Browsing by Author "Zewdu, Tigist (Assistant professor)"

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    Assesment of Patterns and Outcomes of Chest Injury Among Adult Patients Received Trauma Care at Tikur Anbesa Specialized Hospital, Addis Ababa, Ethhiopia
    (Addis Ababa University, 2017-06) W/Giorgis, Ermiyas; Zewdu, Tigist (Assistant professor)
    Introduction: Globally, injury continues to be an important cause of morbidity and mortality both in the developed and developing countries. It is the major public health problem in every country across the world and causing approximately 5.8 million deaths per year. The Chest trauma is a disease that has worsened long with growing urbanization and industrialization; due to worldwide increases in violence, constructions and vehicle number. Objective: The objective of this study was to assess the patterns and outcomes of chest injuries among adult patients admitted with chest trauma in Tikur Anbessa specialized teaching hospital (TASTH) over one year period between January 1, 2016 to December 31, 2016. Methods and Materials: Hospital based retrospective descriptive cross- sectional study designs were used to assess magnitude and outcomes of chest injury among patients admitted to TASTH. The collected data were to Epi data software version 3.3.1. Then, the entered data was exported to SPSS, version 21 for analyses. Descriptive statistics was used to present the results. Logistic regression was used to determine association between dependent and independent variables. Association between variables was taken as statistically significant for all variables resulted in p- value of <0.05 on multiple logistic regression. RESULTS: A total of 192 chest injury patients were treated at TASTH. Fifty three of them were died during treatment. Age [AOR 8.9(95% CI, 1.51-53.24)], time of presentation to hospital after injury [AOR 4.6(95% CI, 1.19-18.00)], Length of stay in hospital [AOR 0.12(95% CI, 0.02- 0.58)], presence of extra-thoracic associated body region injury [AOR 25(95% CI, 4.18-150.02)] and development of complications [AOR 23(95% CI, 10-550)] were determinant of mortality in the present study. Conclusions and recommendations: Chest trauma predominantly affects the male and economically productive age group with high morbidity and mortality in this environment. Road traffic accident was the leading cause of chest trauma in this study outcome. The study calls for early recognition and management of complications, awareness creations to society on their health seeking behavior, adequate provision of ambulance service and road traffic accidents prevention to reduce the morbidity and mortality resulting from chest injuries. Key Words: Injuries, Chest injuries, Tikur Anbessa Specialized Teaching Hospital, Ethiopia
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    Assessment of Incidence and Treatment Outcome of Septic Shock Among Patients Admitted to Adult Intensive Care Unit of Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Ababa University, 2017-06) Teklemichael, Hiyab; Zewdu, Tigist (Assistant professor)
    Introduction Septic shock is a major healthcare problem, affecting millions of people around the world each year, killing one in four and increasing in incidence. In most developed countries, the incidence of Septic shock has been identified as between 50 and 100 cases per 100,000 people in the population. The mortality rate from severe sepsis in the developed countries has been estimated as being between 28 and 50%, ranging from 15% in patients with sepsis and up to 40-50% in patients with septic shock with multi-organ dysfunction syndrome (MODS) Objective The study aims to explore the incidence and the factors associated with outcome among patients with septic shock admitted to the intensive care unit, TASH, Addis Ababa, Ethiopia. Method A retrospective cross-sectional study was carried out at intensive care unit of our hospital. This study included all patients with septic shock admitted to adult ICU of TASH during Jan 2014- Dec 2017. Data was collected using a structured checklist and statistical analysis was done using SPSS version 21. Regression model was applied to identify the factors contributing to the outcome of septic shock. P-value less than 0.05 were considered statistically significant. Results Of 820 admissions, 115 (14%) patients had septic shock. Majority (60%) was female and the mean age was 47.9+16.5 years. The most common sites of infection were the respiratory tract infection (54.8%) followed by urethral tract infection (14.8%), Gram-negative bacteria, particularly Escherichia coli (4.3%) and Klebsiella pneumonia (3%), were the major infecting micro-organisms. All patients have received antibiotic and fluid therapy. 23.5% patients started treatment within the first hr. of ICU stay and the overall 28-day mortality rate was 58.3%. Conclusion The study revealed that septic shock is a frequent cause of ICU admission with a high mortality rate. This can be explained by the fact that septic shock patients have more comorbidity, a worst previous state of health and requires more life support therapies. Therefore early identification of high risk population, implementation of appropriate treatment and the design of future clinical studies are crucial to improve the outcome of septic shock
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    Assessment of Magnitude and Outcomes of Head Injury in Myungsung Christian Medical Center (KOREA Hospital), Addis Ababa, Ethiopia.
    (Addis Ababa University, 2017-06) Woldmeskel, Asfawosen; Zewdu, Tigist (Assistant professor)
    Background: Trauma, especially head trauma, is an expanding major public health problem and the leading cause of death of the young and productive part of the world’s population. Objective: To assess the magnitude and outcomes of head injury among patients presented to adult emergency department of Myungsung Christian medical center, from January 01, 2016 to January 01, 2017, Addis Ababa Ethiopia. Methods: Institutional based retrospective, cross sectional study was conducted at Myungsung Christian medical center, from January 01, 2016 to January 01, 2017, Addis Ababa Ethiopia. All head injury patients who fulfills inclusion criteria and visited Myungsung Christian medical center during the period from January 01, 2016 to January 01, 2017 were selected for the study. Result. From total of 673 trauma patients visited adult emergency of MCM hospital from January 12016 to January 1, 2017, there were 168 head injury patients and included in this study of which 124 (73.8%) were males and 44(26.2%) were females. From the 168 head injury patients, severity of head injury was categorized depending on GCS and 11(6.4%) severe, 73 (43.5%) moderate and 84(50%) were mild type of head injury. Road traffic accident was the leading 59(43.3%) followed by fall down accident 49(35.8%) and assault or fighting measures for 29(21.2%) of head injury patients. The majority of the patients 99(58.8%) were improved, 28(16.7%) cured, 7(4.2%) died and 34(20.2%) were with unknown outcome because they were referred to other hospitals. Conclusion: the analysis of this study revealed that road traffic accident is the major cause of head injury and head injury patient with associated injury are more at risk to develop complications than with no associative injury. Key words: head injury, magnitude, outcomes, retrospective, Myungsung Christian medical center.