Management outcome and factors associated with pediatric surgical patient‟s admitted at Arbaminch General Hospital, Southern Ethiopia, 2021:retrospective cross-sectional study
No Thumbnail Available
Date
2021-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Pediatric surgical situations are inadequately addressed globally, especially in
developing countries. But, the admission of children due to surgical conditions increases
dramatically as a result of increased trauma, and emergency surgical conditions. The burden of
the surgical condition is high among children of middle and low-income countries including
Ethiopia.
Objective: To assess management outcome and factors associated with pediatric surgical
patient‟s admitted at Arbaminch general hospital, southern Ethiopia, 2021.
Method: An institution-based retrospective cross-sectional study design was employed among
265 children with surgical problems admitted to Arbaminch General Hospital from January
1/2017 to December 31/2020. Data were collected from patients chart by using the systematic
random sampling method. Then data was entered by using Epi Data 4.2 version and analyzed by
using SPSS version 25. Bi-variate and multi-variable logistic regression analysis was employed.
And P-value < 0.05 with 95% confidence interval (CI) was used to identify associated factors.
Result: This study revealed that about 26% of study subjects were discharged with unfavorable
management outcome. Children admitted with trauma cause [AOR: 5.753, 95% CI:(2.36613.987)],Children
with a pre-existing medical condition[AOR: 3.240, 95% CI:(1.436-7.310)],
children who have an early complication [AOR: 2.515, 95% CI:(1.130-5.599)],Children with a
duration of hospital presentation >24hrs[AOR:8.351,95% CI:(2.089-33.381)],Children who
stayed in hospital >7days [AOR:10.671,95% CI:(1.363-83.546)], and management surgicaly
[AOR:2.742,95% CI:(1.137-6.611)] are factors positively associated with unfavorable outcome.
Conclusion and recommendations: Twenty six percent of patients were discharged with
unfavorable outcome. Causes of admission, preexisting medical condition, early complication,
duration of hospital presentation, length of hospital stay and type of management were factors
associated with the outcome of pediatric surgical admission. So, early identification and treatment
of cause should be needed and need of well-equipped care centre to have a good outcome.
Providing health education to the community to increase awareness about the surgical condition.
Description
Keywords
Outcome, Pediatric Surgery, Admission, Arbaminch, Ethiopia.