scholarly journals Magnitude of post-operative mortality and associated factors among patients who underwent surgery in Wolaita Sodo teaching and referral hospital, SNNPR region, Ethiopia

2021 ◽  
Vol 21 (4) ◽  
pp. 1842-8
Author(s):  
Tiwabwork Tekalign ◽  
Habtamu Balta ◽  
Lolemo Kelbiso
Keyword(s):  
Blood Transfusion ◽  
General Anesthesia ◽  
Associated Factors ◽  
Statistical Significance ◽  
Postoperative Mortality ◽  
University Teaching ◽  
Systematic Sampling ◽  
P Value ◽  
Check List ◽  
Wolaita Sodo

Background: Each year 4.2 million people around the world die within 30 days of surgery and postoperative deaths account for 7.7 % of all deaths. So this study aimed to asses’ magnitude of postoperative mortality and associated factors among patients who underwent surgery in Wolaita Sodo University Teaching referral Hospital.Method: Retrospective cross sectional design was carried out from April 15-30 2019. Card review was done on 384 participants by using Systematic sampling technique. Entered to Epi Data; exported to SPSS for analysis. Variables with p-value < 0.25 in bivariate analysis were entered to multivariate logistic regression. Statistical significance is determined at p-value < 0.05.Results: The magnitude of postoperative mortality was 5.7%. Using surgical check list (AOR= 0.18; 95% CI 0.05 to 0.61), having comorbid condition (AOR= 4.45; 95% CI 1.39 to 14.19), and don’t having blood transfusion (AOR= 0.07; 95% CI 0.02 to 0.22) and general anesthesia (AOR= 4.37; 95% CI 1.17 to 16.30) are factors of post-operative mortality.Conclusion: The magnitude of postoperative mortality was high. Surgical check list, comorbidity, blood transfusion and general anesthesia are factors. The hospital should encourage using of surgical check list and work on comorbid patients to decrease the mortality. Keywords: Magnitude; mortality; surgery; post-operative; Wolaita.

scholarly journals Sub-fecundity and associated factors among mothers with natural planned conception attending antenatal care service in Arba Minch Health Facilities

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241995
Author(s):  
Jira Wakoya Feyisa ◽  
Sultan Hussen Hebo ◽  
Firdawek Getahun Negash ◽  
Negussie Boti Sidamo ◽  
Kabtamu Tolosie Gergiso ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Associated Factors ◽  
Logistic Regression Model ◽  
Statistical Significance ◽  
Coffee Consumption ◽  
Health Facilities ◽  
Systematic Sampling ◽  
P Value ◽  
Coital Frequency

Background Fecundity is a physiological ability to have children. The inability to get the desired child which was commonly caused by the prolonged time to conceive due to unwanted non-conception period increased from time to time. As a result, many couples are developing psychological, social, and economic problems and unstable life. However, information on fecundity status is limited in Ethiopia context. Therefore, this study aimed to assess the proportion of sub-fecundity and associated factors in Ethiopia context. Methods A health institution based cross-sectional study was conducted in Arba Minch health facilities from March 25 to April 25, 2020. By using a systematic sampling method, 539 mothers were selected for the study. Structured questionnaire was used for data collection. A binary logistic regression model was used to identify factors associated with the sub-fecundity. Variables with p-value <0.25 in the bi-variable logistic regression analysis were interred and checked for association in a multivariable logistic regression model. The level of statistical significance was declared at p-value <0.05. Result The proportion of sub-fecundity was 17.8% with 95%CI (14.8%-21.3%). Mothers’ age ≥ 30 (AOR = 2.54, 95%CI; 1.18–5.48), partners’ age ≥ 35 (AOR = 2.20, 95%CI; 1.01–4.75), coffee consumption of ≥ 4 cups/day (AOR = 2.93, 95%CI; 1.14–7.53), menses irregularity (AOR = 3.79 95%CI; 2.01–7.14) and coital frequency of 1day/week (AOR = 3.65, 95%CI; 1.47–9.05) were significantly associated with the sub-fecundity. Conclusion This study found that a substantial proportion of mothers were sub-fecund. Factors that contributed to the sub-fecundity were pre-pregnancy; mothers’ age, partners’ age, coffee drinking of ≥ 4 cups/day, coital frequency of 1day/week, and menses irregularity. Thus, efforts to prevent sub-fecundity should focus on awareness creation as to plan to conceive at early age, reducing coffee consumption, increasing days of coital frequency per week, and investigating and treating mothers with irregular menses.

