Emergency Medicine
Permanent URI for this collection
Browse
Browsing Emergency Medicine by Author "Aklilu Azazh"
Now showing 1 - 7 of 7
Results Per Page
Sort Options
Item A Cross-Sectional Study on Factors Associated with Delayed Hospital Arrival of Patients with Acute Coronary Syndrome in Addis Ababa(Addis Ababa University, 2024-10-10) Aklilu Belay; Aklilu AzazhAcute coronary syndrome remains one of the most significant health burdens of society with significant mortality and morbidity. Lack of awareness about the symptoms and non-availability of infrastructure are associated with a delayed presentation to hospital from the the onset of symptoms in different research.Item Clinical Profile & Mortality of Louse-Borne Relapsing Fever Among Patients Seen at Zewditu Memorial Hospital and Tikur Anbessa Specialized Hospital from July 2022 To July 2023 -Addis Ababa, Ethiopia Retrospective Chart Review(Addis Ababa University, 2024-01-04) Kalkidan Zenebe; Aklilu AzazhRelapsing fever is a vector-born acute recurrent febrile illness caused by Borrelia recurrentis. LBRF is an important re-emerging disease that remains a significant public health concern globally but is currently prevalent in developing countries like the highlands of Ethiopia, Kenya, and Sudan, however, there is limited research on relapsing fever, therefore, it is to assess the clinical profile, and mortality rate in patients with relapsing fever in Addis AbabaItem Clinical Profile and Outcome of Adult Hiv-Positve Patients Presenting to the Emergency(Addis Ababa Uinverstiy, 2025) Ayenew Genet; Bitania Debalkew; Aklilu AzazhHIV has been a global health problem since its identification. Despite a decline in new infections, many patients still present to emergency departments with advanced disease and critical systemic infections in Ethiopia. Objective: The main aim of this study was to assess the clinical profile and outcomes of adult HIV-positive patients presenting to the emergency department of Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods: This study involved a retrospective cross-sectional electronic medical records review from January 1 to June 30, 2025, taking place in Tikur Anbessa Specialized Hospital adult emergency department. Data was extracted using a structured Kobo tool and then analyzed with SPSS v27. Multivariable logistic regression was applied to identify the factors associated with mortality, with a p-value of <0.05 regarded as statistically significant. Results: Out of a total of 104 HIV-positive patients included, the mean age was 45.78 ±14.25 years, and 64(61.5%) were females. The leading clinical presentations were vomiting (14.1%), diarrhea (10.5%), and fatigue (10.1%). Outcomes included ICU admission at 3.8%, and emergency department mortality at 14.2%. Advanced WHO clinical stage (AOR=6.068, 95%CI:1.273-28.880, P=0.024), high white blood cell count(AOR=1.205, 95%CI:1.015- 1.429,P=0.033), and hemoglobin (AOR=0.704, 95% CI: 0.540-0.918,P=0.009) were significant independent predictors of mortality. The majority (76.4%) stayed in the ED for ≥24 hours, with a median stay of 2 days (IQR: 1–3). Conclusion: Most HIV-positive adults presenting Tikur Anbessa Specialized Hospital emergency department had advanced diseases, high mortality, and prolonged ED stays. Advanced WHO clinical stage, high WBC, and low hemoglobin are independently associated with increased mortality. Findings underscore the need for early HIV diagnosis, proper monitoring, and optimized care.Item Clinical Profile and Outcome of Adult Hiv-Positve Patients Presenting to the Emergency(Addis Ababa Uinverstiy, 2025) Ayenew Genet; Bitania Debalkew; Aklilu Azazh: HIV has been a global health problem since its identification. Despite a decline in new infections, many patients still present to emergency departments with advanced disease and critical systemic infections in Ethiopia. Objective: The main aim of this study was to assess the clinical profile and outcomes of adult HIV-positive patients presenting to the emergency department of Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods: This study involved a retrospective cross-sectional electronic medical records review from January 1 to June 30, 2025, taking place in Tikur Anbessa Specialized Hospital adult emergency department. Data was extracted using a structured Kobo tool and then analyzed with SPSS v27. Multivariable logistic regression was applied to identify the factors associated with mortality, with a p-value of <0.05 regarded as statistically significant. Results: Out of a total of 104 HIV-positive patients included, the mean age was 45.78 ±14.25 years, and 64(61.5%) were females. The leading clinical presentations were vomiting (14.1%), diarrhea (10.5%), and fatigue (10.1%). Outcomes included ICU admission at 3.8%, and emergency department mortality at 14.2%. Advanced WHO clinical stage (AOR=6.068, 95%CI:1.273-28.880, P=0.024), high white blood cell count(AOR=1.205, 