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. 2019 Aug 6:2019:8374017.
doi: 10.1155/2019/8374017. eCollection 2019.

Spectrum, Pattern, and Clinical Outcomes of Adult Emergency Department Admissions in Selected Hospitals of Western Ethiopia: A Hospital-Based Prospective Study

Ashenafi Habte Woyessa  1 , Birhanu Yadecha Dibaba  2 , Getahun Fetensa Hirko  2 , Thanasekaran Palanichamy  3
Affiliations

Spectrum, Pattern, and Clinical Outcomes of Adult Emergency Department Admissions in Selected Hospitals of Western Ethiopia: A Hospital-Based Prospective Study

Ashenafi Habte Woyessa et al. Emerg Med Int. .

Abstract

Background: There has been a steady rise in the absolute number of emergency room admissions over the last few decades. The healthcare delivery system of a country is required to be adjusted to patterns of morbidity and mortality to mitigate the minimized prolonged ill health consequences and premature death of adults. The spectrum, patterns, morbidity, and mortality of health and health-related emergency conditions for which patients visit hospitals often reflect the magnitude of different health problems in a society. The objective of this study was therefore to assess the spectrum, pattern, characteristics, and clinical outcomes of emergency department admissions among adult people who visited EDs of the selected hospitals in western Ethiopia.

Methodology: Hospital-based prospective cross-sectional study design was utilized. To select hospitals to be included in the study, the area sampling technique was used. Five administrative zones in west Oromia were selected as geographical clusters. Then, four hospitals were randomly selected from each zone. Finally, the consecutive sampling technique was utilized to recruit the study participants.

Results: The mean age of the patients admitted to emergency departments (EDs) of the selected hospitals was 34.98 years. The male-to-female ratio of the respondents was nearly equal (1 : 1.04). While one-fourth (20.4%) of the patients arrived by ambulances (without identifying reason), 23.6% of them visited the emergency department as they had no other place to go. Medical emergencies (45.4%) were the leading types of emergencies followed by traumatic emergencies (27.3%). Respiratory distress (12.43%), extremity fractures (9.61%), and hypertensive disorders (8.6%) were among the top leading causes of adult ED admissions. Vital signs were deranged in about 59.4% of the cases. The most common type of immediately life-threatening problems identified on arrival was impairment of breathing (37%), followed by circulatory compromises (30%). Emergency department admission patterns were variable with peak admissions in the month of February and the lowest in November. The vast majority (90.9%) of emergency patients survived. While 8.5% of patients died of the various types of emergency conditions, the final clinical outcome was not identified in 1.5% of the patients.

Conclusion: This study has showed mixed cases with varied patterns and outcomes of adult emergency department admissions. As overall there is a need to be alert during specific seasons, actions must be taken to improve the readiness of existing emergency room services. Furthermore, it is worthwhile to invest further on standardizing and organizing prehospital services at the community level.

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Conflict of interest statement

The authors declare that they have no conflicts of interest of any form.

Figures

Figure 1
Figure 1
Patterns of adult emergency department admissions in Nekemte, western Ethiopia, 2017.
Figure 2
Figure 2
Major kinds of observed emergency conditions in the selected hospitals in Nekemte, western Ethiopia, 2017.
Figure 3
Figure 3
Leading causes of adult emergency department admission in the selected hospitals, Nekemte, Ethiopia, 2017.
Figure 4
Figure 4
Distribution of respondents by their consequences of emergency department visits in Nekemte, western Ethiopia, 2017.
See this image and copyright information in PMC

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