scholarly journals The prevalence and associated factors on timely initiation of breastfeeding among mothers of children age less than 12 months in Wolaita Sodo City, Wolaita, Ethiopia.

2020 ◽  
Author(s):  
Daniel Baza Gargamo ◽  
Kasahun Taffesse Hidoto ◽  
Temesgen Lera Abiso
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Nuclear Family ◽  
Statistical Significance ◽  
P Value ◽  
Timely Initiation ◽  
Breast Feed ◽  
Wolaita Sodo ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background : timely initiation of breastfeeding, also known as early initiation, is the provision of a mothers own breast milk to her infant within one hour of birth. In Ethiopia, there is a considerable variation in the timely initiation of breastfeeding practices among different regions. The objective of this study was to assess the prevalence of timely initiation of breastfeeding and associated factors among mothers of infants less than 12 months old in Wolaita Sodo City, Wolaita, Ethiopia. Methods: Community based cross-sectional study design was conducted. Multi stage sampling procedure was used. The study period was from January to March 2019. Data was collected by interviewer administered pretested questionnaire. Both bivariate and multivariate analysis was employed and adjusted odds ratio (AOR) was used to declare statistical significance at P- value of less than 0.05.Results: A total of 383 mothers with children less than 12 months age were included in the study making the response rate of 97.7 %. The prevalence of timely initiation of breast feeding within an hour was 80.2% . Being male child was 3.39 times AOR: 3.39, 95% CI: 3.39(1.49, 7.71) more likely to be timely initiated breast feeding within an hour than those who are female children. Those children who live with nuclear family are 3.49 times AOR: 3.49, 95% CI: 3.49 (1.09-11.12) more likely to be timely initiated breast feeding than those who live with extended families. Mothers who were delivered vaginally were 4.67 times more likely AOR: 4.67, 95% CI :( 1.92-11.33) to initiate their child breast feed within an hour than those who were delivered by cesarean section. Likewise mothers who counseled about timely initiation of breast feeding within an hour during ANC were 4.76 times AOR: 4.76, 95% CI (2.06-10.98) more likely to initiate their child breast feeding within an hour than those mothers who were not counseled about timely initiation of breast feeding during ANC visits Conclusion : The finding of this study showed that prevalence timely initiation of breast feeding was relatively good. Keywords : timely initiation of breastfeeding, infants from birth to 12 months, Wolaita Sodo City, Ethiopia.

Abstract 16411: Intraoperative Nicardipine Use During Rewarming in Norwood Procedures

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Nathaniel Parchment ◽  
Sari D Holmes ◽  
Stephanie Kahntroff ◽  
Teresa Niemiec ◽  
Anne Savarese ◽  
...  
Keyword(s):  
Ventricular Function ◽  
Controlled Trial ◽  
Statistical Significance ◽  
Postoperative Mortality ◽  
P Value ◽  
Tissue Edema ◽  
Prospective Randomized Controlled Trial ◽  
Demonstrate Survival Benefit ◽  
Improve Patient ◽  
Norwood Procedures

