scholarly journals Magnitude and Obstetric Complications of Twin Deliveries at Nekemte Referral Hospital, Western Ethiopia: Facility-based Case Control Study

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Amaru Ayza ◽  
Temesgen Tilahun ◽  
Dechasa Bedada
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Referral Hospital ◽  
Obstetric Complications ◽  
Western Ethiopia ◽  
Control Study

scholarly journals Determinant factors for the occurrence of tuberculosis after initiation of antiretroviral treatment among adult patients living with HIV at Dessie Referral Hospital, South Wollo, Northeast Ethiopia, 2020. A case-control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248490
Author(s):  
Mehd Abdu ◽  
Yeshimebet Ali ◽  
Samuel Anteneh ◽  
Mohammed Yesuf ◽  
Adane Birhanu ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Opportunistic Infection ◽  
Study Design ◽  
Random Sampling ◽  
Case Control Study ◽  
Case Control ◽  
Referral Hospital ◽  
Living With Hiv ◽  
Dessie Referral Hospital ◽  
Control Study

Introduction Globally, tuberculosis takes the first rank for the ill-health of people living with HIV/AIDS. Despite the favorable outcome of antiretroviral therapy, the risk of tuberculosis remains higher among HIV patients. This obliges to identify factors for its occurrence and further prevention of drug-resistant tuberculosis. There is a contradiction between different studies and studies conducted in Ethiopia studied poorly the association between adherence to antiretroviral therapy and viral load with tuberculosis. Studies conducted in the study area were limited to cross-sectional study design. Therefore, this study claimed to identify factors determining the occurrence of tuberculosis after initiation of antiretroviral therapy. Methods This study was conducted at Dessie Referral Hospital by using a case-control study design on a sample of 565 with a control: case ratio of 3:1. Participants from controls were selected by systematic random sampling and from cases by consecutive random sampling. The data were collected by interviewing through structured questionnaires and from the medical record. The data were entered into Epi data version 3.1. In the multivariable analysis, variables with a P-value of ≤0.05 were anticipated as independent determinant factors. Result Patients without separate kitchen (AOR: 3.547, 95% CI: 2.137, 5.888), having opportunistic infection (AOR: 3.728, 95% CI: 2.058, 6.753), CD4 count of <350 cells/mm3 (AOR: 3.383, 95% CI: 1.520, 7.528), baseline WHO stage III (AOR: 3.321, 95% CI: 1.688, 6.534) or IV (AOR: 2.900, 95% CI: 1.251, 6.722), don’t taking IPT (AOR: 3.701, 95% CI: 2.228, 6.147) and those who were poorly adherent (AOR: 2.626, 95% CI: 1.272, 5.423) or moderately adherent (AOR: 3.455, 95% CI: 1.885, 6.335) to anti-retroviral therapy were more likely to develop tuberculosis after anti-retroviral therapy initiation. Conclusion Poor housing conditions, having an opportunistic infection, low CD4 count, starting ART at the advanced HIV stage, don’t take IPT, and being poorly adherent to antiretroviral therapy were associated with the occurrence of TB after initiation of ART. The institution should screen for TB as early as possible and strictly follow their drug adherence.

Maternal mortality risk indicators: Case-control study at a referral hospital in Guinea

2020 ◽  
Vol 251 ◽  
pp. 254-257
Author(s):  
Abdourahamane Diallo ◽  
Irmina Maria Michalek ◽  
Ibrahima Koussy Bah ◽  
Ibrahima Amadou Diallo ◽  
Telly Sy ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Mortality Risk ◽  
Case Control Study ◽  
Case Control ◽  
Referral Hospital ◽  
Risk Indicators ◽  
Control Study

scholarly journals Determinants of adherence to anti-hypertensive medications among adult hypertensive patients on follow-up in Hawassa Referral Hospital: A case–control study

2019 ◽  
Vol 8 ◽  
pp. 204800401989275
Author(s):  
Atsede Getenet ◽  
Mulugeta Tesfa ◽  
Aster Ferede ◽  
Yalew Molla
Keyword(s):  
Blood Pressure ◽  
Logistic Regression ◽  
Medication Adherence ◽  
Case Control Study ◽  
Case Control ◽  
Referral Hospital ◽  
Hypertensive Patients ◽  
Adherence Scale ◽  
Control Study

