Incidence and Associated Factors of Hypotension After Spinal Anesthesia Who Undergo Both Elective and Emergency Surgery Under Spinal Anesthesia at Tikur Anbesa Specialized Hospital.
| dc.contributor.advisor | Shamil,Amira(MD, Ass.Prof.) | |
| dc.contributor.advisor | Alferid,Fettya(MD, MPH, Ass.Prof.) | |
| dc.contributor.author | Biadglig,Simachew | |
| dc.date.accessioned | 2025-08-12T20:18:25Z | |
| dc.date.available | 2025-08-12T20:18:25Z | |
| dc.date.issued | 2024-05 | |
| dc.description.abstract | Background: Hypotension is one of the feared complications associated with spinal anesthesia. Though data is scarce in low-income countries, the incidence of post spinal hypotension ranges from 15-33%. Different factors are associated with the development of post spinal hypotension like patient related factors, anesthesia related factors and surgical related factors thus identifying the incident and associated factors of post spinal hypotension will help identify preventive measures. Objective: To assess the incidence and associated factors of post spinal anesthesia hypotension on patients undergoing surgery at Tikur Anbesa specialized hospital, from November 1, 2023-Fev 30, 2024GC. Method: Hospital based cross sectional study was conducted using 258 patients. A structured pre-tested modified and adopted questionnaire was used to collect data who underwent surgery using spinal anesthesia at Tikur Anbesa specialized hospital, from November 1, 2023-Fev 30, 2024GC. A proportional stratiefied random sampling was used to select study subjects. Data was entered cleared using Epi data version 3.1 then exported to SPSS version 27 for analysis.Odd ratio was calculated on variables to determine associated through binary and multivariate logistic regression. Result: Among 258 patients who underwent surgery incident of post spinal hypotension was 15.5%, using at 5% level of significant multivariable binary logistic regression; hypertension, sensory block above T5 and hemoglobin level <10mg/dl were associated with development of post spinal hypotension. The odd ratio of developing post spinal hypotension in hypertensive patient was 3.47 times AOR = 3.474, 95%CI= [1.356–8.897] than patients who has no hypertension. The odd ratio of developing post spinal hypotension in patients’ hemoglobin <10mg/dl was 2.85 times AOR =2.85, 95% CI= [1.113-7.299] than patients’ hemoglobin >10mg/dl, sensory block above increase post spinal hypotension by 5 times T5, AOR = 5.196, 95% CI = [2,286 – 13.331]. But there was no association with age,baricity,baseline heart rate,chronic alcohol consumption,urgency of surgery. Conclusion: This study revealed that the incidence of spinal anesthesia induced hypotension was relatively low, and the independent associated factors were history of ii Pageii hypertension, hemoglobin level less than 10mg/dl and sensory block above T5. The mean time to develop post spinal hypotension was 14 minutes. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6551 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Post Spinal Anesthesia hypotension | |
| dc.subject | Baricite | |
| dc.title | Incidence and Associated Factors of Hypotension After Spinal Anesthesia Who Undergo Both Elective and Emergency Surgery Under Spinal Anesthesia at Tikur Anbesa Specialized Hospital. | |
| dc.type | Thesis |