Speciality in Pediatrics and Child Health

Permanent URI for this collectionhttp://localhost:4000/handle/123456789/174

Browse

Browsing Speciality in Pediatrics and Child Health by Author "TUFA NUGUSU KEBE"

Filter results by typing the first few letters
Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    PATIENT PROFILE, TREATMENT OUTCOME, AND ASSOCIATED FACTORS OF PEDIATRIC EMERGENCY DEPARTMENT VISITS AT ASSELA REFERRAL AND TEACHING HOSPITAL: A 3-YEAR RETROSPECTIVE STUDY
    (2025-05-01) TUFA NUGUSU KEBE
    ABSTRACT Background: Pediatric emergency patients require special attention because of their vulnerability. Over recent decades, utilization of pediatric emergency departments has increased globally. However, data on patient profiles, associated factors, and outcomes of pediatric emergency care remain limited in low- and middle-income countries. Objective: To characterize the epidemiologic profile, associated factors, and outcomes of pediatric patients attending the pediatric emergency department (PED) of Assela referral and teaching hospital Methods: A retrospective chart review was conducted among pediatric patients presenting to the PED of Assela referral and teaching hospital, Arsi University, from September 10, 2022, to September 10, 2025. A total of 407 patient records were reviewed. Data were analyzed using SPSS version 27. Bivariate and multivariable logistic regression analyses were performed to identify factors associated with escalated care. Statistical significance was determined at a p-value < 0.05. Results: Male children accounted for 63.9% of visits, 55.3% were from rural areas, and 75.9% were under five years of age. Factors independently associated with escalated care include altered mental status(AOR = 5.75; 95% CI: 1.67–19.83), comorbidity(AOR = 7.30; 95% CI: 1.30–40.94), danger signs(AOR = 2.06; 95% CI: 1.09–3.86), malnutrition (AOR = 13.25; 95% CI: 3.40–51.61),referral case (AOR = 1.91; 95% CI: 1.05–3.46),true emergency (AOR = 7.59; 95% CI: 2.59–22.20), delayed presentation of illness (1–3 days(AOR = 2.23,>3 days: AOR = 5.66) and diarrhea case have six fold odds of escalated care. Conclusion: Pediatric emergency utilization at ARTH reflects a high burden of acute illnesses, particularly among under-five children from rural settings. Clinical severity indicators were the strongest predictors of escalated care. Strengthening pediatric emergency triage systems and early risk identification is strongly recommended. Keywords: Pediatric emergency department, Patient profile, Clinical outcomes, associated factors, Assela referral and teaching hospital, Ethiopia