دورية أكاديمية
Mortality and its determinants among patients attending in emergency departments.
| العنوان: | Mortality and its determinants among patients attending in emergency departments. |
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| المؤلفون: | Messelu MA; Department of Nursing, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia. abebemengistu7@gmail.com., Amlak BT; Department of Nursing, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia., Mekonnen GB; Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Belayneh AG; Department of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia., Tamre S; Department of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia., Adal O; Department of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia., Demile TA; Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia., Tsehay YT; Department of Surgical Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia., Belay AE; Department of Surgical Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia., Netsere HB; Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia., Wondie WT; Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia., Abebe GK; Department of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, Woldia University, Woldia, Ethiopia., Mulatu S; Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia., Ayenew T; Department of Nursing, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia. |
| المصدر: | BMC emergency medicine [BMC Emerg Med] 2024 Jul 19; Vol. 24 (1), pp. 125. Date of Electronic Publication: 2024 Jul 19. |
| نوع المنشور: | Journal Article; Systematic Review; Meta-Analysis |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968543 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-227X (Electronic) Linking ISSN: 1471227X NLM ISO Abbreviation: BMC Emerg Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Emergency Service, Hospital*/statistics & numerical data , Hospital Mortality*, Humans ; Ethiopia/epidemiology ; Prevalence |
| مستخلص: | Background: Due to the high burden of mortality from acute communicable and non-communicable diseases, emergency department's mortality has become one of the major health indices in Ethiopia that should be evaluated regularly in every health institution. However, there are inconsistencies between studies, and there is no systematic review or meta-analysis study about the prevalence of mortality in the emergency department. Therefore, this study aimed to determine the pooled prevalence of mortality and identify its determinants in the emergency departments of Ethiopian hospitals. Methods: This systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and has been registered with PROSPERO. A structured search of databases (Medline/PubMed, Google Scholar, CINAHL, EMBASE, HINARI, and Web of Science) was undertaken. All observational studies reporting the prevalence of mortality of patients in emergency departments of Ethiopian hospitals, and published in English up to December 16, 2023, were considered for this review. Two reviewers independently assess the quality of the studies using the Joanna Briggs Institute (JBI) critical appraisal tool. A meta-analysis using a random-effects model was performed to estimate the pooled prevalence. The heterogeneity of studies was assessed using I 2 statistics, and to identify the possible causes of heterogeneity, subgroup analysis and meta-regression were used. Egger's test and funnel plots were used to assess publication bias. STATA version 17.0 software was used for all the statistical analyses. A p-value less than 0.05 was used to declare statistical significance. Results: A total of 1363 articles were retrieved through electronic search databases. Subsequently, eighteen studies comprised 21,582 study participants were included for analysis. The pooled prevalence of mortality among patients in the Emergency Department (ED) was 7.71% (95% CI: 3.62, 11.80). Regional subgroup analysis showed that the pooled prevalence of mortality was 16.7%, 12.89%, 10.28%, and 4.35% in Dire Dawa, Amhara, Oromia, and Addis Ababa, respectively. Moreover, subgroup analysis based on patients' age revealed that the pooled prevalence of mortality among adults and children was 8.23% (95% CI: 3.51, 12.94) and 4.48% (95% CI: 2.88, 6.08), respectively. Being a rural resident (OR; 2.30, 95% CI: 1.48, 3.58), unconsciousness (OR; 3.86, 95% CI: 1.35, 11.04), comorbidity (OR; 2.82, 95% CI: 1.56, 5.09), and time to reach a nearby health facility (OR; 4.73, 95% CI: 2.19, 10.21) were determinants of mortality for patients in the emergency departments. Conclusion and Recommendations: This study found that the overall prevalence of mortality among patients in emergency departments of Ethiopian hospitals was high, which requires collaboration between all stakeholders to improve outcomes. Being a rural resident, unconsciousness, comorbidity, and time elapsed to reach health facilities were determinants of mortality. Improving pre-hospital care, training healthcare providers, early referral, and improving first-line management at referral hospitals will help to reduce the high mortality in our country. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Associated factors; Emergency department; Ethiopia; Meta-analysis; Mortality |
| تواريخ الأحداث: | Date Created: 20240718 Date Completed: 20240718 Latest Revision: 20240725 |
| رمز التحديث: | 20240726 |
| مُعرف محوري في PubMed: | PMC11264723 |
| DOI: | 10.1186/s12873-024-01050-6 |
| PMID: | 39026180 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1471-227X |
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| DOI: | 10.1186/s12873-024-01050-6 |