Undesirable Postoperative Anesthesia Outcomes at Two National Referral Hospitals: A Cross-Sectional Study in Eritrea

Abstract Background: Perioperative undesirable anesthesia outcomes are common among patients undergoing surgery. They may affect body systems and lead into more serious intraoperative and postoperative problems. This research is conducted in the Eritrean National Referral Hospitals with the aim of assessing the prevalence of undesirable anesthesia outcomes during the perioperative period. Method: A cross sectional study design was applied on 470 patient who underwent different types of surgeries with in a three month period. Patients were interviewed 24 hours after operation using the Leiden preoperative care patient satisfaction questionnaire (LPPSq). This study reports one component of a large study conducted. The dimension “Discomfort and needs” of the LPPSq was considered and the measurement of that dimension are presented in this report. Items of the dimension were standardized and measured using a five point Likert scale from “Not at all” to “Extremely”. Multivariable logistic regression was used to look for the association of the outcomes with the types of surgery and types of anesthesia using SPSS (Version 22). Statistical significance level was set at p< 0.05. Results: The prevalence of undesirable anesthesia outcomes were computed in two manners; prevalence of those with ‘at least a little bit’ outcomes which was computed to see the total occurrence of these outcomes and prevalence of those having ‘more than moderate’ outcomes to see the severe experience of these outcomes. Prevalence of the predominant undesirable outcome, post-operative pain, for ‘at least a little bit’ and ‘more than moderate’ were 82.6% and 43.6% respectively. The rest post-operative undesirable outcomes were less frequently reported. Conclusion: Postoperative pain was found to be the most prevalent undesirable outcome. Enhancement of the proper assessment and management of postoperative pain through the development and implementation of specific pain management modalities is needed. Local guidelines should also be available in these settings for the treatment of acute postoperative pain or other outcomes. Keywords: Leiden preoperative care patient satisfaction questionnaire (LPPSq), Perioperative care, Surgery, Undesirable anesthesia outcomes.

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Undesirable Perioperative Anesthesia Outcomes at Two National Referral Hospitals, a cross sectional study in Eritrea

10.21203/rs.2.19220/v3 ◽

2020 ◽

Author(s):

Yonatan Mehari Andemeskel ◽

Traudl Elsholz ◽

Ghidey Gebreyohannes ◽

Eyasu H. Tesfamariam

Keyword(s):

Postoperative Pain ◽

Cross Sectional Study ◽

Care Patient ◽

Preoperative Care ◽

Sectional Study ◽

Cross Sectional ◽

Patient Satisfaction Questionnaire ◽

Satisfaction Questionnaire ◽

Referral Hospitals ◽

Undesirable Outcome

Abstract Background: Perioperative undesirable anesthesia outcomes are common among patients undergoing surgery. They may affect body systems and lead into more serious intraoperative and postoperative problems. This research is conducted in the Eritrean National Referral Hospitals with the aim of assessing the prevalence of undesirable anesthesia outcomes during the perioperative period. Method: A cross sectional study design was applied on 470 patient who underwent different types of surgeries with in a three month period. Patients were interviewed 24 hours after operation using the Leiden preoperative care patient satisfaction questionnaire (LPPSq). This study reports one component of a large study conducted. The dimension “Discomfort and needs” of the LPPSq was considered and the measurement of that dimension are presented in this report. Items of the dimension were standardized and measured using a five point Likert scale from “Not at all” to “Extremely”. Multivariable logistic regression was used to look for the association of the outcomes with the types of surgery and types of anesthesia using SPSS (Version 22). Statistical significance level was set at p< 0.05. Results: The prevalence of undesirable anesthesia outcomes were computed in two manners; prevalence of those with ‘at least a little bit’ outcomes which was computed to see the total occurrence of these outcomes and prevalence of those having ‘more than moderate’ outcomes to see the severe experience of these outcomes. Prevalence of the predominant undesirable outcome, post-operative pain, for ‘at least a little bit’ and ‘more than moderate’ were 82.6% and 43.6% respectively. The rest post-operative undesirable outcomes were less frequently reported. Conclusion: Postoperative pain was found to be the most prevalent undesirable outcome. Enhancement of the proper assessment and management of postoperative pain through the development and implementation of specific pain management modalities is needed. Local guidelines should also be available in these settings for the treatment of acute postoperative pain or other outcomes. Keywords: Leiden preoperative care patient satisfaction questionnaire (LPPSq), Perioperative care, Surgery, Undesirable anesthesia outcomes.

