Prevalence and Associated Factors of Cardiac Arrhythmia Among Critically Iii COVID-19 Patients at Eka kotebe COVID-19 Center Addis Ababa Ethiopia, 2021:cross-sectional study
No Thumbnail Available
Date
2021-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: According to World Health Organization (WHO) June 2 report there were total of172,173,283 cases and 3,695.990 deaths and, 154, 832,586 recovered with the highest prevalencein the United States America. Cardiovascular and arrhythmic events have been reported inhospitalized COVID-19 patients. COVID-19 has the potential to cause myocardial injury andnoted to have heart failure in a study of inpatients from previous studies. There are researcheslimitation regarding the prevalence and associated factors of the disease in general andparticularly among COVID-19 critically ill patients. Understanding the situation in Ethiopia would help to us to improve their status and outcome of clinical service.
Objective: To assess the Prevalence and associated factors of cardiac arrhythmia among critically ill COVID-19 patients in Eka Kotebe COVID-19 center Addis Ababa Ethiopia, 2020.
Method: A Cross-sectional study was applied among 388 sampled medical records of COVID19 patients at Eka Kotebe hospital. The study periods were from February 25-April 30, 2021. Sample size was calculated by using single and double population proportion formula, A pretested and structured
record reviews checklist was used to collect data and the data entry and data
analysiswas done by statistical software like EPI data and SPSS. Bivariable and multivariable binary logistic regression was used to examine the relationship between the dependent and independent variables.
Result: The prevalence of cardiac arrhythmia among critically ill COVID-19 positive patients with 91.5% response rate was found to be 71.4%. Presence of comorbidity (AOR: 11.00 95%CI; 5.57, 21.70), substance use (AOR: 2.77 95%CI 1.54, 4.99), hypokalemia (AOR: 6.85 95%CI;2.96, 15.86), hyperkalemia (AOR: 9.31 95%CI; 4.75, 18.22) and hypotension (AOR: 2.75
95%CI 1.27, 5.92) are statistically significant associated factors for cardiac arrhythmia.
Conclusion: High prevalence of cardiac arrhythmia was observed in Eka Kotebe critically ill COVID-19positive patients. Presence of underline comorbidity, hypokalemia, hyperkalemia, hypotension and substance (chat, alcohol, cigarettes and others) use were significantly associated
with cardiac arrhythmia. Health service organizations have to give attention to monitor vital sign specially blood pressure and to monitor electrolyte balance.
Description
Keywords
COVID-19, comorbidity and Arrhythmia.