Browsing by Author "Wubetie Andualem"

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    Assessment of Clinical Presentation and outcomes Sepsis among Children Admitted in Pediatrics Emergency Department of Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia, 2019.
    (Addis Abeba University, 2019-06) Alebel Amsalu; Bacha Tigist ; Wubetie Andualem
    Introduction: Sepsis is life-threatening organ dysfunction caused by a deregulated host response to infection. It is one of the leading causes of mortality among children worldwide. It is also the second leading cause of death for 1-14 years of age and fourth leading cause of death for under 1 year of age. Appropriate and timely recognition of sepsis is a prerequisite for starting goaldirected therapy bundles.Even though sepsis is common, few researches are done in the area of study and the country. Objectives: The study was conducted to assess the clinical presentations and outcomes of sepsis among children admitted in pediatric emergency department of Tikur Anbesa specialized hospital, Addis Ababa, Ethiopia. Methodology: Institutional based retrospective chart review method had been conducted by using standard checklist questionnaire for sepsis patients admitted in pediatric emergency unit of Tikur Anbesa specialized hospital from January 1, 2017 to January 1, 2019. Data has been checked, analyzed, and interpreted by using SPSS Software. The result was presented by tables, bar charts and pie charts. Result: A total of 305 sepsis patients were studied. Of this 3.9% and 2.9% were diagnosed as a complication of sepsis which were sever sepsis and septic shock during admission. The most common site of infection was chest focus accounted for (71%) of patients. The median value of SIRS criteria was (IQR=2) and most patients (79.3%) were alert. From the total studied sepsis patients, 13.4% have co morbidities. Majority of patients (81%) were started antibiotics more than 1 hour after triage. About 55.1% of studied patients were discharge and 8.2% were death.Of this, 3.6 %( n=11) of the death were within 48 hours. Conclusion and recommendation: sepsis is significant concerning condition among children due to its cause of mortality in the world. Majority patients had breathing problem; cardiac concomitant diseases and majority were treated after one hour triage time in this study. As a result every health providers should be awared for clinical presentations and treatments of sepsis.
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    Assessment of Injury Characteristics and Outcome of Fall Down Accident Among Victims at Adult Emergency Department of Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Ababa University, 2015-06) Wubetie Andualem; Teklu Sisay
    BACK GROUND:- Fall down accident is a major public health problem worldwide. It is thesecond leading cause of unintentional injury death, after road traffic injuries with annualestimation of 424 000 fatal falls. Over 80% of fall-related fatalities occur in low- and middle-income countries accounting over two third of these deaths. Though not fatal, approximately37.3 million falls are severe enough to require medical attention occur each year. These falls are accounted for over 17 million disability-adjusted life years (DALYs) lost. (2)Statement of problems:. According to the World Health Organization, over 91% of unintentional injury deaths and 94% of DALYs lost in LMIC in 2004. The highest injury burdenoften occurs in those countries with the weakest evidence to guide intervention strategies, thefewest resources, and the least developed infrastructure to effect change. Rapid urbanization andindustrialization and also co morbidities are major risk factors. Fall down accident stastics inEthiopia provides little knowledge about its magnitude and related information needed forprevention.Significance of the study:- This study will help to gain information about the fall downaccident characteristics and its burden related with major factors in the area of study and thecountry at large. It could help to develop countermeasures that could reduce the number and severity of accidents. In addition, the study may provide base line information to carry out further research. Objective: To assess injury characteristics and outcome of fall down accidents among trauma patients at adult emergency department of Tikur Anbesa Specialized Hospital Addis Ababa,Ethiopia from Jan-Mar, 2015.. Methodology:A prospective hospital based descriptive quantitative study was undertaken. A total of 233 fall down accident victims who visited the hospital between January and March 2015 were studied.A structured pre-tested interview questionnaire format was applied. The collected data wereanalyzed using SPSS version 20.0
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    Assessment of knowledge, Attitude and Practice of Nurses towards Documentation among Nurses Working in Emergency Department of Selected Governmental Hospitals in Addis Abeba, Ethiopia, 2019.