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Undesirable Perioperative Anesthesia Outcomes at Two National Referral Hospitals, a cross sectional study in Eritrea

10.21203/rs.2.19220/v1 ◽

2019 ◽

Author(s):

Yonatan Mehari Andemeskel ◽

Traudl Elsholz ◽

Ghidey Gebreyohannes ◽

Eyasu H. Tesfamariam

Keyword(s):

Back Pain ◽

Cross Sectional Study ◽

Care Patient ◽

Preoperative Care ◽

Median Score ◽

Sectional Study ◽

Cross Sectional ◽

Patient Satisfaction Questionnaire ◽

Satisfaction Questionnaire ◽

Referral Hospitals

Abstract Background: Perioperative undesirable anesthesia outcomes are common among patients undergoing surgery. The aim of this study was to assess the prevalence of undesirable anaesthesia outcomes during the perioperative period. Method: This cross sectional study was conducted on 470 patient who underwent different types of surgeries at two National Referral Hospitals with in a three month period. Patients were interviewed 24 hours after operation using the dimension “Discomfort and needs” of the Leiden preoperative care patient satisfaction questionnaire (LPPSq). Descriptive analysis was done using SPSS (version 22) to compute the percentage of occurrence of these undesirable outcomes. Odds ratio was computed using logistic regression to look for the association of the outcomes with the type of surgery and type of anesthesia. Statistical significance level was set at p<0.05. Results: The prevalence of these outcomes was computed in two sequences; prevalence A and prevalence B. Of all the outcomes, post-operative pain was found to be the most prevalent outcome scoring 82.6% and 43.6% consecutively in both prevalence with a median score of 1. The rest of the post-operative side effects were less frequently reported with a median score of 0. In those who did general surgery, sore throat was observed 5.49 times more among those who took general anesthesia (p <0.001). The occurrence of nausea and vomiting was also higher among the same patients in which nausea occurred 1.74 times more (p<0.05) and vomiting 2.03 more (p<0.05). While back pain occurred 51% less among these patients (p <0.05). In those patients who had orthopedic surgeries significant differences was observed only in the occurrences of sore throat in which it was experienced 5.37 times more (p<0.01) by those patients who took general anaesthesia. While in those patients who did gyn/obs surgery, the occurrence of back pain was significant in which was 67% higher among those who took general anaesthesia Conclusion: The experience of undesirable anesthesia outcomes is generally low except for postoperative pain. More emphasis is needed on the management of postoperative pain. Keywords: Leiden preoperative care patient satisfaction questionnaire (LPPSq), Perioperative care, Surgery, Undesirable anesthesia outcomes.

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Pattern of Thalassemia and Hemoglobinopathies Among Anemic Under-Five Children of Northern Bangladesh: A Hospital Based Cross Sectional Study

10.21203/rs.3.rs-157764/v1 ◽

2021 ◽

Author(s):

Md. Abdur Rafi ◽

M. Morsed Zaman ◽

Md. Golam Hossain

Keyword(s):