Introduction: Postoperative tissue edema Norwood procedures contributes significantly to outcomes. As nicardipine preserves ventricular function after hypothermic ischemic arrest, nicardipine treatment could support post-Norwood ventricular function, and decrease edema to improve patient outcomes. Methods: All Norwood procedures completed at a single institute between 1/1/2012 - 12/31/2019 were retrospectively reviewed, and the use of nicardipine during rewarming was initiated midway through the study period. We investigated the effects of nicardipine during rewarming on 12-month postoperative mortality, postoperative intubation times, open chest duration, and disposition at discharge. Results: Thirty-six Norwood procedures were completed, of whom 14 received nicardipine intraoperatively during the rewarming period. The nicardipine group demonstrated significantly lower 12-month postoperative mortality (0% vs 32%, p-value: 0.028) and significantly greater discharges to home (64% vs 18%, p-value: 0.005). The nicardipine group had lower median length of postoperative intubation (123 vs 146 hrs, p-value: 0.311) and open sternum time (2 [1-3] vs 3 [2-5] days, p-value: 0.067), but these analyses did not reach statistical significance (Fig 1). Conclusion: This study demonstrates the safety of nicardipine treatment during Norwood and significant decrease 12-month mortality and increase in discharge to home, with potential for reduced post-Norwood intubation and open sternum times. This study provides the basis for a prospective randomized controlled trial to demonstrate survival benefit provided by intraoperative nicardipine usage during Norwoods.

scholarly journals Determinants of Maternal Satisfaction with Existing Delivery Care at Wolaita Sodo University Teaching and Referral Hospital, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sintayehu Wolka ◽  
Sahilu Assegid ◽  
Temesgen Tantu ◽  
Muluken Gunta ◽  
Bereket Duko
Keyword(s):  
Statistical Significance ◽  
Referral Hospital ◽  
University Teaching ◽  
University Hospital ◽  
Delivery Care ◽  
Maternal Satisfaction ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Delivery Service ◽  
Wolaita Sodo

Background. Assessing maternal satisfaction on delivery service has significant public health importance to measure the quality of maternal and child care services in a country. Therefore, the objective of this study was to further investigate the determinants of maternal satisfaction on delivery service provided at the Woliata Sodo University Teaching and Referral Hospital, Ethiopia. Methods. An institutionally based cross-sectional study was employed at the Wolaita Sodo University Hospital, Ethiopia. All mothers who gave birth between March and May 2018 were included in the study. Data were collected through using a pretested and structured interviewer-administered questionnaire. Both bivariate and multivariable logistic regression analyses were performed. A P value of <0.05 was used to declare statistical significance. Result. A total of 398 delivered mothers were included in the study. The rate of maternal satisfaction on existing delivery care was found to be 67.3%. Being less educated (AOR=5.06, [2.22-11.53]), primigravida (AOR=3.59, [1.17-11.04]), planned and wanted pregnancy (AOR=2.74, [1.21-6.18]), having antenatal care follow-up for current pregnancy (AOR=4.48, [2.04-9.83]), ever used family planning service (AOR=3.83, [1.95-67.52]), labor duration of less than 6 hours (AOR=5.96, [2.61-13.57]), and spontaneous vaginal delivery (AOR=2.82, [1.07-7.42]) were factors significantly associated with maternal satisfaction. Conclusion. In this study setting, maternal satisfaction was lower compared to other studies. Unreserved effort should be considered for future interventions.

scholarly journals Condom use and associated factors among HIV-positive patients accessing care at a private tertiary health institution in the southwest, Nigeria

2020 ◽  
Vol 3 (1) ◽  
pp. 49-58
Author(s):  
Ngozi Adefala ◽  
Kolawole Sodeinde ◽  
Abiodun Osinaike ◽  
Fikayo Bamidele ◽  
Adebola Omotosho
Keyword(s):  
Condom Use ◽  
Associated Factors ◽  
Study Data ◽  
Sexual Pleasure ◽  
University Teaching ◽  
Good Knowledge ◽  
Categorical Variables ◽  
P Value ◽  
People Living With Hiv ◽  
Cross Sectional

