Incidence and Associated Factors of Anemia in Elective Surgical Patients Admitted to a Surgical Intensive Care Unit at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2023
| dc.contributor.advisor | Wosenyeleh Admasu | |
| dc.contributor.advisor | Lidya Haddis | |
| dc.contributor.author | Habtie Bantider | |
| dc.date.accessioned | 2023-12-13T13:03:07Z | |
| dc.date.available | 2023-12-13T13:03:07Z | |
| dc.date.issued | 2023-06-13 | |
| dc.description.abstract | Anemia is a frequently reported and commonly documented issue in intensive care units. In surgical intensive care units, more than 90 % of patients were found to be anemic. It is a hematologic factor that contributes to extended mechanical ventilation, sepsis, organ failure, longer hospitalizations in critical care units, and higher mortality. So, screening and identifying associated factors for the initiation of early treatment are recommended before intensive care unit discharge. Objective: To assess the incidence and associated factors of anemia in elective surgical patients admitted to a surgical intensive care unit at Tikur-Anbessa Specialized Hospital, Addis Ababa, Ethiopia, from November 2022 to December 2022. Method: A retrospective cohort involving 422 patients hospitalized to ICU after elective surgery at TASH, Addis Ababa, Ethiopia, was carried out between December 2019 and December 2022.Data was gathered from the patients' charts and study participants were chosen using methods of systematic random sampling. SPSS 26 (the statistical software for social science, version 26) was used to analyze the data. The binary logistic regression was used to examine associations between variables. Finally, variables are significant when their p-value is less than 0.05. Result: The incidence of anemia in elective surgical patients admitted to the ICU was 69.9% (95% CI: 65.4% to 74.5%). ASA class III [AOR: 8.53, 95% CI: 1.92–13.8], renal failure [AOR: 2.53, 95% CI: (1.91, 5.81)], malignancy [AOR: 2.59, 95% CI: (1.31, 5.09)], thoracic surgery [AOR: 4.07, 95% CI: (2.11, 7.87)], urologic surgery [AOR: 6.22, 95% CI: (2.80, 13.80)], and neurosurgery [AOR: 4.51, 95% CI: (2.53, 8.03)] were significantly associated with anemia in ICU admitted surgical patients. Conclusion and recommendation: More than 2/3rds of ICU-admitted surgical patients were anemic. ASA III, renal failure, malignancy, thoracic surgery, urologic surgery, and neurosurgery were significantly associated with it. Early identification helps to institute preventive and therapeutic measures. Anemia is a frequently reported and commonly documented issue in intensive care units. In surgical intensive care units, more than 90 % of patients were found to be anemic. It is a hematologic factor that contributes to extended mechanical ventilation, sepsis, organ failure, longer hospitalizations in critical care units, and higher mortality. So, screening and identifying associated factors for the initiation of early treatment are recommended before intensive care unit discharge. Objective: To assess the incidence and associated factors of anemia in elective surgical patients admitted to a surgical intensive care unit at Tikur-Anbessa Specialized Hospital, Addis Ababa,Ethiopia, from November 2022 to December 2022. Method: A retrospective cohort involving 422 patients hospitalized to ICU after elective surgery at TASH, Addis Ababa, Ethiopia, was carried out between December 2019 and December 2022. Data was gathered from the patients' charts and study participants were chosen using methods of systematic random sampling. SPSS 26 (the statistical software for social science, version 26) was used to analyze the data. The binary logistic regression was used to examine associations between variables. Finally, variables are significant when their p-value is less than 0.05. Result: The incidence of anemia in elective surgical patients admitted to the ICU was 69.9% (95% CI: 65.4% to 74.5%). ASA class III [AOR: 8.53, 95% CI: 1.92–13.8], renal failure [AOR: 2.53, 95% CI: (1.91, 5.81)], malignancy [AOR: 2.59, 95% CI: (1.31, 5.09)], thoracic surgery [AOR: 4.07, 95% CI: (2.11, 7.87)], urologic surgery [AOR: 6.22, 95% CI: (2.80, 13.80)], and neurosurgery [AOR: 4.51, 95% CI: (2.53, 8.03)] were significantly associated with anemia in ICU admitted surgical patients. Conclusion and recommendation: More than 2/3rds of ICU-admitted surgical patients were anemic. ASA III, renal failure, malignancy, thoracic surgery, urologic surgery, and neurosurgery were significantly associated with it. Early identification helps to institute preventive and therapeutic measures. | |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/876 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | anemia, incidence, intensive care unit, Ethiopia | |
| dc.title | Incidence and Associated Factors of Anemia in Elective Surgical Patients Admitted to a Surgical Intensive Care Unit at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2023 | |
| dc.type | Thesis |