Introduction Hypertension is a global challenge which accounts for high morbidity and mortality rates in the world. The availability of effective anti-hypertensive medications does not result in a good outcome in controlling blood pressure which points towards poor adherence. Thus, this study was conducted to assess the determinants of adherence to anti-hypertensive medication among hypertensive patients on follow-up in Hawassa Referral Hospital. Methods Institution-based case–control study was conducted on a sample of 289 clients from February to May 2018. Census was conducted on 1600 clients to select cases and controls. Then, systematic random sampling was used to select study subjects, and adherence was measured by Morisky medication adherence scale. The associations of variables were analyzed using bivariable followed by multivariable logistic regression analyses. Results The respondent’s adherence to medication was found to be 67% as measured by Morisky medication adherence scale. The multivariate logistic regression analysis showed that medication adherence was found to be better in younger age (<45) (AOR = 3.8), clients living in urban areas (AOR = 6.84), those clients who had good knowledge (AOR = 3.13), those with no co-morbidities (AOR = 3.14) and patients who controlled their blood pressure (<140/90) (AOR = 2.35). Conclusions The rate of medication adherence was found to be low, and hence educational interventions focusing on factors promoting adherence and patients’ health support should be implemented.

scholarly journals Stillbirths and quality of care during labour at the low resource referral hospital of Zanzibar: a case-control study

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Nanna Maaløe ◽  
Natasha Housseine ◽  
Ib Christian Bygbjerg ◽  
Tarek Meguid ◽  
Rashid Saleh Khamis ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Case Control Study ◽  
Case Control ◽  
Referral Hospital ◽  
Low Resource ◽  
Control Study

scholarly journals Predictors of preterm birth in Western Ethiopia: A case control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0247927
Author(s):  
Misganu Teshoma Regasa ◽  
Leta Hinkosa ◽  
Merga Besho ◽  
Tilahun Bekele ◽  
Tariku Tesfaye Bekuma ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Antenatal Care ◽  
Reproductive Tract ◽  
Case Control Study ◽  
Case Control ◽  
Reproductive Tract Infections ◽  
Care Visit ◽  
Tract Infections ◽  
Western Ethiopia ◽  
Control Study

Background Early neonatal death caused by preterm birth contributes the most for perinatal death. The prevalence of preterm birth continues to rise and is a significant public health problem. The exact cause of preterm birth is yet unanswered, as mostly preterm birth happens spontaneously. Predictors of preterm birth in developing countries like Ethiopia were not well investigated, and no study was conducted before this in the study area. Objectives To identify predictors of preterm birth in Western Ethiopia, 2017/2018. Methods Health facility-based unmatched case-control study was conducted from October 20/2017-march 20/2018 in 4 Hospitals. A total sample size of 358 women was recruited. From this 72 were cases and 286 were controls. Cases were mothers who gave Preterm birth, and controls were mothers who gave birth at term. Ethical clearance was obtained from Wollega University ethical review committee. A pre tested, structured questionnaire was used to collect data. Data entry and analysis was done using Epi Data 3.1 and SPSS version 21, respectively. Logistic regression was done to identify predictors of preterm birth. Result Three hundred fifty-eight women participated in this study of which 72 were cases and 286 were controls; making the overall response rate of 100%. Lack of antenatal care visit [AOR = 3.18, 95% CI 1.37–7.38]),(Having 1–2 antenatal care visit [AOR = 2.27, 95% CI 1.18–4.35]),history of previous preterm)[AOR = 5.19, 95% CI1.29–20.88],Short Interpregnancy Interval [AOR = 4.41.95% CI 2.05–9.47],Having Reproductive tract infections [AOR = 2.54, 95% CI 1.02–6.32] and having Obstetric complications [AOR = 2.48,95% CI 1.31–4.71] were found to be predictors of preterm birth. Conclusion and recommendation Risk factors of preterm delivery are multifactorial and depend on geographical and demographic features of the population studied. Hence results of studies from one area might not be applicable to another area. Antenatal care visits are unique opportunities for early diagnosis and treatment of problems. Therefore, antenatal care should be strengthened, and appropriate counseling should be given at each antenatal care follow up. Maintainning optimum birth interval through family planning, and early identification and treatment of reproductive tract infections are mandatory.

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