Clinical presentation and management outcome in acute heart failure patients at Tikur Anbessa Specialized Hospital, Ethiopia
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Date
2023-06
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Addis Ababa University
Abstract
Background: - Acute heart failure is the most common cause of emergency presentation with
dyspnoea. It is one of the common causes of emergency department mortality. Acute heart
failure patients commonly presented with dyspnoea, orthopnoea and paroxysmal nocturnal
dyspnoea.
Objective: - To assess the clinical presentation and management outcome of acute heart failure
patients presented at emergency department of Tikur Anbessa Specialized Hospital Addis
Ababa, Ethiopia, 2023.
Methods: - A hospital-based retrospective cross-sectional study design was employed with a
total of 235 patients’ chart which was selected using a systematic random sampling technique.
Data were entered into Epi Data version 4.6 and exported to SPSS version 27 for analysis.
Binary logistic regression was used to identify factors associated with mortality of acute heart
failure patients. And variables with p value< 0.05 were considered to be statistically significant.
The findings of study were presented using statements, tables, and figures.
Results: A total of 235 patients’ medical record were reviewed. More than half 137(58.3%) of
patients were females. The median age of the participants was 39 years (IQR 27 to 58).
Emergency department mortality of AHF patients was 14% with 95% CI (9.4-18.7). Diastolic
blood pressure less than 60 mmHg, paroxysmal nocturnal dyspnoea, cardiogenic shock and
comorbidity were significant factors associated with emergency department mortality of acute
heart failure patent at p-value<0.05 with AOR (95% CI, 4.13, 1.5- 11.2), (95% CI,3.3, 1.3- 8.5),
(95%CI, 6.4, 1.12-19.3), (95% CI, 4.8,1.3-18.2) respectively.
Conclusion and Recommendation: This study showed that mortality in acute heart failure
patients was high. Diastolic blood pressure less than 60 mmHg, presence of comorbid
conditions and cardiogenic shock were significant factors associated with mortality in acute
heart failure patients. Greater emphasis is recommended to reduce emergency department
mortality of acute heart failure patients. Interventions related to acute heart failure mortalityfactors is recommended.
Description
Keywords
Acute heart failure, Clinical Presentation, management outcome, TASH.