Browsing by Author "Akanie Semalign"

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    The Prevalence of Frailty and its Associated Factors among Preoperative Elective Elderly Surgical Patients in Selected Referral Hospitals, Addis Ababa, Ethiopia, 2023/2024: A multi-center cross sectional study.
    (Addis Ababa University, 2024-06) Akanie Semalign; Sitot Mulualem ; Fentie Fissiha
    Background: Frailty is a phenotype that identifies people with reduced physiological reserve in multiple organ systems. The prevalence of frailty in surgical patients ranges from 4.1% to 50.3%.Frailty can leads to infection, increase healthcare intervention and hospitalization in elderly surgical patients. Thus preoperative identification of factors causing frailty is critical for determining patient suitability for surgery. Objectives: To assess the prevalence of frailty and its associated factor in preoperative elderly surgical patient at Addis Ababa referral hospitals, Ethiopia from February –April 2024. Method: A multi-center cross sectional study was conducted on 422 elderly surgical patients in selected referral hospitals in Addis Ababa, Ethiopia from February-April 2024. The data was collected after obtaining consent, and the study participants were chosen using a method of systematic random sampling. Data was checked, coded, entered, and analyzed by using Statistical Package for Social Science version 26. Multinomial logistic regression analyses were performed to identify a statistically significant association between the independent and dependent variables. Finally, variables are significant when their p-value is less than 0.05. Result: The prevalence of frailty and pre-frailty in elective elderly surgical patients was 23.7%(95% CI: 19.7% to 28%) and 35.1% (95% CI: 30.5% to 39.8%), respectively. Sex (AOR: 2.326,95%CI: 1.112–4.863), age (AOR:2.308, 95%CI:1.120–4.574), depression (AOR:2.747,95%CI:1.295–5.826), presence of more than two coexisting disease (AOR:9.049, 95%CI:1.633–50.147) and use of more than two medications (AOR:7.320, 95%CI:1.884–28.450) were found to be significantly associated with frail and sex(AOR:1.733, 95%CI 1.034-2.906)and residence(AOR:1.996, 95%CI:1.162–3.429) were found to be significantly associated with pre-frail Conclusion and recommendation: More than 1/5th of surgical patients were frail, and more than 1/3rd of surgical patients were pre-frail. Patient age, sex, depression, the presence of co-existing disease, and medication usage were identified factors of frailty. Pre-frailty, on the other hand, was linked to patient sex and residence status. Early assessment and pre-rehabilitation of elective elderly surgical patients with depression, coexisting disease and those who uses more than two medications, before surgery is recommended and may lead to a good surgical outcome.