scholarly journals Mortality and Its Associated Factors among Hospitalized Heart Failure Patients : The Case of South West Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Meiraf Daniel Meshesha ◽  
Robel Hussen Kabthymer ◽  
Mohammed Mecha Abafogi
Keyword(s):  
Heart Failure ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Associated Factors ◽  
Statistical Significance ◽  
Specific Treatment ◽  
Case Fatality ◽  
Heart Failure Patients ◽  
South West ◽  
South West Ethiopia

Background. Hospital case fatality among those with heart failure in Africa ranges from 9% to 12.5%. An integrated approach to identify those who are at high risk and implementing specific treatment strategies is of great importance for a better outcome. Objective. The aim of this study is to assess the mortality rate and its associated factors among hospitalized heart failure patients at the Jimma University Medical Center (JUMC), south west Ethiopia. Method. A hospital-based retrospective cross-sectional study design was conducted among 252 patients admitted with heart failure during the study period who were sampled and enrolled in to the study. A simple random sampling technique was used to select the study participants by using their medical registration number as the sampling frame. Data were collected using a pretested questionnaire. The collected data were entered into EpiData software and exported to SPSS version 20 for cleaning and analysis. A binary logistic regression model was used. Adjusted and crude odds ratio with 95% CI were used. A P value less than 0.05 was used to declare statistical significance. Results. The prevalence of in-hospital mortality was found to be 21.29%. Cardiogenic shock AOR: 0.016 (95% CI: 0.001–0.267), complication at admission AOR: 5.25 (95% CI: 1.28–21.6), and ejection fraction (<30) AOR: 0.112 (95% CI: 0.022–0.562) were found to be significantly associated factors. Conclusion. The in-hospital mortality rate among admitted heart failure patients is unacceptably high. Due emphasis should be given on the identified associated factors to reduce the mortality.

Dietary Calcium Intake and Associated Factors Among Pregnant Women in Loma District, South West Ethiopia, 2020 

2021 ◽  
Author(s):  
Adisu Hailu Tofu ◽  
Yibeltal Kassa ◽  
Damene Darota Amamo
Keyword(s):  
Pregnant Women ◽  
Calcium Intake ◽  
Urban Areas ◽  
Associated Factors ◽  
Statistical Significance ◽  
Dietary Calcium ◽  
Dietary Calcium Intake ◽  
Nutritional Counseling ◽  
South West ◽  
South West Ethiopia

Abstract Background: Low dietary calcium intakes could cause harmful effects to the pregnant woman by influencing pregnancy outcome. Adequate intake of dietary calcium during pregnancy reduces the risk of complications and aids in improved birth outcome. Many researchers focus on urban areas to address the issue and our study was focused on rural community. Hence the study is aimed at assessing dietary calcium intake in rural communities.Objective: To assess the dietary calcium intakes and associated factors among pregnant women in Loma, south west Ethiopia from May to July, 2019Methods: -A community based cross-sectional study was conducted in Loma district, Dawuro zone, southwest Ethiopia. Data were collected from 398 pregnant women after random selection from nine kebeles. Simple random sampling technique was employed to select study subjects. Socio-economic and demographic, and health related data was collected using structured, interviewer administered, and pre tested questionnaire. The 24 hr dietary recall was used for three different days with seven days interval as per the recommendation. When dietary data is collected, often it was converted into nutrients, especially the calcium intake by using Ethiopian food composition table. Collected data was checked for completeness, and entered in to Epi Data version 3.02 for data clearance and exported to SPSS version 20 for analysis. AOR with 95% C.I results of multivariate logistic regression was used to assess the statistical significance of associations between independent and dependent variables. The level of statistical significance was declared at p <0.05.Result: The median calcium intake was 543mg per day. From 398 participants, 265(66.6%) were at risk of inadequate intake of calcium. Greater than half 249 (62.6%) respondents had practiced avoiding calcium rich food during their pregnancy. The finding of this study identified that nutritional counseling have strong statistical association with dietary calcium intake of mothers during pregnancy. The chance of dietary calcium intakes during pregnancy who were received nutritional counseling 2.4 times higher than those who were not received nutritional counseling (AOR=2.432 95% CI: 1.072-5.517).Conclusion and recommendation: From the present study, it can be concluded that, majority of pregnant mothers 265(66.6%) had a poor dietary calcium intakes during their pregnancy. It is recommended that consumption of enough calcium and dairy products should be included and emphasized in the nutrition education component of maternal health programs.

scholarly journals Caring behavior and associated factors among nurses working in Jimma University Specialized Hospital, Oromia, South West Ethiopia, 2019

2019 ◽  
Author(s):  
Adugna Oluma ◽  
Muktar Abadiga
Keyword(s):  
Job Satisfaction ◽  
Associated Factors ◽  
Statistical Significance ◽  
Linear Regression Analysis ◽  
Working Environment ◽  
Caring Behavior ◽  
South West ◽  
Specialized Hospital ◽  
South West Ethiopia ◽  
Jimma University