    (Addis Abeba University, 2019-06) Tesfaye Birhanu; Wubetie Andualem; Girma Biruk
    Introduction: Nursing documentation is a required aspect of care which provides written confirmation of discussions and actions that have been done as well as missed for specific reasons. However it draws criticism from professionals, community and different regulatory organization due to incomplete, substandard documentation. However, little has been explored about nursing documentation practice in health care facilities of Addis Ababa,Ethiopia. Therefore; this study was conducted to assess documentation knowledge, attitude,and practice among nurses working in selected public hospitals of Addis Ababa, Ethiopia. Objectives: the objective of this study was to assess knowledge, attitude and practice of nurses towards documentation among nurses working in emergency departments at Black lion specialized Hospital, Zewditu memorial Hospital and AaBET Hospital, Addis Ababa,Ethiopia, 2019. Methods and material: Cross-sectional design; structured self-administered questionnaires were used to assess knowledge, attitude and practice of nurses. The collected data was analyzed using SPSS version 21. Frequency table, graphs and pie chart was used to describe the result. Result: A total of 243 nurses completed the survey 65% of participants were female with the mean age of 29.5 (SD± 0.86). The score of respondents’ knowledge and practice towards nursing documentation was added up and dichotomized into two based on the mean knowledge score which was 3.3(D± 0.47), and 7.45 (SD ± 2.07) respectively. Attitude was assessed using likert scale and the mean score was 30(SD±0.45). Accordingly the knowledge, attitude and practice of the respondents 33.3%, 27.6%, 50.21% were poor respectively. Conclusion: The study indicated that knowledge and attitude of nurses towards documentation fall in good and favorable range of mean score respectively. But the practice was poor among nurses working in emergency departments of selected governmental hospitals. Recommendation: Based on the finding of this study, employing institutions need to create awareness and provide training to enhance knowledge, attitude and practice of the nurses regarding documentation. Researchers also need to carry out large scale studies in order to address the problem.
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    Assessment of Occupational Injury and Associated Factors among Building Construction Workers in Addis Ababa, Ethiopia 2021.
    (Addis Abeba University, 2021-06) Wondimneh Fenta; Jiru Tilahun; Wubetie Andualem
    Background: The World Health Organization (WHO) describesoccupational injury as an epidemic problem in the field of public health in underdeveloped countries.An occupational injury is defined as any personal damage or loss of human life due to the consequences of an occupational accident.Work-related injuries are significantly associated with various factors including employing young workers, low literacy workers, low work experiences, and not using PPE. Objective: This study aimed toassess prevalence of occupational injury and associated factorsamong building construction workers in Addis Ababa, Ethiopia 2021. Methods:A cross-sectional study was conducted in selected construction sites governed underAddis Ababa administration construction office in Addis Ababa city, Ethiopia.Data were collected via face-to-face interviews. The collected data wereentered using the epi data version 4.2.0 and exported to SPSS version 26 for further analysis and interpretations.Bothbivariate and multivariate logistic regression analysis wereperformed to see the association. P-value less than 0.05 was considered statistically significant and finally, the result of the study was presented by using texts, tables, and figures. Results: Out of the total 220 study participants, 88(40%) workers reported occupational injury during the past 12 months and the main causes of injury were struck by an object 24(27.2%), and falling at ground level 23(26.1%). Workers who had employed temporarily 2.6 times high risk for occupational injury than those of workers who had employed permanently (AOR [95%)=2.694[1.021, 7.104]). Workers who have less than two years’ experience were 2.8 times high risk for occupational injury than those of workers who have greater than two years (AOR [95%]= 2.892[1.468,5.697]). Workers who work greater than 48 hours per week 2.3 times more injured than workers who work less or equals to 48 hours per week (AOR [95%]=2.346[1.345,4.092]). Conclusion and recommendation: This study finding showed that there is highoccupational injury and this might be due to lack of work experience, prolonged working hours per week.So it is recommended that occupational health training to all construction workers and limiting working time to less than 48 hours per week will havegreater effect to reduce occupational injury. .
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    Assessment of Patterns and Outcome of Injury among Victims Visiting Emergency Unit of Nigist Elleni Mohammed Memorial Hospital, Hossana, Southern Ethiopia
    (Addis Abeba University, 2020-06) Amanuel Selamu; Wubetie Andualem ; Seyoum Nebiyu
    Background: Every day the lives of more than 14,000 people are cut short as a result of an injury globally. The burden of injury is especially high in LMICs, where over 90% of injury deaths occur. Although the hospitals should have a clear image of injury, little is known about injury statistics. This study was specifically designed to determine the patterns and outcome of commonly occurring injuries based on available health facility records in NEMMH, Hossana,Southern Ethiopia. Methodology: A hospital based retrospective review of records of injury victims in NEMMH from January to December 2019 was evaluated from October to June 2020. Data were collected using a structured checklist that was developed by adapting the World Health Organization instrument. Five degree holder nurses collected the data while investigator closely supervised.Socio demographic characteristics of the patients and injury related information were collected.Data were analyzed using SPSS for windows version 25. Results: Out of 6238 patients visited emergency unit of Nigist Elleni Mohammed Memorial Hospital from January 1, 2019 to December 31, 2019; 762 (12.2%) were victims of injury.Unintentional injury is the most prevalent category of injury (69.4%), of which RTA is the commonest (41% of all unintentional injury) mechanism of injury which in turn affected mostly pedestrians (41.5% of all RTA victims) followed by drivers. Interpersonal violence is the most commonly occurring intentional injury (52.3%) followed by suicidal attempt. Victims who are unintentionally injured those who sustained RTA injury, those who were injured on street, those who encountered chest injury and those who were severely injured were found to be at a higher risk of death as compared to the remaining victims. Conclusion: The magnitude of injury in NEMMH is high. Injury is more prevalent among males and productive age group. Most victims faced their injuries unintentionally, of which RTA is most prevalent; whereas, interpersonal violence is the most prevalent intentional injury. The mortality rate due to injury is also high. Appropriate prevention strategies should be designed and implemented against RTA, and prompt treatment should be commenced to combat bad outcomes.
