Prevalence of Death Among Patients with Myocardial Infection in Teritiary Public Hospitals in Addis Ababa Ethiopia: a Retrospective Study

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Addis Ababa University


Back ground: Myocardial infarction is the leading cause of death globally and majority of which is occurring in low- and middle-income countries. However, the magnitude of death among patient with Myocardial infarction was not well known across Ethiopia. Objectives: The aim of the study was to assess the prevalence of death among patients with myocardial infarction in selected tertiary public hospitals in Addis Ababa. Methods: A facility based descriptive -retrospective study was conducted from January 1 2014 –April 30, 2023. A total of 205 samples were drowning proportionally from the selected hospitals.The data were collected using structured checklists. Data were cleaned manually, coded, and entered into Epi-Data version4.6 and analyzed by SPSS version 25 statistical software. Bivariateand multivariate logistic regression analyses were employed to identify associated factors for myocardial infarction related death value less than 0.05 was included in multivariable logistic regression analysis. Adjusted odds ratio along with 95% CI was calculated to see the strength of association factors, and if less than 0.05 will be taken as a level of statistical significance. Results. Out of 205 study samples, Arrhythmia 77(37.6%), pulmonary embolism, 48(23.4%),and Heart failure, 47(22.9%) were the top three reported causes of death among the study population with Myocardial Infarction. The multivariate logistic regression analysis revealed that having a history of comorbidity [AOR= 0.202, (95% CI : 0.101 -0.403) P<0.001], Having poor medication adherence [AOR= 2.381, (95%CI:1.197-4.735), P= 0.013], and having late treatment [AOR=7.157, (95% CI: 3.505- 14.613), P <0.001] were found the determinant factors associated with death due to Myocardial Infarction. Conclusion and recommendation: The study concluded that having a history of comorbidity,having poor medication adherence, and having late treatment were found the determinant factors associated with death due to MI. Therefore, there should be an intervention that reduces thefactorsdetermining the magnitudes of mortality among patient with MI.



Prevalence, myocardial infarction, cause of death, Ethiopia