Cross Sectional Study ◽

Severe Form ◽

Health Concern ◽

Sectional Study ◽

Cross Sectional ◽

Hemoglobin E ◽

Under Five ◽

Under Five Children ◽

Thalassemia Minor ◽

Different Types

Abstract Background Congenital hemoglobin defects are significant global health concern affecting more than 330,000 newborns every year. In Bangladesh more than half of the under-five children are anemic, but the contribution of hemoglobin disorders to childhood anemia is quite unexplored. Hence, the objective of the present study was to investigate the prevalence and pattern of hemoglobinopathies among anemic under-five (age 6–59 months) children visiting the hematology department of Rajshahi Medical College Hospital (RMCH). Methods This was a retrospective cross-sectional study among anemic patients aged between 6 to 59 months conducted in the hematology department of RMCH from July 2018 to June 2020. The guideline of WHO was used to define the severity of anemia. Hemoglobinopathies was measured using standard methods. Chi-square test was used to find the association between two categorical factors. Results Female and younger children included in the study were more likely to suffer from moderate to severe form of anemia compared to their counterparts. Out of 534 patients 183 were suffering from different types of hemoglobinopathies (prevalence 34.3%). E-β-Thalassemia was the most common type of hemoglobinopathy (14%) followed by Hemoglobin E trait (11%) and β-Thalassemia minor (5.6%). Prevalence of these hemoglobin disorders was comparatively higher among female and older children (p < 0.05). Patients with E-β-Thalassemia and β-Thalassemia major of our study were mostly suffering from severe form of anemia while patients with hemoglobin E trait and β-Thalassemia minor were mostly suffering from mild anemia (p < 0.01). Conclusions A remarkable number of children were suffering from severe anemia and different types of hemoglobinopathies. Gender and age group were the risk factors of anemia and hemoglobinopathies among under-five children. Health authorities of Bangladesh should especially take care of anemic children in this country.

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A cross-sectional study of pain severity in patients suffering from different types of primary headache in the hospital setting

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20201920 ◽

2020 ◽

Vol 8 (5) ◽

pp. 1740

Author(s):

Sanjay Prasad ◽

Abhay Paliwal ◽

Ram Ghulam Razdan

Keyword(s):

Primary Headache ◽

Cross Sectional Study ◽

Tension Type Headache ◽

Pain Severity ◽

Sectional Study ◽

Headache Disorders ◽

Cross Sectional ◽

Different Types ◽

Type Headache ◽

The Impact

Background: Primary headache disorders including migraine and tension-type headache (TTH) are of great importance to global public health due to its high prevalence, but very few studies have been conducted to know its prevalence and pain severity of different types of primary headache. Aim of this study was to investigate the subtypes and pain severity of different types of primary headache in hospital setting.Methods: This study is a cross-sectional study with 200 sample size. Includes patients with Primary headache in department of Psychiatry, MGMMC, Indore. Patient aged between 18-65 years, both gender. Diagnosis of headache was done clinically in accordance with International Classification of Headache disorders (ICHD- 3). Semi-structured headache questionnaire, Comparative pain scale were used for assessment of samples.Results: Among 200 patients, Tension type headache was 73.5%, Migraine was 22%, Mixed headache was in 4.5% patients. Majority of migraine and mixed headache cases had severe pain at 93.2% & 55.6% respectively. Majority of TTH cases had moderate pain in 42.2% patients.Conclusions: Study has shown assessments of severity of pain, can be used to assess the impact of Primary headache on patient’s quality of life.

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Corrigendum to “Critical Incident Disclosing Behaviors and Associated Factors among Nurses Working in Amhara Region Referral Hospitals, Northwest Ethiopia: A Cross-Sectional Study”

Critical Care Research and Practice ◽

10.1155/2021/9842972 ◽

2021 ◽

Vol 2021 ◽

pp. 1-1

Author(s):

Yeshiambew Eshete ◽

Bekele Tesfaye ◽

Zewdu Dagnew ◽

Demewoz Kefale ◽

Demeke Mesfin Belay ◽

...

