Pattern and Outcome of Adult Medical Emergency Department Admissions at Yekatit 12 Hospital, Addis Ababa

Fitsumbirhan, Tigist (2015) Pattern and Outcome of Adult Medical Emergency Department Admissions at Yekatit 12 Hospital, Addis Ababa. Masters thesis, Addis Ababa University.

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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.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Pattern, Outcome , Adult Medical Emergencies and Emergency Departement
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 27 Jul 2018 09:42
Last Modified: 27 Jul 2018 09:42
URI: http://thesisbank.jhia.ac.ke/id/eprint/8303

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