Treatment outcomes and its associated factors among pneumonia patients admitted to public hospitals in Harar, eastern Ethiopia: a retrospective follow-up study

被引：4
作者：
Jambo, Abera [1 ]
Gashaw, Tigist [2 ]
Mohammed, Ammas Siraj [1 ]
Edessa, Dumessa [1 ]
机构：
[1] Haramaya Univ, Clin Pharm Dept, Dire Dawa, Ethiopia
[2] Haramaya Univ, Dept Pharmacol & Toxicol, Dire Dawa, Ethiopia
来源：
BMJ OPEN | 2023年 / 13卷 / 02期
关键词：
Treatment outcome; Pneumonia; Hospital; Harar; Eastern Ethiopia; COMMUNITY-ACQUIRED PNEUMONIA; SEVERE ACUTE MALNUTRITION; HEART-FAILURE; RISK-FACTORS; CHILDREN; IMPACT; ADULTS; EPIDEMIOLOGY; PREDICTORS; MORTALITY;
D O I：
10.1136/bmjopen-2022-065071
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
ObjectiveAlthough there is a high risk of drug resistance, empiric treatment is a common approach for pneumonia management. In this respect, it is relevant to know treatment outcomes of patients with pneumonia. This study aimed to assess treatment outcomes and its associated factors among pneumonia patients treated at two public hospitals in Harar, eastern Ethiopia. DesignRetrospective follow-up study. SettingJugal General Hospital and Hiwot Fana Specialised University Hospital in Harar, eastern Ethiopia. ParticipantsPatients admitted and treated for pneumonia in the two public hospitals in eastern Ethiopia between April 2020 and April 2021. Primary outcomeThe primary outcome was unfavourable treatment outcome (died or transferred to intensive care unit) for pneumonia patients. ResultsA total of 693 patients with pneumonia were included in the study. 88 (12.7%) of these patients had an unfavourable treatment outcome, which included 14 (2%) transfers to the intensive care unit and 74 (10.7%) deaths. Patients with comorbidity (adjusted OR, AOR=2.96; 95% CI: 1.47 to 5.97) and with clinical features including abnormal body temperature (AOR=4.03; 95% CI: 2.14 to 7.58), tachycardia (AOR=2.57; 95% CI: 1.45 to 4.55), bradypnoea or tachypnoea (AOR=3.92; 95% CI:1.94 to 7.92), oxygen saturation below 90% (AOR=2.52; 95% CI:1.37 to 4.64) and leucocytosis (AOR=2.78, 95%, CI:1.38 to 5.58) had a significantly increased unfavourable treatment outcome. ConclusionWe found that nearly one out of eight patients with pneumonia had unfavourable treatment outcomes. It was considerably high among patients with comorbidities and apparent abnormal clinical conditions. Therefore, taking into account regionally adaptable intervention and paying close attention to pneumonia patients admitted with comorbidity and other superimposed abnormal conditions might help improve the treatment outcomes of these populations.
引用
收藏
页数：9
相关论文
共 50 条
[11]   Erectile dysfunction and associated factors among patients with diabetes attending follow-up at a public hospital, Harar, Eastern Ethiopia. A cross-sectional study design [J].
Gobena, Matebu Bekele ;
Abdosh, Tekabe ;
Dheresa, Merga ;
Dechasa, Deribe Bekele .
FRONTIERS IN ENDOCRINOLOGY, 2023, 14
[12]   In-hospital mortality and its associated factors among hospitalized stroke patients at public hospitals of Eastern Ethiopia [J].
Abas, Ziyad ;
Gashaw, Tigist ;
Jambo, Abera ;
Edessa, Dumessa .
BMC CARDIOVASCULAR DISORDERS, 2024, 24 (01)
[13]   Treatment Outcome of Tuberculosis and Associated Factors among TB-HIV Co-Infected Patients at Public Hospitals of Harar Town, Eastern Ethiopia. A five-year retrospective study [J].
Tola, Assefa ;
Mishore, Kirubel Minsamo ;
Ayele, Yohanes ;
Mekuria, Abraham Nigussie ;
Legese, Nanati .
BMC PUBLIC HEALTH, 2019, 19 (01)
[14]   Treatment outcomes and its associated factors among neonates admitted with sepsis in Hiwot Fana Comprehensive Specialized University Hospital, Harar, Ethiopia [J].
Gezahegn, Betelhem ;
Abdella, Ahmed ;
Meseret, Fentahun ;
Mohammed, Ahmed ;
Keneni, Mulualem ;
Asfaw, Tesfaye ;
Tizazu, Diribsa ;
Desalew, Assefa .
FRONTIERS IN PEDIATRICS, 2025, 12
[15]   Prevalence of ventilator-associated pneumonia and associated factors among intubated adult patients admitted in public hospitals in Addis Ababa, Ethiopia: a facility-based retrospective study design [J].
Tegegne, Estibel Mengist ;
Chekol Gete, Birhanu ;
Demissie, Dereje Bayissa .
FRONTIERS IN MEDICINE, 2025, 12
[16]   Recovery Time From Severe Community Acquired Pneumonia and Risk Factors Among Pediatrics, Ethiopia: A Retrospective Follow-Up Study [J].
Wake, Addisu Dabi .
GLOBAL PEDIATRIC HEALTH, 2024, 11
[17]   Outcome of Poisoning and Associated Factors Among Patients Admitted at Referral Hospitals in Northwest Ethiopia, 2022: A Multicenter Retrospective Study [J].
Reda, Gashachew Bayleyegn ;
Abate, Hailemichael Kindie ;
Mekonnen, Hidja Mustofa ;
Gared, Agerie Zerihun ;
Beko, Zerko Wako .
OPEN ACCESS EMERGENCY MEDICINE, 2023, 15 :415-425
[18]   Treatment Outcome of Tuberculosis and Associated Factors among TB-HIV Co-Infected Patients at Public Hospitals of Harar Town, Eastern Ethiopia. A five-year retrospective study [J].
Assefa Tola ;
Kirubel Minsamo Mishore ;
Yohanes Ayele ;
Abraham Nigussie Mekuria ;
Nanati Legese .
BMC Public Health, 19
[19]   Perception of Caring Behaviors and Associated Factors Among Nurses Working in Harar Hospitals, Eastern Ethiopia [J].
Fikre, Amelework ;
Egata, Gudina ;
Abdisa, Lemesa ;
Yadeta, Elias ;
Eyeberu, Addisu ;
Dheresa, Merga .
SAGE OPEN NURSING, 2022, 8
[20]   Predictors of mortality among multidrug-resistant tuberculosis patients in central Ethiopia: a retrospective follow-up study [J].
Kassa, Getahun Molla ;
Tadesse, Abilo ;
Gelaw, Yalemzewod Assefa ;
Alemayehu, Temesgen Tadesse ;
Tsegaye, Adino Tesfahun ;
Tamirat, Koku Sisay ;
Akalu, Temesgen Yihunie .
EPIDEMIOLOGY AND INFECTION, 2020, 148
12345