Abstract BACK GROUND Caring behaviors are actions concerned with the wellbeing of the patients such as sensitivity, comforting, attentive listening, honest and nonjudgmental acceptance. Nurses have an opportunity to convey caring and feeling being cared through their behavior. Behavior associated with caring has a paramount role in linking nursing interaction to the client in experiences but, the concept is ambiguous and elusive toward different scholars to reach on common understanding which is myth in dealing with caring behavior. Only a few studies have been done on the caring behavior and associated factors globally, and no study was done in this study area. OBJECTIVE To assess caring behavior and its associated factors among nurses working in Jimma University specialized hospital, south west Ethiopia. METHODS An institutional based cross-sectional study design was conducted on a sample of 224 nurses working in Jimma university specialized hospital from March 20-April 20, 2019. Data was collected by self-administered questionnaire. Descriptive statistics including frequency table, mean, standard deviation and percentage were employed. Bivariate and multiple linear regression analysis were used with regression coefficient (β), coefficient of determinant (R2), CI 95% and p<0.05 were used for statistical significance. RESULTS The overall proportion of nurses caring behavior was 80.3% which was mostly measured in terms of professional –technical (82.9%) and psychosocial (81.3%) dimension. Job satisfaction as personal satisfaction (beta=1.12, p=0.00), professional satisfaction, (beta=1.07, p=0.00), joint participation in caring process (beta=0.58, p=0.00,) satisfaction with nurse management (beta=0.85, p=00) were significantly associated with caring behavior. CONCLUSION The proportion of nurse’s who had high perception of caring behavior was found to be lower. Thus, all predictors have their own effect on enhancing job satisfaction, improving and creating conducive management and working environment to increase caring behavior. Further comparative studies involving multidisciplinary and patient point of view were recommended.

scholarly journals Dietary Calcium Intake and Associated Factors Among Pregnant Women in Loma District, South West Ethiopia, 2020

2021 ◽  
Author(s):  
Adisu Hailu Tofu ◽  
Yibeltal Kassa ◽  
Damene Darota Amamo
Keyword(s):  
Pregnant Women ◽  
Calcium Intake ◽  
Urban Areas ◽  
Associated Factors ◽  
Statistical Significance ◽  
Dietary Calcium ◽  
Dietary Calcium Intake ◽  
Nutritional Counseling ◽  
South West ◽  
South West Ethiopia

Abstract Background: Low dietary calcium intakes could cause harmful effects to the pregnant woman by influencing pregnancy outcome. Adequate intake of dietary calcium during pregnancy reduces the risk of complications and aids in improved birth outcome. Many researchers focus on urban areas to address the issue and our study was focused on rural community. Hence the study is aimed at assessing dietary calcium intake in rural communities.Objective: To assess the dietary calcium intakes and associated factors among pregnant women in Loma, south west Ethiopia from May to July, 2019Methods: -A community based cross-sectional study was conducted in Loma district, Dawuro zone, southwest Ethiopia. Data were collected from 398 pregnant women after random selection from nine kebeles. Simple random sampling technique was employed to select study subjects. Socio-economic and demographic, and health related data was collected using structured, interviewer administered, and pre tested questionnaire. The 24 hr dietary recall was used for three different days with seven days interval as per the recommendation. When dietary data is collected, often it was converted into nutrients, especially the calcium intake by using Ethiopian food composition table. Collected data was checked for completeness, and entered in to Epi Data version 3.02 for data clearance and exported to SPSS version 20 for analysis. AOR with 95% C.I results of multivariate logistic regression was used to assess the statistical significance of associations between independent and dependent variables. The level of statistical significance was declared at p <0.05.Result: The median calcium intake was 543mg per day. From 398 participants, 265(66.6%) were at risk of inadequate intake of calcium. Greater than half 249 (62.6%) respondents had practiced avoiding calcium rich food during their pregnancy. The finding of this study identified that nutritional counseling have strong statistical association with dietary calcium intake of mothers during pregnancy. The chance of dietary calcium intakes during pregnancy who were received nutritional counseling 2.4 times higher than those who were not received nutritional counseling (AOR=2.432 95% CI: 1.072-5.517).Conclusion and recommendation: From the present study, it can be concluded that, majority of pregnant mothers 265(66.6%) had a poor dietary calcium intakes during their pregnancy. It is recommended that consumption of enough calcium and dairy products should be included and emphasized in the nutrition education component of maternal health programs.

