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Pattern and predictors of mortality in emergency department of Saint Paul Hospital millennium medical college Addis Ababa, Ethiopia: retrospective study.

Article scientifique 2022 Anglais

Résumé

Abstract Background: As we live in a world of evidence-based medicine and public health, the stated goal of achieving a remarkable acute care system necessitates regressive managerial oversight and intervention based on science. The purpose of this study was to examine the pattern and determinants of all-cause mortality at St. Paul Hospital. Emergency Department at Millennium Medical College Methods: Data were gathered retrospectively from patient records from January 1, 2020 through June 30, 2022. SPSS Version 25 was used to analyze the data. The Chi-square test, as well as binary and multiple logistic regression analysis, were used to determine the relationship between variables of interest and early emergency mortality. To determine the significant factors, P-values of 0.05 and AOR with % CI were applied. Result: In 2 and half years’, 22,982, clients visited the ED and death within 24 hours 173 (44%) and 158 (42%) died after 24 hours of ED stay. Sepsis or septic shock (16.8%), respiratory (12.1%) and renal and (11.3%) and cardiovascular disease (11.1%) accounts for top 4 causes of deaths. Orange triage category (p-value 0.022 AOD=0.101, 95% CI 0.014-0.718), duration of C/C <3h (p-value 0.003 AOR = 0.101, 95% CI: 0.03– 1.368), duration of C/C 3-6h (p-value 0.002 AOR = 0.121, 95% CI: 0.031–0.477)), duration of C/C 6-12h (p-value 0.02 AOR = 0.065, 95% CI: 0.011–0.371), duration of C/C12-24h (p-value 0.00 AOR = 0.085, 95% CI: 0.025–0.291), duration of C/C 3-4 days (p-value 0.049 AOR = 4.601, 95% CI: 4.601–20.978), and cause of death being respiratory (p-value 0.046 AOR = 0.124, 95% CI: 0.016–0.959), liver (p-value 0.027 AOR = 0.085, 95% CI: 0.01–0.758), DM and its complication (p-value 0.029 AOR = 0.067, 95% CI: 0.066–0.754), and severe anemia (p-value 0.026 AOR = 0.059, 95% CI: 0.005–0.715) found to be associated with less likely probability of deaths within 24 hours. Conclusion: In the emergency department, the mortality burden of sepsis/septic shock, respiratory, hepatic, and cardiovascular disorders is high. Males had such a greater rate of early ED mortality.

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Dode, W., Alemayehu, G., Tebebe, B., Getachew, T., Tigistu, S., Aklog, E., Teklewold, R., Getahun, Z., Enyaw, B. (2022). Pattern and predictors of mortality in emergency department of Saint Paul Hospital millennium medical college Addis Ababa, Ethiopia: retrospective study.. https://doi.org/10.21203/rs.3.rs-1920924/v1

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Woldesenbet Waganew Dode Girma Alemayehu Bethlehem Tebebe Tesfaye Getachew Selamawit Tigistu Etsegent Aklog Rediat Teklewold Zelalem Getahun Belyou Enyaw

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