Clinical profile of patients presented with cardiogenic shock in black lion specialized hospital adult emergency room.
| dc.contributor.advisor | Dr. Worku, Tigist(Emergency medicine and critical care, Assistant professor) | |
| dc.contributor.advisor | Dr. Tesfaye, Birhanu(Emergency medicine and critical care, Assistant professor) | |
| dc.contributor.author | Ayele, Biruk | |
| dc.date.accessioned | 2022-01-24T08:28:55Z | |
| dc.date.accessioned | 2023-11-05T09:38:18Z | |
| dc.date.available | 2022-01-24T08:28:55Z | |
| dc.date.available | 2023-11-05T09:38:18Z | |
| dc.date.issued | 2021-10 | |
| dc.description.abstract | Background: Cardiogenic shock is defined as a state of ineffective cardiac output caused by primarily cardiac disorder resulting in inadequate tissue hypo perfusion. Cardiogenic shock is one of the contemporary emergency room and cardiology challenges. The mortality rate is 39 % with range of 27-50%.It is also the leading cause of mortality in patents with myocardial infarction. Objective: The main objective of the study was to determine the clinical characteristics of cardiogenic shock patients in Black line specialized hospital adult emergency room. Methods: This study was conducted in Black lion specialized hospital located in Addis Ababa, Ethiopia. A cross-sectional study was conducted retrospectively on patients who visited Black Lion hospital adult emergency room from June 2019 to June 2021. All patients who were diagnosed to have cardiogenic shock on the mentioned study period were included .Data was collected from patients card by the researcher after structured questioner which was be adopted and modified from previous researches . After checking for clarity and completeness the data was entered in to SPSS version 26 for analysis. RESULT; In this monocentric study which from 98 patients who were enrolled retrospectively 84 patients full fill the inclusion criteria. Out of them patients 39 (46 %) were male. The mean age of the patients was 40.2 years with 19.1 standard deviation. Regarding the residency 67.9% were from urban area. At admission the mean systolic blood pressure of the patients was 59.23 mmHg with standard deviation of 34. The mean heart rate of the patients was 111 beats per minute with 37 standard deviation. Ejection fraction of the patients was depressed with mean EF of 39.9% with 14.4 standard deviation. . Valvular heart disease was the most common underlying etiology accounting for 47.6% or 40 of the patients, followed by ischemic heart disease which accounts for 26.51 % of the cases .In hospital mortality was 38.1 %. Presence of deranged creatinine level was associated with death with p-value of 0.031 and 3.256 adjusted odds ratio [1.116-9.505] 95% confidence interval. Ischemic heart disease was also having association with death with p value of 0.004 and adjusted odds ratio of 7.184 with [1.874-27.543] 95 % confidence interval. CONCLUSION: In this study the most common underlying etiology for cardiogenic shock was chronic rheumatic valvular heart disease .The other finding was the etiology ischemic heart disease and presence of deranged creatinine level were highly associated with in hospital mortality. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/29582 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Cardiogenic shock ,Patients | en_US |
| dc.title | Clinical profile of patients presented with cardiogenic shock in black lion specialized hospital adult emergency room. | en_US |
| dc.type | Thesis | en_US |