95%CI:1.015- 1.429,P=0.033), and hemoglobin (AOR=0.704, 95% CI: 0.540-0.918,P=0.009) were significant independent predictors of mortality. The majority (76.4%) stayed in the ED for ≥24 hours, with a median stay of 2 days (IQR: 1–3). Conclusion: Most HIV-positive adults presenting Tikur Anbessa Specialized Hospital emergency department had advanced diseases, high mortality, and prolonged ED stays. Advanced WHO clinical stage, high WBC, and low hemoglobin are independently associated with increased mortality. Findings underscore the need for early HIV diagnosis, proper monitoring, and optimized care.Item Determinants of Early Mortality for Critically Ill Patients Awaiting Intensive Care in Ethiopian Emergency Department at Tikur Anbessa Specialized Hospital and Zewditu Memorial Hospital, Addis Ababa, Ethiopia, 2025: A Prospective Observational Study(Addis Ababa University, 2025-12-01) Kalkidan Philipos; Aklilu Azazh; Tigist WorkuBackground: Broadly, Critical Illness Constitutes a State of Illness Involving Vital Organ Dysfunction, A High Risk of Imminent Death If Care Is Not Provided, And Potential for Reversibility with Appropriate Intervention. This Condition Manifests as Acute Impairment of One Or More Vital Organ Systems, Such As the Central Nervous System, Cardiovascular, Or Respiratory Systems, Resulting in a High Risk of Life-Threatening Deterioration. In Clinical Practice, Such Patients Necessitate Intensive Monitoring, High-Complexity Decision-Making, And Organ Support to Prevent Further Decompensation (1). The Intensive Care Unit (ICU) Plays A Vital Role in Managing Patients with Life-Threatening Conditions Requiring Advanced Organ Support. Over The Past Decades Advances in Ventilatory Support, Hemodynamic Monitoring, And Renal Replacement Therapy Have Improved Survival Rates Among Critically Ill Patients (2). However, The Demand for ICU Care Is Still High. It Continues to Rise Due To Aging Populations, Increasing Chronic Disease Burdens, And Frequent Infectious Outbreaks (3). Critically Ill Patients Thus Require Prompt Assessment and Aggressive Management to Improve Survival and Reduce Complications. The Transition from the Emergency Department (ED) To the ICU Is a Vital Step in the Continuum of Care. Delays In This Process Often Associated with Poorer Clinical Outcomes (4,5). Globally, Prolonged Waiting Times Before ICU Admission Have Been Linked to Increased Mortality, Extended Hospital Stays, And Increased Resource Utilization. This Emphasize That the Importance of Timely Transfer for the Best Outcomes (6–8). High Income Countries Typically Maintain 10–25 ICU Beds Per 100,000 Population. This Is Supported by Favorable Nurse to Patient Ratios and Policy Driven Expansions to Address Rising Demand. In Contrast, Low- and Middle-Income Countries (Lmics), Including Ethiopia, Average Just 0.3 ICU Beds Per 100,000 Population, With Ethiopia's 51 Public Icus Providing Only 324 Beds Nationwide (9). These Stark Disparities Can Result in Differing ED Boarding Time Alongside Short- and Long-Term Outcomes. Despite Existing Evidence, Prospective Studies in Ethiopia Directly Linking ED To ICU Admission Delays to Specific Patient Outcomes Remain Scarce. Most Of the Research Limited To 1 Retrospective Audits or Descriptive Analyses. This Study Aimed to Address That Gap Through a Prospective Observational Design. It Examines How Prolonged Boarding Times in the ED Influence Early Prognosis at Tikur Anbessa Specialized Hospital (TASH) And Zewditu Memorial Hospital (ZMH) In Addis Ababa, Ethiopia. Hoping It Will Outline the Bottlenecks and Guiding Targeted Interventions For Better Critical Care Pathway.Item Disaster Surge Capacity Rise Through Reverse Triage in Addis Ababa Hospitals; Cross-Sectional Study(Addis Ababa University, 2024) Tsion Seyoum; Aklilu AzazhPlans must be in place before a disaster or pandemic strikes in order to reduce damage and maintain control. Hospitals play a leading role in disaster and incidence response by identifying inpatients that can be safely discharged early, and can create additional surge capacity. Implementing reverse triage allows hospitals to optimize resources and prioritize patients based on their medical needsItem Post Resuscitation Debriefing Practice and Associated Factors Among Health Professionals in Emergency Departement in Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia(Addis Ababa University, 2024-12) Yibeltal Seyid; Aklilu AzazhThe practice of post resuscitation debriefing following critical events emerged from the philosophy of understanding and learning from one’s mistakes. It is a reflective and guided method of discussion that promotes positive coping, provides peer support, evaluate team performance and identify factors that facilitate and hinder quality of resuscitative procedure. Despite recommendations from the American Heart Association to practice debriefing after critical events, only few emergency departments actually practice it.