Objective: This study aimed to assess the knowledge, attitude and practice towards condom utilization and other associated factors among people living with HIV/AIDS enrolled in the Virology clinic in Babcock University Teaching Hospital (BUTH) Ilishan, Ogun state, Nigeria. Methods: This cross-sectional study was conducted among 285 ART users selected using a systematic random sampling method. The minimum sample size was estimated using the formula z2pq/d2 and a 24% prevalence extracted from a previous similar study. Data were elicited using a structured interviewer-administered questionnaire, analyzed using SPSS version 20, and presented as tables. The Chi-square test was used to assess associations between categorical variables. The level of significance was set at the 95% confidence interval with a p-value of 0.05. Results: From the total respondents, 180(63.2%) were females, 93.7% had good knowledge, 141(49.5%) believed ARV prevents transmission of HIV and 144 (50.5%) strongly agreed that condom reduces sexual pleasure. Majority 254 (89.1%) were currently using condoms, 131 (46.0%) used a condom consistently, while 108 (37.9%) frequently use a condom during sexual intercourse. The Use of condoms had statistically significant associations with occupation (p<0.001), married at pre-diagnosis of HIV (p<0.001), married at post-diagnosis of HIV (p<0.001) and education (p= 0.015). Conclusion: The majority of the respondents had good knowledge and were using condoms. Discussions on safe sex and improved positive attitudes towards condom-use should, however, be encouraged further.

scholarly journals Pregnancy Induced Hypertension and Associated Factors among Women Attending Delivery Service at Mizan-Tepi University Teaching Hospital, Tepi General Hospital and Gebretsadik Shawo Hospital, Southwest, Ethiopia

1970 ◽  
Vol 29 (1) ◽  
Author(s):  
Tesfaye Abera Gudeta ◽  
Tilahun Mekonnen Regassa
Keyword(s):  
Logistic Regression ◽  
Family History ◽  
Associated Factors ◽  
Kidney Diseases ◽  
University Teaching ◽  
P Value ◽  
Pregnancy Induced Hypertension ◽  
Delivery Service ◽  
Induced Hypertension ◽  
History Of

BACKGROUND: Disorders of pregnancy induced hypertensive are a major health problem in the obstetric population as they are one of the leading causes of maternal and perinatal morbidity and mortality. The World Health Organization estimates that at least one woman dies every seven minutes from complications of hypertensive disorders of pregnancy. The objective of this study is to assess pregnancy induced hypertension and its associated factors among women attending delivery service at Mizan-Tepi University Teaching Hospital, Gebretsadikshawo Hospital and Tepi General Hospital.METHODS: A health facility based cross-sectional study was carried out from October 01 to November 30/2016. The total sample size (422) was proportionally allocated to the three hospitals. Systematic sampling technique was used to select study participants. Variables with p-value of less than 0.25 in binary logistic regression were entered into the multivariable logistic regression to control cofounding. Odds ratio with 95% confidence interval was used. P-value less than 0.05 was considered as statistically significant.RESULTS: The prevalence of pregnancy induced hypertension was 33(7.9%); of which 5(15.2%) were gestational hypertension, 12 (36.4%) were mild preeclampsia, 15(45.5%) were severe preeclampsia and 1 (3%) eclampsia. Positive family history of pregnancy induced hypertension [AOR5.25 (1.39-19.86)], kidney diseases (AOR 3.32(1.04-10.58)), having asthma [AOR 37.95(1.41-1021)] and gestational age (AOR 0.096(0.04-.23)) were predictors of pregnancy induced hypertension.CONCLUSION: The prevalence of pregnancy induced hypertension among women attending delivery service was 7.9%. Having family history of pregnancy induced hypertension, chronic kidney diseases and gestational age were predictors of pregnancy induced hypertension. 

scholarly journals Management Outcome and Associated Factors among Intestinal Obstruction Patients Treated Surgically, Eastern Ethiopia

2019 ◽  
Author(s):  
Tesfaye Derseh ◽  
Biniam Minuye ◽  
Mohammed Yusouf ◽  
Tariku Dingeta
Keyword(s):  
Logistic Regression ◽  
Intestinal Obstruction ◽  
General Hospital ◽  
Associated Factors ◽  
Statistical Significance ◽  
Unfavorable Outcome ◽  
High Rate ◽  
P Value ◽  
Hospital Data ◽  
Eastern Ethiopia