Temporal trends, sex-differences and outcomes of patients hospitalized for heart failure in Germany

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S Goebel ◽  
L Hobohm ◽  
T Gori ◽  
M.A Ostad ◽  
T Muenzel ◽  
...  
Keyword(s):  
Heart Failure ◽  
Sex Differences ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Temporal Trends ◽  
Case Fatality ◽  
Adverse Outcomes ◽  
Funding Source ◽  
National Budget ◽  
Public Grant

Abstract Background Despite remarkable improvements in treatment of cardiovascular disease, heart failure (HF) is still characterized by a high mortality rate. Sex-specific differences in HF have been described, but underlying reasons are widely unexplored. Thus, we aimed to investigate sex differences of patients hospitalized for HF in a nationwide cohort. Methods The nationwide German inpatient sample (2005–2016) was used for this sex-specific analyses. Temporal trends on hospitalizations, mortality, and treatments were analyzed and independent predictors of adverse outcomes identified. Results The present analysis comprises 4,538,977 hospitalizations due to HF (52.0%women) in Germany (2005–2016). Although women were older (median 82 (IQR75–87) vs. 76 (69–82), P&lt;0.001), coronary artery disease (CAD, 50.3% vs. 30.7%, P&lt;0.001) was more prevalent in men, who were more often treated with PCI (3.4% vs. 1.4%, P&lt;0.001) and implantable cardioverter-defibrillator (2.2% vs. 0.5%, P&lt;0.001). In-hospital mortality was significantly lower in men than in women (8.9% vs. 10.2, P=0.001) and was reduced in patients who received PCI or implantation of an ICD. While total numbers of hospitalizations between 2005 and 2016 increased in both men (β-estimate 7185.71 (95% CI 6502.23 to 7869.18), P&lt;0.001) and women (β-estimate 5297.60 (95% CI 4557.37 to 6037.83), P&lt;0.001) as well as almost all comorbid co-conditions, in-hospital mortality rate decreased more distinctly in women (β-estimate −0.41 (95% CI: −0.42 to −0.39), P&lt;0.001) compared to men (β-estimate −0.29 (95% CI: −0.30 to −0.27), P&lt;0.001). Conclusions Interventional treatments of HF were associated with improved outcomes and equally beneficial for both sexes. However, they were more often used in male HF patients, in which CAD is significantly more frequent than in female HF patients. This may explain the higher case fatality rate of HF in females. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): German Federal Ministry of Education and Research (BMBF)

Trends in hospitalization and in-hospital mortality of patients with heart failure in Spain. A population-based study (2003–2015)

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J.L Bonilla Palomas ◽  
M.P Anguita-Sanchez ◽  
F.J Elola ◽  
J.L Bernal ◽  
C Fernandez-Perez ◽  
...  
Keyword(s):  
Heart Failure ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
National Health System ◽  
Admission Rate ◽  
Population Data ◽  
Principal Diagnosis ◽  
Data Set ◽  
Discharge Rates ◽  
Mortality Ratio

Abstract Background Heart failure (HF) is one of the most pressing current public health concerns. However, in Spain there is a lack of population data. Purpose To investigate trends in HF hospitalization and in-hospital mortality rates. Methods We conducted a retrospective observational study of patients discharged with the principal diagnosis of HF from The National Health System' acute hospitals during 2003–2015. The source of the data was the Minimum Basic Data Set of the Ministry of Health, Consumer and Social Welfare. We analyzed trends in hospital discharge rates for HF (discharge rates were weighted by age and gender) an in-hospital mortality. The risk-standardized in-hospital mortality ratio (RSMR) was defined as the ratio between predicted mortality (which individually considers the performance of the hospital where the patient is attended) and expected mortality (which considers a standard performance according to the average of all hospitals) multiplied by the crude rate of mortality. RSMR was calculated using a risk adjustment multilevel logistic regression models developed by the Medicare and Medicaid Services. Temporal trend during the observed period was modelled using Poisson regression analysis with year as the only independent variable. In this model, the incidence rate ratio (IRR) and their 95% confidence intervals (95% CI) was calculated. Results A total of 1 254 830 episodes of HF were selected. Throughout 2003–2015 the number of hospital discharges with principal diagnosis of HF increased by 61% (IRR: 1.04; CI: 1.03–1.04; p&lt;0.001), meanwhile the crude mortality rate and the mean length of stay (LOS) diminished significantly (IRR: 0.99; CI: 0.98–1; and IRR: 1.04; CI: 0.99–0.99; p&lt;0.001, for both). Discharge rates weighted by age and sex showed a statistically significant increase during the period (IRR: 1.03; CI: 1.03–1.03; p&lt;0.001); however, whereas discharge rates increased significantly in older groups of age (≥75 years old) (IRR: 1–1.02; p&lt;0.001) they diminished in younger groups of age (45–74 years old) (IRR: 0.99; p&lt;0.001 and there was not a significant trend in the discharge rates for the group of 35–44 years old (Figure). The risk-standardized in-hospital mortality ratio did not significantly change throughout 2003–2015 (IRR: 0.997; CI: 0.992–1; p=0.32), however the risk-standardized LOS ratio diminished from 1.07 in 2003 to 0.97 in 2015 (IRR: 0.98: IC: 0.98–0.99; p&lt;0.001). Conclusions From 2003 to 2015, HF admission rate increased significantly in Spain as a consequence of the sustained increase of hospitalization in the population over 75. The crude in-hospital mortality rate diminished significantly for the same period, but the risk-standardized in-hospital mortality ratio did not significantly change. Figure 1 Funding Acknowledgement Type of funding source: None

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