Pattern and Outcome of Adult medical Emergency Department Admissions at Yekatit12 Hospital, Addis Ababa
No Thumbnail Available
Date
2015-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background Informationon pattern and outcome of adult medical ED
admissions is scarce in Ethiopia.
Objective The main objective of this study wasto assess the patterns and
outcomes of adult emergency medical admissions to ED of Yekatit 12
Hospital.
Methodology The study design was retrospective cross sectionalstudy of all
adult medical emergency patients admitted to ED from September 2013 to
Auguest 2014 at Yekatit 12 hospital, Addis Ababa.
Results: There were a total of 711 adult medical ED admissions. The average
adult medical ED admission per month was 64. The majority of adult medical ED
admissions were due to non-infectious diseases (53.6%, N= 381) whereas infectious
diseases accounted for over one-third. The leading causes of adult medical ED
admissions were DKA, Pneumonia, AGE with hypovolemic states, CHF and acute
asthmatic exacerbations. The crude death rate in the adult medical ED is 3.9% and
the mean length of stay is 2 days.
Conclusions: The pattern of adult medical ED admission in Yekatit 12 hospital
is variable. Higher proportion of admissions was due to NCDs. Diabetic
Ketoacidosis, Pneumonias, AGEs with hypovolemic states, cardiovascular
emergencies and acute asthmatic attacks are also among the leading causes.
There is a need for action to improve the readiness of the health care to
respond to these prevailing medical emergencies. Medical ED outcome was
found to be affected by certain demographic and clinical characteristics of
patients. Medical ED mortality was low in the study setting.
Key words Pattern, Outcome , Adult Medical Emergencies and Emergency
Departement
Description
Keywords
Pattern; Outcome; Adult Medical Emergencies and Emergency Departement