox, then entered into EpiData version 4.6.0 and exported to SPSS version 27 for analysis. By using binary logistic regression Bivariate and multivariate analyses were run. Finally, statistical significance was declared at p-value <0.05, and an adjusted odds ratio with a 95% confidence interval was used to report the strength of the association Result: This study result shows that 50.2% of the participants were between the ages of 25-54 with mean average 40.6 ± 17.5 and 67.7% were male. 288 (78%) died within 72 hours. Lack of prehospital care [(AOR = 4.2; 95% CI: 2.23, 7.87), P = 0.007], road traffic accidents [(AOR = 4.1; 95% CI: 1.403, 12.076), P = 0.013], red triage categories [(AOR = 3.9; 95% CI: 1.6, 9.4), P = 0.003], had lack of investigation[(AOR = 3.4; 95% CI: 1.2, 9.4), comorbid illness [(AOR = 3.2; 95% CI: 1.558, 6.49), P = 0.001] and delayed initial intervention [(AOR = 2.338; 95% CI: 1.259, 4.339), P = 0.007] were significantly associated with early mortality. Conclusion: In this study, a greater early mortality rate was detected. Early morality was increased by a lack of prehospital treatment, road traffic accidents, a red warning score, a lack of investigation, comorbidity, and a delay in the first intervention.
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    MAGNITUDE AND ASSOCIATED FACTORS OF EARLY MORTALITY AMONG DEATHS IN ADULT EMERGENCY DEPARTMENT, AT PUBLIC HOSPITALS, HAWASSA, SIDAMA, ETHIOPIA,2023.
    (hawassa universty, 2023-11) GELANE GELETO (BSc)
    Background: early mortality defined as death with 72 hours of emergency department presentation. In low-income countries with limited resources, adult emergency department mortality remains high. The majority (59.8%) of those deaths occur within the first three days of admission to the emergency department in Ethiopia. Previously, only single-center studies at tertiary hospitals were conducted in Ethiopia. Objective: to assess the magnitude and associated factors of early mortality among deaths in adult emergency departments at selected public hospitals in Hawassa, Sidama, Ethiopia, from January 2021 to December 2022. Methods: An institutional-based cross-sectional study design was applied. A systematic random sampling technique was used to select 369 charts of patients who died in adult emergency departments of selected public hospitals in two years. The data was collected using a pre-tested data abstraction tool entered into the Kobo toolbox, then entered into EpiData version 4.6.0 and exported to SPSS version 27 for analysis. By using binary logistic regression Bivariate and multivariate analyses were run. Finally, statistical significance was declared at p-value <0.05, and an adjusted odds ratio with a 95% confidence interval was used to report the strength of the association Result: This study result shows that 50.2% of the participants were between the ages of 25-54 with mean average 40.6 ± 17.5 and 67.7% were male. 288 (78%) died within 72 hours. Lack of prehospital care [(AOR = 4.2; 95% CI: 2.23, 7.87), P = 0.007], road traffic accidents [(AOR = 4.1; 95% CI: 1.403, 12.076), P = 0.013], red triage categories [(AOR = 3.9; 95% CI: 1.6, 9.4), P = 0.003], had lack of investigation[(AOR = 3.4; 95% CI: 1.2, 9.4), comorbid illness [(AOR = 3.2; 95% CI: 1.558, 6.49), P = 0.001] and delayed initial intervention [(AOR = 2.338; 95% CI: 1.259, 4.339), P = 0.007] were significantly associated with early mortality. Conclusion: In this study, a greater early mortality rate was detected. Early morality was increased by a lack of prehospital treatment, road traffic accidents, a red warning score, a lack of investigation, comorbidity, and a delay in the first intervention.
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    PATTERN OF INJURY, OUTCOME AND ASSOCIATED FACTORS AMONG PATIENTS VISITING THE EMERGENCY DEPARTMENT IN SIDAMA REGIONAL GENERAL HOSPITALS, ETHIOPIA; 2023.
    (hawassa universty, 2023-11) DREREJE BUCHE
    Background: Injury has a significant impact on societal health and well-being, taking the lives of more than 15,000 people daily and more than 4.4 million people annually. Low- and middle income countries have a disproportionately high injury burden, account for almost 90% of injury-related fatalities. Despite government health agencies and hospitals should have a detailed picture of injuries, little is known about injury statistics and outcomes in this region and across the country. Objectives: To assess pattern of injury, outcome, and associated factors of injury outcome Among patients visited selected general hospitals in Sidama regional state, Ethiopia, 2023. Methodology: An institutional-based cross-sectional study was conducted on Sidama Regional General Hospitals from March 10 to June 10, 2023, after three general hospitals were selected by the lottery method out of five general hospitals. The sample size was calculated by using the single population formula, and it became 342. Data was collected using a structured questionnaire adopted from WHO trauma surveillance, and ethical clearance was obtained from Hawassa University's ethical review board. Data was entered into EpiData version 4.1 and analyzed through SPSS version 27. Result: A total of 342 injured patients participated in this study, and unintentional injuries accounted for 225 (65.2%) of the total injuries, and the age group 24-44 years was the most commonly affected, with 137 (40.1%). 35.6% of injury cases were due to road traffic injuries, and 27.19% of the cases were due to interpersonal violence. Out of the total participants, 96.2% were discharged alive, and 3.8% died. The glaucoma scale, severity of injury , time between injury and care, head injury, triage scale, and operated on have associations with mortality. Conclusion and recommendation: Male patients and those aged 25–44 had a higher proportion of injury victims. The primary cause of injury was RTA, followed by interpersonal violence and fall injuries. The glaucoma scale, severity of injury, triage scale, head injury, and those patients who operated were more associated with mortality. More efforts are needed to raise awareness of RTA, improve road safety, and impose severe regulations on pedestrians and drivers.