Keyword(s):

Critical Incident ◽

Associated Factors ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Amhara Region ◽

Cross Sectional ◽

Referral Hospitals

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Pharmacological analgesia in neonates undergoing cardiac surgery

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692008000400012 ◽

2008 ◽

Vol 16 (4) ◽

pp. 727-732 ◽

Cited By ~ 2

Author(s):

Mariana Bueno ◽

Amélia Fumiko Kimura ◽

Cibele Andrucioli de Mattos Pimenta

Keyword(s):

Cardiac Surgery ◽

Postoperative Pain ◽

Pain Control ◽

Private Hospital ◽

Cross Sectional Study ◽

Sectional Study ◽

Postoperative Pain Control ◽

Fentanyl Citrate ◽

Cross Sectional ◽

The City

The objectives of this study were to verify the frequency of pharmacological analgesia and the occurrence of postoperative pain in neonates undergoing cardiac surgery. METHODS: This is a cross-sectional study and data were collected from 30 medical charts of neonates who underwent cardiac surgery in a private hospital in the city of São Paulo. RESULTS: The majority (96.6%) of neonates received analgesia: 18 (60.0%) received continuous analgesics, five (16.7%) received intermittent drugs, and six (20.0%) received a combination of continuous and intermittent analgesics. Fentanyl citrate was continuously administered to 24 (80.0%) neonates. Intermittent dipyrone and morphine was administered to ten (33.3%) and one (3.3%) neonates, respectively. Pain registers were observed in 17 (56.7%) medical charts and the occurrence of pain among neonates who received analgesics was 53.4%. CONCLUSION: There was no efficacy in pharmacological postoperative pain control in the neonates included in this study.

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Measuring associations between social anxiety and use of different types of social media using the Swedish Social Anxiety Scale for Social Media Users: A psychometric evaluation and cross‐sectional study

Scandinavian Journal of Psychology ◽

10.1111/sjop.12673 ◽

2020 ◽

Vol 61 (6) ◽

pp. 819-826

Author(s):

Olivia J. Erliksson ◽

Philip Lindner ◽

Ewa Mörtberg

Keyword(s):

Social Media ◽

Social Anxiety ◽

Psychometric Evaluation ◽

Cross Sectional Study ◽

Anxiety Scale ◽

Sectional Study ◽

Cross Sectional ◽

Different Types

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Magnitude of maternal near misses and the role of delays in Ethiopia: a hospital based cross-sectional study

BMC Research Notes ◽

10.1186/s13104-019-4628-y ◽

2019 ◽

Vol 12 (1) ◽

Cited By ~ 2

Author(s):

Mulugeta Dile Worke ◽

Habtamu Demelash Enyew ◽

Maru Mekie Dagnew

Keyword(s):

Antenatal Care ◽

Health Care Access ◽

Cross Sectional Study ◽

Near Miss ◽

Sectional Study ◽

Cross Sectional ◽

Near Misses ◽

Care Access ◽

Referral Hospitals

Abstract Objectives This study was aimed to assess the magnitude of maternal near misses and the role of delays including other risk factors. A Hospital based cross sectional study was conducted at three referral hospitals of Amhara region on 572 mothers who came to obtain obstetrics care services from February 01 to July 30, 2018. Results The magnitude of maternal near miss was 26.6% (95% CI 23, 30). With regards to delays, 83 (14.5%), 226 (39.5%), and 154 (26.9%) of women delayed in the decision to seek care, in reaching care, and in receiving care respectively. Women who had no antenatal care [AOR = 3.16; CI (1.96, 5.10)], who stayed in hospital 7 days or more [AOR = 2.20; CI (1.33, 3.63)] and those who had delay in reaching health facility [AOR = 1.99; CI (1.10, 3.61)] were more likely to be near miss. While, women whose husband was able to read and write [AOR = 0.29; CI (0.09, 0.96)] and those with monthly household income between 2001 and 3000 ETB [AOR = 0.35; CI (0.18, 0.70)] were 71% and 65% less likely to be near misses respectively. Promoting antenatal care and increasing maternal health care access could have significant impact in reducing maternal near misses.

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