Prevalence and Associated Factors of Post Spinal Anesthesia Transient Neurological Symptoms in Dessie Referral Hospital from February to April 2021, Institution based Cross Sectional Study
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Date
2021-07
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Addis Ababa University
Abstract
Background: Spinal anesthesia is most commonly utilized regional anesthesia method for numerous surgical procedures. Spinal anesthesia has been an effective anesthesia
method with an assessed success rate of over 90%. However, it has also been implicated as one of the possible causes of neurological complications following surgical procedures.
Transient neurological symptoms (TNS) after spinal anesthesia that's characterized by postoperative discomfort within the buttocks or the lower extremities is one of the neurological complications with an estimated prevalence of 40%.
Objectives: The aim of this study is to determine the prevalence and associated factors of post spinal anesthesia transient neurological symptoms in Dessie referral hospital.
Dessie, Ethiopia, February 1 st 2021 – April 30th 2021.
Methods: An institutional based cross-sectional study design was used among patients who underwent surgery under spinal anesthesia in Dessie referral hospital from February 1st 2021 up to April 30th 2021. Sample size was calculated to be 215.The association between the dependent and independent variable was assessed by binomial and multiple logistic regression with p value of less than 0.5 considered as statistically significant.
Result: out of 215 patients that participated in our study and the prevalence of post SA TNS was observed to be 10.2%. Factors that were assessed to be associated with TNS were BMI (AOR = 2.9 and 95% CI: 1.03 - 8.43) and lithotomy surgical position (AOR =3.64 and 95% CI: 1.19 – 11.08).
Conclusion: our study result showed that the overall prevalence of post SA TNS in Dessie referral hospital is 10.2%. when compared with other studies the prevalence in our study is lower. BMI and lithotomy surgical position have significant relationship with the incidence of TNS.
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post spinal anesthesia transient neurological symptoms, prevalence, associated factors, Ethiopia., Post spinal anesthesia transient neurological symptoms, prevalence, associated factors, Ethiopia.