Background: Ethiopian emergency department (ED) patients have a considerable burden of illness and injury for which all-cause mortality rates have not previously been published. This study sought to characterize the burden of and to identify predictors for early all-cause mortality among patients presenting to the Tikur Anbessa Specialized Hospital ED (TASH-ED) in Ethiopia. Methods: Data was prospectively collected from the records of all patients who died within 72 h of ED presentation. Pearson's Chi square and Fisher's exact tests were used to investigate associations between two outcome variables: (a) time to death and (b) immediate cause of death in relation to specific demographic and clinical factors. Time from ED presentation to death was dichotomized as 'very early' mortality within ≤6 h and death >6–72 h and logistic regression was used to assess the adjusted impact of these demographic and clinical variables on the probability of dying within 6 h of ED presentation. Results: Between October 2012 and May 2013, 9956 patients visited the ED and 220 patients died within 72 h of admission. After excluding patients dead on arrival (n = 34), the average age of death was 43.1 years and the overall mortality rate was 1.9 %. Head injury (21.5 %) and sepsis (18.8 %) were the most common causes of death. Relative to medical patients, trauma patients were more likely to be male (p < 0.01), less likely to have had prior recent ED visits (p < 0.01) and more likely to be triaged as higher acuity (p = 0.04). The sole statistically significant predictor of death within 6 h from our multivariable logistic regression model was symptom duration less than 4 h (4–48 h vs. <4 h: OR = 0.20, 95 % CI 0.07, 0.53, p < 0.01; >48 h vs. <4 h: OR = 0.27, 95 % CI 0.09, 0.81, p = 0.02). Conclusions: The mortality burden of trauma and sepsis in the TASH-ED is substantial, and mortality patterns differ between these groups. As emergency medicine develops as a specialty in the Ethiopian health system, the potential impact of context-specific clinical care protocol development, trauma prevention advocacy and ED care re-organization initiatives to reduce mortality among these young, previously well patients warrants exploration.
from #Medicine via ola Kala on Inoreader http://ift.tt/1MZAJQc
via IFTTT
Αρχειοθήκη ιστολογίου
-
►
2023
(138)
- ► Φεβρουαρίου (74)
- ► Ιανουαρίου (64)
-
►
2022
(849)
- ► Δεκεμβρίου (61)
- ► Σεπτεμβρίου (74)
- ► Φεβρουαρίου (65)
-
►
2021
(2936)
- ► Δεκεμβρίου (59)
- ► Σεπτεμβρίου (180)
- ► Φεβρουαρίου (325)
-
►
2020
(1624)
- ► Δεκεμβρίου (293)
- ► Σεπτεμβρίου (234)
- ► Φεβρουαρίου (28)
-
►
2019
(13362)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (5586)
- ► Ιανουαρίου (5696)
-
►
2018
(66471)
- ► Δεκεμβρίου (5242)
- ► Σεπτεμβρίου (5478)
- ► Φεβρουαρίου (4835)
- ► Ιανουαρίου (5592)
-
►
2017
(44259)
- ► Δεκεμβρίου (5110)
- ► Σεπτεμβρίου (5105)
-
►
2016
(7467)
- ► Δεκεμβρίου (514)
- ► Σεπτεμβρίου (1038)
- ► Φεβρουαρίου (793)
-
▼
2015
(2119)
- ► Δεκεμβρίου (940)
-
▼
Οκτωβρίου
(414)
-
▼
Οκτ 24
(35)
- 50 Remarkable & Wise Quotes About Patience
- NSC 2015 Dispatch: APTA President Sharon Dunn
- A "Patient-Like" Orthotopic Syngeneic Mouse Model ...
- From the outgoing editor in chief
- Hip joint motion and gluteal muscle activation dif...
- Back muscle fatigue of younger and older adults wi...
- Neuromuscular and physiological variables evolve i...
- Dynamic balance in elite karateka
- Electromechanical delay of the hamstrings during e...
- Pain intensity attenuates movement control of the ...
- Effect of interelectrode distance on surface elect...
- Synthesis and activities of new indolopyrrolobenzo...
- Novel derivatives of nitro-substituted salicylic a...
- Design, synthesis and preliminary bioactivity stud...
- Carbonic anhydrase inhibitors: design, synthesis, ...
- Synthesis, quorum sensing inhibition and docking s...
- Inhibition of human topoisomerase I and II and ant...
- Triazole linked mono carbonyl curcumin-isatin bifu...
- Synthesis and Biological Evaluation of New C-10 Su...
- Bowel Function After Spinal Cord Injury
- Findings of Abnormal Videoflouroscopic Swallowing ...
- Patterns and predictors of early mortality among e...
- Knowledge of stroke a study from a sex perspective
- Acute serum sodium concentration changes in pediat...
- A study of heat and mass transfer in a fractional ...
- Hemoperitoneum in a patient with spontaneous ruptu...
- A joint latent class model for classifying severel...
- The role of cyclooxygenase-1 in high salt diet-ind...
- NSC 2015 Dispatch: Foundation's Marquette Challenge
- Durée de sommeil et métabolisme
- Évaluation des connaissances sur le dépistage du c...
- Conséquences fonctionnelles respiratoires et quali...
- Un angiosarcome mimant une embolie pulmonaire réci...
- Redox imaging of skeletal muscle using in vivo DNP...
- Identification of an unstable 4-hydroxynoneal modi...
-
▼
Οκτ 24
(35)
Αναζήτηση αυτού του ιστολογίου
Σάββατο 24 Οκτωβρίου 2015
Patterns and predictors of early mortality among emergency department patients in Addis Ababa, Ethiopia
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
-
Αλέξανδρος Γ. Σφακιανάκης Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,0030693260717...
-
heory of COVID-19 pathogenesis Publication date: November 2020Source: Medical Hypotheses, Volume 144Author(s): Yuichiro J. Suzuki ScienceD...
-
https://ift.tt/2MQ8Ai8
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου
Σημείωση: Μόνο ένα μέλος αυτού του ιστολογίου μπορεί να αναρτήσει σχόλιο.