Advances in Pediatric Research
Open Access
ISSN: 2385-4529
ISSN: 2385-4529
Afework Alemu
Wolaita Sodo University, Ethiopia
Scientific Tracks Abstracts: Adv Pediatr Res
Critical care is a multidisciplinary and interprofessional specialty devoted to treating patients who already have or are at danger of developing acute, life-threatening organ dysfunction. Due to the higher disease load and mortality from preventable illness patient outcomes in intensive care units are challenging in settings with inadequate resources. This study aimed to determine factors associated with outcomes pediatrics patients admitted to intensive care units. Methods: A crosssectional study was conducted at Wolaita Sodo and Hawassa University teaching hospitals in southern Ethiopia. Data were entered and analysed using SPSS version 25. Normality tests using the Shapiro-Wilk and Kolmogorov-Smirnov data were normally distributed. The frequency, percentage, and cross-tabulation of the different variables were then determined. Finally, the magnitude and associated factors were first analysed using binary logistic regression and then multivariate logistic regression. Statistical significance was set at P < 0.05. Results: A total of 396 Pediatric ICU patients were included in this study, and 165 (41.7%) deaths were recorded. The odds of patients from urban areas (AOR=45%, CI 95%:8%, 67% pvalue=0.025) were less likely to die than those in rural areas. Patients with co morbidities (AOR = 9.4, CI 95%: 4.5, 19.7, p = 0.000) were more likely to die than pediatric patients with no comorbidities. Patients admitted with Acute respiratory distress syndrome (AOR = 12.86, CI 95%: 4.3, 39.2, p = 0.000) were more likely to die than those with not. Pediatric patients on mechanical ventilation (AOR = 3, CI 95%: 1.7, 5.9, p = 0.000) more likely to die than not mechanically ventilated. Conclusion: Mortality of Paediatric ICU patients was high (40.7%) in this study. Co-morbid disease, residency, the use of inotropes, and the length of ICU stay were all statistically significant predictors of death. Keywords: Outcome, Paediatrics, Intensive Care Unit, Wolaita, Ethiopia.
Afework Alemu is working as a full professor in Wolaita Sodo University 2021. He is an academician for more than 18 years in Wolaita Sodo Ethiopia and 25 years as a researcher. Prof Afework Alemu has supervised more than 80 undergraduates and 30 postgraduate students in the fields of ecotoxicology, environmental biology, environmental sciences, water quality and Eco toxicological genetics.