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Problem of statement: Inappropriate emergency admission has negatively impact the on the quality of care and increase the burden on emergency department. In the context of the epidemiological transition in Ethiopia, a double burden of disease is already emerging with the mix of persistent infectious diseases and increasing non-communicable diseases. Currently acute Kidney injury became a major public health problem worldwide. It has taken on the status of public health concern in recent years, due to its increased among the world's population.
Objective: To describe type and cases of emergency admission and factors associated with acute kidney injury among patients who visit St. Paul hospital millennium medical college adult emergency department Addis Ababa Ethiopia 2019.
Method: Institutional based retrospective record review study was carried out by assessing the
emergency admission and factors associated with acute kidney injury among patients who visit
St. Paul hospital adult emergency department. The calculated sample size is 423 and study
participants was selected using simple random sampling method. Data was collected through
reviewing of patients chart, retrospectively.
Result: Medical records of 423 patients reviewed, the magnitude of acute kidney injury was
(14.4%) 95%CI (11.3, 18.2). The odds of being diabetic mellitus patient has 27.871 times more
likely to develop AKI with (AOR, 27.871, 95%Cl, 8.718, 54.868). the odds of being Hypertension
patient has 28.174 times more likely to develop AKl with (AOR 28.174, 95%CI12.000, 66.150)
the odds of being congestive heart failure patient has 19.843 times more likely to develop AKI
with (AOR, 19.843, 95% CI6.096, 64.590) the odds of being Renal stone patient has 25.061
times more likely to develop AKIwith (AOR, 25.061 95%CI5.059, 124.131); respectively.
Conclusion: The commonest adult emergency case seen was medical case, as well as commonest
mode of adult emergency admission was self-referral. AKI was significantly associated among
participants with history of diabetic mellitus, hypertension, CHF and renal stone
Recommendation: St. Paul hospital management and health professionals must take an
assignment to increase the awareness of the patients regards to non-communicable diseases and
its consequence. Researchers must plan multi facility based study related to acute kidney injury
in Ethiopia. Periodic medical screening or checkup of the society must be advocate for early
detection and management of AKI by health professional and key informants.
.......................................... Thesis available at ACIPH Library |
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