Abstract Background Intestinal obstruction is a global problem consuming much in terms of surgical services. It is a common surgical emergency and a significant health problem in Ethiopia. Several factors contribute to poor management outcomes in the case of intestinal obstruction. Post-operative mortality rate ranges from 3% to 30%. Despite this high rate of mortality, there is no recently published literature that has explored Intestinal Obstruction and its associated factors at Chiro General Hospital. Methods Institution based cross-sectional study was conducted among 254 of patients admitted with Intestinal obstruction who treated surgically at Chiro General Hospital. Data were collected using checklists from individual patient cards by trained three BSc nurses from 13 to 18 July 2018 and completeness of data collection was checked every day by the principal Investigator. Data were entered to Epi-Data version 3.1 computer software and exported to SPSS statistical software version 22 for analysis. Bivariable binary logistic regression was used to saw the association between each independent variable and dependent variable. All variables with P-value < 0.2 during bi-variable analyses were considered for multivariable logistic regression analyses. Odds ratio along with 95%CI were estimated to measure the strength of the association. Level of statistical significance was declared at p value less or equal to 0.05. Results In this study the magnitude of unfavorable outcome of Intestinal Obstruction was 21.3% (95% CI: (16.5, 26.4). Age group of 55 years or above [AOR=2.9, 95%CI: (1.03, 8.4)], duration of illness of 24hrs or above [AOR=3.1, 95%CI: (1.03, 9.4)], pre-operative diagnosis of gangrenous SBO & gangrenous LBO [(AOR=3.6, 95%CI: (1.3, 9.8)), (AOR=4.2, 95%CI: (1.3, 13.7))], respectively were significantly associated with unfavorable outcome. Conclusions The magnitude of unfavourable management outcome of patients with Intestinal obstruction who treated surgically in this study was high. Old age, late presentation of illness and gangrenous bowel obstruction were significantly associated with unfavourable management outcome. So that early detection prompt management of patients with Intestinal obstruction reduce the occurrence of unfavourable outcome of patients.

scholarly journals Prevalence and Causes of Low Vision and Blindness among Adult Patients Attending Eye Clinic in a Tertiary Hospital in South East, Nigeria

2021 ◽  
pp. 20-28
Author(s):  
O. A. I. Otuka ◽  
N. C. Ekeleme ◽  
E. N. Akaraiwe ◽  
E. C. Iwuoha ◽  
L. I. Eweputanna ◽  
...  
Keyword(s):  
Low Vision ◽  
Statistical Significance ◽  
Tertiary Hospital ◽  
Adult Patients ◽  
University Teaching ◽  
P Value ◽  
Social Challenges ◽  
Care Givers ◽  
Significant Public Health ◽  
Eye Clinic

Background: Low vision and blindness are significant public health issues worldwide. They result in educational, occupational, and social challenges in the affected persons. Their care givers/ families are also severely affected. There is however limited data on the magnitude of visual impairment in Aba, South East Nigeria. Objective: To determine the prevalence and causes of low vision and blindness among adult patients attending eye clinic in a tertiary hospital in South East Nigeria. Materials and Methods: This was an institutional-based retrospective, descriptive study involving 457 patients who attended Abia State University Teaching Hospital eye clinic between April and September 2018. Data was obtained from patient’s hospital records within the period under study and analyzed using IBM SPSS version 25.0. Statistical significance was set at a P-value of < 0.05. Results: Data of 457 ophthalmic patients who met the inclusion criteria for this study were analyzed. Mean age of respondents was 48.5 ± 17.7 years. A total 5.4% of the patients had bilateral low vision, while 30.2% and 7% had monocular and bilateral blindness respectively. Cataract-related diagnosis, refractive errors and glaucoma (28.4%, 28.2% and 14.7%) respectively were the major causes of low vision and blindness among the patients. Statistically significant association was found between respondent’s diagnosis and age as well as occupation (P<0.001). Conclusion: Results from this study will aid in planning low vision & blindness preventive programs and improving eye care services.

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