Patterns of Cardiothoracic Surgery Practice at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2025.
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Date
2025-07
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Addis Ababa University
Abstract
Introduction: Cardiothoracic surgery (CTS) addresses critical conditions like coronary artery disease, valvular disorders, and congenital heart defects, which are rising globally. In Ethiopia, CTS demand is increasing, yet data on practice patterns remain limited. This study evaluates CTS practices at Tikur Anbessa Specialized Hospital (TASH), Ethiopia.
Objectives: Patterns of cardiothoracic surgery practice at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2022-2024.
Methods: A retrospective cross sectional study was conducted among patient operated at Tikur Anbessa specialized hospital. The study subjects was all CTS patients treated at TASH over the past three years. Data was collected using a semi-structured questionnaire and checklist. Data was entered and analyzed using SPSS version 20. In the analysis process, frequency distribution of variables was calculated. To ascertain the association between dependent and independent variables, odds ratio with 95% confidence interval was calculated.
Results: Mean patient age was 30.59 years (±20.28), with 33.9% young adults and 34.9% pediatric cases. Gender distribution was balanced (50.9% male, 49.1% female), and most patients were urban residents (68.7%). Cardiac surgeries (35.7%) is less frequent than thoracic (64.7%), peaking in 2024 (73cardiac surgery). Leading indications were congenital heart defects (26.5%) and malignancies (22.7%). Survival rate was 97.2%, with 2.8% mortality and 10.4% readmission.
Conclusion: TASH manages Ethiopia‘s high burden of congenital and infectious cardiac diseases effectively, though infrastructure and surgical volume lag behind high-income settings. Recommendations include expanding training, improving referrals, and enhancing postoperative care.
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Cardiothoracic surgery, treatment outcomes, TASH, Ethiopia.