Emergency Medicine

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Browsing Emergency Medicine by Author "Abebe, Asmamaw(BSC, MSC EMCCN)"

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    Disease pattern, outcome and associated factors of patient admitted in pediatric intensive care unit at Tikur Anbessa Specialized Teaching Hospital, Addis Abeba,Ethiopia,2019.
    (Addis Abeba University, 2019-06) Noah, Yafet; Abebe, Asmamaw(BSC, MSC EMCCN); Dr.Engda, Hywet (MD, Emergency physician)
    Background: Advances in pediatrics especially in the field of intensive care have dramatically improved the prognosis for the critically ill children. Numerous conditions that were previously fatal are now treatable, and many children who previously would have sustained a permanent disability now recover completely. The current evidence suggests that the sickest subgroups of critically ill children are less likely to die if treated in the PICU in a tertiary care hospital. Objectives: To assess the disease pattern, outcome and associated factor of admitted patients at PICU Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia from January 2017 To January 2019. Methods: Institutional based cross-sectional study was conducted. All patients who were admitted at pediatrics ICU from January 2017 to January 2019 and met the criteria were included. Data was collected using adapted questionnaire from chart review and registration book. SPSS version 20 software was used for data entry and analysis. The ethical clearance was obtained from AAU College of health sciences department of emergency medicine. Result: Most of the study subjects were in the age range of less than 1 year 97(30.6%).50.5% was female. The mean age was 4.5 ± 3 years. A majority 124(39.1%) were admitted from EOPD. The mean PICU length of stay was 7.18 ± 9.12 days. The majority of patients admitted to PICU 71(22.4%) were due to respiratory problem and gastrointestinal disease is least admission diagnosis 10 (3.2%). the mortality rate is, 125(39.3%) and main cause of death is cardiovascular disease (25.6%) Conclusion & Recommendation: Respiratory and Neurology diseases were the predominant conditions leading to PICU admissions in our setting. 56.8% of patients used mechanical ventilator. Mortality rate was significantly associated with cardiovascular disease compered to other system classification and patient who use mechanical ventilator.This can be due to limited infrastructure, few trained professional and resource, make it difficult to provide optimum care. Tikur Anbessa Teaching Specialized Hospital should work more on PICU providing a highquality intensive care to critically ill patients focusing on increase PICU capacity.