Institute of Health, Jimma University, Jimma, Ethiopia.
Institute of Health, Jimma University, Jimma, Ethiopia.
Int Emerg Nurs. 2021 Mar;55:100874. doi: 10.1016/j.ienj.2020.100874. Epub 2020 May 29.
Sub-Saharan Africa shares a disproportionately large ratio of the global acute disease burden, however epidemiological data specific to the burden of emergency conditions are lacking. This study aimed to determine the morbidity burden of emergency conditions in Jimma city, Southwest Ethiopia.
A cross-sectional study was conducted using emergency case registries of three years from 2014 to 2017, at Jimma Medical Center and Shenen Gibe Hospital. 39,537 emergency visits were included in the study. The data were exported to SPSS V.23.0 for statistical analysis, descriptive analysis was used to summarize demographic characteristics, causes of visit, and morbidity rates. Findings were integrated with population-based health demographic reports quantifying the morbidity burden. Outcome measures were overall number of emergency visits and morbidity rates for the population groups.
From a total of 39,537 visits, those between 15 and 29 years of age accounted for 42.1% (n = 16615), and 50.6% (n = 20004) were females. Communicable, Maternal, Neonatal and Nutritional (CMNNs) conditions accounted for 57.2%(n = 22597), followed by injuries (22.9%, n = 9055). Top five conditions were non-specific trauma (2.3%, n = 4861), complicated labor (8.4%, n = 3320), lower respiratory infections (8.1%, n = 3213), acute febrile illness (6.6%, n = 2600), and neonatal infections (3.7%, n = 1444).
The burden of acute conditions presented to public hospitals in Jimma city is high. Traumatic injuries, obstetric emergencies, lower respiratory infections, and neonatal emergencies were the most frequent causes of acute visits. An appropriate emergency care system that addresses this high burden of acute emergencies should be established in the study area.
撒哈拉以南非洲地区在全球急性疾病负担中所占比例过高，然而，缺乏针对紧急情况负担的具体流行病学数据。本研究旨在确定埃塞俄比亚西南部吉马市紧急情况的发病负担。
本研究采用 2014 年至 2017 年三年的急诊病历进行横断面研究，研究地点为吉马医疗中心和 Shenen Gibe 医院。共纳入 39537 例急诊就诊患者。数据被导出到 SPSS V.23.0 进行统计分析，采用描述性分析来总结人口统计学特征、就诊原因和发病率。研究结果与基于人群的健康人口统计报告相结合，量化发病负担。结果测量指标为总体急诊就诊人数和各人群的发病率。
在总共 39537 例就诊中，15 至 29 岁的患者占 42.1%（n=16615），女性占 50.6%（n=20004）。传染病、孕产妇、新生儿和营养（CMNNs）疾病占 57.2%（n=22597），其次是损伤（22.9%，n=9055）。前五种疾病是非特异性创伤（2.3%，n=4861）、复杂分娩（8.4%，n=3320）、下呼吸道感染（8.1%，n=3213）、急性发热性疾病（6.6%，n=2600）和新生儿感染（3.7%，n=1444）。
吉马市公立医院急性疾病负担高。创伤性损伤、产科急症、下呼吸道感染和新生儿急症是急性就诊最常见的原因。该研究地区应建立一个适当的紧急护理系统，以应对这种高负担的急性紧急情况。
