ORCID Profile
0000-0001-8367-1421
Current Organisations
Flinders University
,
Wollega University
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Elsevier BV
Date: 03-2021
Publisher: Informa UK Limited
Date: 10-2020
DOI: 10.2147/OAEM.S260314
Publisher: Hindawi Limited
Date: 06-08-2019
DOI: 10.1155/2019/8374017
Abstract: Background . There has been a steady rise in the absolute number of emergency room admissions over the last few decades. The healthcare delivery system of a country is required to be adjusted to patterns of morbidity and mortality to mitigate the minimized prolonged ill health consequences and premature death of adults. The spectrum, patterns, morbidity, and mortality of health and health-related emergency conditions for which patients visit hospitals often reflect the magnitude of different health problems in a society. The objective of this study was therefore to assess the spectrum, pattern, characteristics, and clinical outcomes of emergency department admissions among adult people who visited EDs of the selected hospitals in western Ethiopia. Methodology . Hospital-based prospective cross-sectional study design was utilized. To select hospitals to be included in the study, the area s ling technique was used. Five administrative zones in west Oromia were selected as geographical clusters. Then, four hospitals were randomly selected from each zone. Finally, the consecutive s ling technique was utilized to recruit the study participants. Results . The mean age of the patients admitted to emergency departments (EDs) of the selected hospitals was 34.98 years. The male-to-female ratio of the respondents was nearly equal (1 : 1.04). While one-fourth (20.4%) of the patients arrived by ambulances (without identifying reason), 23.6% of them visited the emergency department as they had no other place to go. Medical emergencies (45.4%) were the leading types of emergencies followed by traumatic emergencies (27.3%). Respiratory distress (12.43%), extremity fractures (9.61%), and hypertensive disorders (8.6%) were among the top leading causes of adult ED admissions. Vital signs were deranged in about 59.4% of the cases. The most common type of immediately life-threatening problems identified on arrival was impairment of breathing (37%), followed by circulatory compromises (30%). Emergency department admission patterns were variable with peak admissions in the month of February and the lowest in November. The vast majority (90.9%) of emergency patients survived. While 8.5% of patients died of the various types of emergency conditions, the final clinical outcome was not identified in 1.5% of the patients. Conclusion . This study has showed mixed cases with varied patterns and outcomes of adult emergency department admissions. As overall there is a need to be alert during specific seasons, actions must be taken to improve the readiness of existing emergency room services. Furthermore, it is worthwhile to invest further on standardizing and organizing prehospital services at the community level.
Publisher: Springer Science and Business Media LLC
Date: 15-05-2019
Publisher: Informa UK Limited
Date: 09-2020
DOI: 10.2147/DMSO.S266589
Publisher: Hindawi Limited
Date: 06-05-2020
DOI: 10.1155/2020/5741692
Abstract: Back Ground . Epidemiological data related to poisoning is very limited in Ethiopia. Therefore, this study was carried out to assess the patterns, associated factors, and clinical outcomes of poisoning among poisoned cases brought to selected hospitals in western Ethiopia. Methodology . Hospital-based prospective cross-sectional study design was employed. Five administrative zones in west Ethiopia were selected as geographical clusters. Area s ling technique was utilized to select the hospitals. Finally, consecutive s ling technique was used to recruit the study participants. Since the objective of this study was to determine the pattern and outcome of poisoning during the specified study period, no specific s ling size determination was employed. As such, all of the 211 poisoned cases presented to the selected hospitals during the specific study period were consecutively included. Data were collected using a comprehensively organized and pretested interviewer-administered questionnaire. Results . The broad types of poisoning were identified in about 193 (91.47%) cases of poisoning in this study. Pesticides exposure and food poisoning have, respectively, contributed for 32.70% and 20.91% of the poisoning incidence. On the other hand, chemical from industry has contributed the least percentage (2.81%). Out of a total of 24 agents identified, 26.80% of the agents were organophosphates followed by raw meat (18.40%). Difference in the incidence of poisoning was also observed as seasons in a year change. Among the victims who have taken household materials as a poisoning agent, about 47.87% of them have taken the agents during daytime. The remaining cases of poisoning developed by household chemicals occurred at night. More than half (54.98%) of the poisoned patients have encountered the incidents inside their home. Regarding the final poisoning outcome, about 7.10% poisoning cases in this study died of the poisonings. Factors such as place, time, intention, and source of poisoning were observed to determine poisoning outcomes. Although poisoning attempt was lesser among urban residents as compared to rural community, rural dwellers were four times more likely to die of poisoning they had attempted (AOR: 4.072 (1.197–13.85)). Conclusion . This study has clearly showed that the incidence of poisoning was varied with seasonal variations. The encountered poisonings ended up with mixed clinical outcomes, which were also affected by patients’ demographic and clinical characteristics. Fertilizers, unclean food items, household materials, and drugs have caused majority of the poisonings. Creating community awareness and designing sound prevention strategies are recommended to reduce morbidity and mortality related to poisoning.
Publisher: Springer Science and Business Media LLC
Date: 20-08-2019
Publisher: Informa UK Limited
Date: 11-2020
DOI: 10.2147/IBPC.S277582
Publisher: Informa UK Limited
Date: 03-2021
DOI: 10.2147/RMHP.S288003
No related grants have been discovered for Ashenafi Habte WOYESSA.