ArticleBMC emergency medicine2021
A two-year review of adult emergency department mortality at Tikur Anbesa specialized tertiary hospital, Addis Ababa, Ethiopia.
Article in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mortality and its determinants among patients attending in emergency departments.BMC emergency medicine · 2024Pooled it
- Data balancing improves mortality prediction for emergency department patients.BMC medical informatics and decision making · 2026Article
- Viral clinical profile and mortality outcome of adult HIV-positive patients presenting in the emergency department of Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: a retrospective cross-sectional study.BMC infectious diseases · 2026Article
- Predictors of immediate survival in Emergency Department cardiac arrest in Ethiopia: Insights from a resource-limited setting.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Outcomes and drug-related admissions of cardiovascular patients in the emergency department at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.International journal of emergency medicine · 2025Article
- Comparing the National Early Warning Score and the Manchester Triage System in Emergency Department Triage: A Multi-Outcome Performance Evaluation.Diagnostics (Basel, Switzerland) · 2025Article
- Trauma team members' perceptions of the effectiveness of the current trauma care system in Addis Ababa, Ethiopia: a phenomenological study.BMC health services research · 2025Article
- The Burden of Out-of-Pocket Expenditure for Emergency Health Care Service in St. Paul Hospital Millennium Medical College, Addis Ababa Ethiopia.Ethiopian journal of health sciences · 2025Article
- Mapping the evidence of emergency nursing research in who Afro-region states: A Scoping Review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Emergency department overcrowding and its associated factors at HARME medical emergency center in Eastern Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Current patterns of care at adult emergency department in Ethiopian tertiary university hospital.International journal of emergency medicine · 2023Article
- Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Risks of Early Mortality and Associated Factors at Adult Emergency Department of Jimma University Medical Center.Open access emergency medicine : OAEM · 2023Article
- Clinical profile and predictors of renal failure in emergency department patients at a tertiary level hospital, a cross sectional study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Length of stay and its associated factors among adult patients who visit Emergency Department of University Hospital, Eastern Ethiopia.SAGE open medicine · 2022Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAdult emergency department mortality remains high in resource-limited lower-income countries. The majority of deaths occur within the first 24 h of presentation to the emergency department. Many of these mortality's can be alleviated with appropriate interventions. This study was aimed to assess the magnitude, cause, and factors related to very early mortality in patients presented to the emergency department of Tikur Anbesa Specialized Tertiary Hospital, Ethiopia from March 2018 to 2020.
methodsThis is a cross-sectional retrospective chart review. Retrospective data were collected from the records of all patients who died within 72 h of emergency department presentation from March 2018 to 2020. Data entered using Epi data 4.2.1 and analyzed using SPSS Version 23. Using the Chi-square test, binary and multiple logistic regression analysis were carried out to measure the association of variables of interest and very early emergency mortality. P-value < 0.05, odds ratio with 95% CI were used to identify the significant factors.
resultsBetween March 2018 to 2020, 30,086 patients visited the ED and 604 patients died within 72 h of presentation (274 died within 24 h and 232 within > 24-72 h). Shock (36.7%) and road traffic accidents (3.16%) were the major causes of death. Triage category red AOR 0.23 95% CI 0.1-0.55 and duration of illness 4-24 h AOR 0.47 95% CI 0.26-0.87 were significantly associated with decreased very early emergency department mortality. Meanwhile, co-morbid disease HIV AIDS AOR 2.72 95% CI 1.01-7.30 and residence Addis Ababa AOR 2.78 95% CI 1.36-5.68 and Oromia AOR 3.23 95% CI 1.58-6.54 were found significantly associated with increased very early emergency department mortality. CONCLUSIONS AND RECOMMENDATIONS: The mortality burden of a road traffic accident and shock in the TASTH is significant and the magnitude of ED mortality differs between these groups. Residence Addis Ababa and Oromia, triage category red, co-morbid disease HIV AIDS, and duration of symptom 4-24 h were significantly associated with early emergency department mortality. Early detection and intervention are required to minimize emergency mortality.
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