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    Clinical Presentation and Management outcome in Acute Heart Failure Patients at Tikur Anbessa Specialized Hospital, Ethiopia
    (Addis Ababa University, 2023-06) SintayehuMelaku; Wubetie Andualem ; Tesfaye Berhanu
    Background: - Acute heart failure is the most common cause of emergency presentation wit dyspnoea. It is one of the common causes of emergency department mortality. Acute heart failure patients commonly presented with dyspnoea, orthopnoea and paroxysmal nocturnal dyspnoea. Objective: - To assess the clinical presentation and management outcome of acute heart failure patients presented at emergency department of Tikur Anbessa Specialized Hospital Addis Ababa, Ethiopia, 2023. Methods: - A hospital-based retrospective cross-sectional study design was employed with atotal of 235 patients’ chart which was selected using a systematic random sampling technique.Data were entered into Epi Data version 4.6 and exported to SPSS version 27 for analysis.Binary logistic regression was used to identify factors associated with mortality of acute heart failure patients. And variables with p value< 0.05 were considered to be statistically significant.The findings of study were presented using statements, tables, and figures. Results: A total of 235 patients’ medical record were reviewed. More than half 137(58.3%) of patients were females. The median age of the participants was 39 years (IQR 27 to 58).Emergency department mortality of AHF patients was 14% with 95% CI (9.4-18.7). Diastolic blood pressure less than 60 mmHg, paroxysmal nocturnal dyspnoea, cardiogenic shock and comorbidity were significant factors associated with emergency department mortality of acute heart failure patent at p-value<0.05 with AOR (95% CI, 4.13, 1.5- 11.2), (95% CI,3.3, 1.3- 8.5),(95%CI, 6.4, 1.12-19.3), (95% CI, 4.8,1.3-18.2) respectively. Conclusion and Recommendation: This study showed that mortality in acute heart failure patients was high. Diastolic blood pressure less than 60 mmHg, presence of comorbid conditions and cardiogenic shock were significant factors associated with mortality in acute heart failure patients. Greater emphasis is recommended to reduce emergency department mortality of acute heart failure patients. Interventions related to acute heart failure mortalityfactors is recommended
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    Knowledge of Risk Factors and Warning Signs of Stroke among Patients with Heart Disease at Tikur Anbessa Specialized Hospital
    (Addis Abeba University, 2020-06) Workina Abdeta; Wubetie Andualem; Kebede Sofia; Fekadu Chaladu
    Background: -Stroke is a leading cause of mortality and disability worldwide and the economic costs of treatment and post-stroke care are extensive. A good functional outcome of stroke begins when patients immediately identify its warning signs. The inability to identify stroke warning signs accurately is an important cause of delay in seeking medical attention, leading to potential ineligibility for acute intervention and which leads to secondary complications. The increasing global stroke burden is strongly due to poor community knowledge of stroke risk factors and its warning signs. Objective: -the objective of this study was to identify cardiac patients' knowledge of stroke risk factors and warning signs. Methods: Institutional based cross-sectional study design was employed. Participants were selected using systematic random sampling. Standard stroke awareness close ended questionnaires used in the previous studies were adapted. Questionnaires were pretested and validated for consistency before data collection. Then after data collection data were checked and entered into Epidata 4.6. finally, the cleaned data was exported to SPSS version 25 for analysis. Statistical analysis using binary logistic regression was done and Predictors with p-value of <0.05 were considered statistically significant. Finally based on the findings data was presented using statements, tables, and figures. Results: A total of 227 patients were included in the study, of which 140(61.7%) of them identified physical inactivity, followed by hypertension126(55.5%) as stroke risk factor while 15.4% of them didn't know any risk factor of stroke. Amongst the study participants, 45.81% of them had adequate knowledge of stroke risk factors. Regarding stroke warning signs the most identified sign was sudden unilateral weakness 142(62.6%) while, 46(20.26%) of them didn't know at least one warning signs of a stroke. Based on multivariable logistic regression analysis higher education level AOR 3.05(95% CI 1.62-5.74) and Urban residence area AOR 2.07(95%CI 1.05-4.1) were significantly associated with knowledge of stroke risk factors with p-value<0.05. Conclusion: study participants had inadequate knowledge of stroke risk factors and warning signs. Educational status and information about stroke are significantly associated with adequate knowledge of stroke risk factors, raising stroke awareness is the mainstay to reduce stroke burden.