Surgery

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Browsing Surgery by Author "Alemu, Tsion"

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    Determinants of cardiothoracic surgery outcomes among patients underwent cardiothoracic surgery at Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia, 2021
    (Addis Ababa University, 2021-07) Getahun, Hewan; Tsige, Yosief (Ass. Prof); Alemu, Tsion
    Background: Associated diseases and risk factors are the major causes of postoperative complications after cardiothoracic surgery. Outcome of Cardiothoracic surgery is generally associated with high incidence of myocardial, neurological, renal dysfunction, bleeding, surgical site infection which account up to 10% mortality depending on age, sex, comorbidity, preoperative medication and reoperation. Objective: To assess the determinants of cardiothoracic surgery outcomes at Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia. Methodology: A retrospective institutional based cross-sectional study design was conducted among 323 randomly selected patient records. Systematic random sampling technique was used to select medical records. Data was gathered from the medical records of cardiothoracic patients registered during the past five years (from November 2015- November 2020) using a pretested checklist. Result: Male participants were found to be involved more than female participants. The following were final predictors of cardiothoracic surgery outcomes. Ages between 18 and 28, 1.398 times more likely to develop poor outcomes postoperative compared to the rest age groups. [AOR=1.398, 95% CI=1.179-1.656]. Patients with chronic pulmonary disease are 1.713 times more likely to develop poor outcomes as compared to patients with other comorbidities and no known comorbidities [AOR=1.713, 95% CI=1.041-2.818]. And patients whose duration of surgery is 2-3hrs 2.306 times more likely to develop poor outcomes postoperative as compared to 3-4hrs duration of surgery [AOR=2.306 95% CI=1.241-4.283]. Personal habits, waiting time for surgery since admission lost their significance. Conclusion: In this study age, comorbidities (chronic pulmonary disease), and duration of surgery were factors associated with the outcomes. Further investigation during perioperative period like adjusting medications, chest physiotherapies, preoperative and postoperative patient care in order to reduce the poor outcomes.