2022年埃塞俄比亚西北部转诊医院入院患者中毒结局及相关因素:一项多中心回顾性研究

IF 1.5 Q3 EMERGENCY MEDICINE

Open Access Emergency Medicine Pub Date : 2023-11-01 DOI:10.2147/oaem.s414743

Gashachew Bayleyegn Reda, Hailemichael Kindie Abate, Hidja Mustofa Mekonnen, Agerie Zerihun Gared, Zerko Wako Beko

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引用次数: 0

摘要

背景:在全球范围内，中毒是到急诊室和医院就诊的最常见原因。与中毒有关的死亡率立即增加，这是埃塞俄比亚的一个主要公共卫生问题。因此，了解治疗结果并确定相关因素对于降低中毒相关死亡率是必要的。目的:评估2022年埃塞俄比亚西北部转诊医院收治的患者中毒结局及相关因素。方法:于2019年6月至2022年5月在西阿姆哈拉转诊医院进行基于机构的回顾性横断面研究。共审查了400份医疗图表。采用分层抽样技术。数据输入Epi Info 7.2.1.0版本，导出到SPSS 25.0版本进行分析。采用多变量二元logistic回归分析确定与中毒结局相关的因素。结果:中毒死亡率为18% (95% CI: 14.4 ~ 22.1)。农村居民(AOR=2.65, 95% CI: 1.07 ~ 6.63)、昏迷(AOR=4.86, 95% CI: 1.89 ~ 12.48)、未在分诊区接受治疗(AOR=4.64, 95% CI: 1.608 ~ 13.407)、Bajaj转运(AOR=6.78, 95% CI: 1.86 ~ 24.73)、spo 2 < 95% (AOR=4.42, 95% CI: 1.19 ~ 10.78)、住院时间> 48小时(AOR=0.08, 95% CI: 0.02 ~ 0.36)与中毒死亡显著相关。结论:中毒致死率较高。居住地、意识水平、分诊区治疗、到达方式、Spo2和住院时间延长显著相关。所有利益攸关方应将重点放在规划和改善中毒患者的护理上。建议改善农村地区的救护车服务，并在分诊区为所有患者提供治疗。关键词:急诊科，中毒，转诊医院，治疗结果

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Outcome of Poisoning and Associated Factors Among Patients Admitted at Referral Hospitals in Northwest Ethiopia, 2022: A Multicenter Retrospective Study

Background: Poisonings are the most common reason for visiting emergency departments and hospitals globally. Poisoning-related mortalities increase instantly, and it is a principal public health problem in Ethiopia. Hence, understanding the treatment outcome and identifying the associated factors is necessary to reduce poisoning-related mortality. Objective: To assess outcome of poisoning and associated factors among patients admitted to Referral Hospitals in Northwest Ethiopia, 2022. Methods: An institutional-based retrospective cross-sectional study was conducted in Western Amhara referral hospitals from June 2019 to May 2022. A total of 400 medical charts were reviewed. A stratified sampling technique was used. The data were entered into Epi Info version 7.2.1.0 and exported to SPSS version 25.0 software for analysis. Multivariable binary logistic regression analysis was used to determine factors associated with the outcome of poisoning. Results: The mortality rate of poisoning was 18% (95% CI: 14.4– 22.1). Being rural dwellers (AOR=2.65, 95% CI: 1.07– 6.63), being unconscious (AOR=4.86, 95% CI: 1.89– 12.48), not treated in triage area (AOR=4.64, 95% CI: 1.608– 13.407), transport by Bajaj (AOR=6.78, 95% CI: 1.86– 24.73), spo 2 < 95% (AOR=4.42, 95% CI: 1.19– 10.78), and stayed > 48 hours in the hospital (AOR=0.08, 95% CI: 0.02– 0.36) were significantly associated with a mortality of poisoning. Conclusion: The mortality rate from poisoning was considerably high. Residence, level of consciousness, treatment at the triage area, mode of arrival, Spo2, and prolonged hospital stay were significantly associated. All stakeholders should focus on planning and improving care for patients with poisoning. Improving ambulance service in rural areas and providing treatment at the triage area for all patients are recommended. Keywords: emergency departments, poisoning, referral hospital, treatment outcome

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来源期刊

Open Access Emergency Medicine EMERGENCY MEDICINE-

CiteScore

2.60

自引率

6.70%

发文量

审稿时长

16 weeks