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Background Parental satisfaction is a well-established outcome indicator and tool for assessing a healthcare system’s quality, as well as input for developing strategies for providing acceptable patient care. This study aimed to assess parental satisfaction with neonatal intensive care unit service and its associated factors. Method A cross-sectional study design was conducted on parents whose neonates were admitted to the neonatal intensive care unit at Debre Tabor Comprehensive Specialized Hospital, in North Central Ethiopia. Data were collected by adopting an EMPATHIC-N instrument during the day of neonatal discharge, after translating the English version of the instrument to the local language (Amharic). Both Bivariable and multivariable logistic analyses were done to identify factors associated with parental satisfaction with neonatal intensive care unit service. P < 0.05 with 95% CI was considered statistically significant. Results The data analysis was done on 385 parents with a response rate of 95.06%. The overall average satisfaction of parents with neonatal intensive care unit service was 47.8% [95% CI= (43.1–52.5)]. The average parental satisfaction of neonatal intensive care unit service in the information dimension was 50.40%; in the care and treatment dimension was 36.9%, in the parental participation dimension was 50.1%, in the organization dimension was 59.0% and the professional attitude dimension was 48.6%. Gender of parents, residency, parental hospital stay, birth weight, and gestational age were factors associated with parental satisfaction. Conclusion There was a low level of parental satisfaction with neonatal intensive care unit service. Among the dimensions of EMPATHIC-N, the lowest parental satisfaction score was in the care and treatment while the highest parental satisfaction score was in the organization dimension.

BackgroundShivering is a common complication after subarachnoid administration of local anesthetics. Intravenous ketamine and tramadol are widely available anti-shivering drugs, especially in developing settings. This meta-analysis aimed to compare the effects of intravenous ketamine vs. tramadol for post-spinal anesthesia shivering.Materials and methodsPubMed/MEDLINE, Web of Science, Cochrane Library, Embase, and Google Scholar databases were used to search for relevant articles for this study. Mean difference (MD) with 95% confidence interval (CI) was used to analyze continuous outcomes, and risk ratio (RR) with 95% CI to analyze categorical results. The heterogeneity of the included studies was assessed using the I2 test. We utilized Review Manager 5.4.1 to perform statistical analysis.ResultsThirteen studies involving 1,532 patients were included in this meta-analysis. Ketamine had comparable effects in preventing post-spinal anesthetics shivering [RR = 1.06; 95% CI (0.94, 1.20), P = 0.33, I2 = 77], and onset of shivering [MD = −0.10; 95%CI (– 2.68, 2.48), P = 0.94, I2 = 0%], lower incidences of nausea and vomiting [RR = 0.51; 95%CI (0.26, 0.99), P = 0.05, I2 = 67%], and lower incidences of bradycardia [RR = 0.16; 95%CI (0.05, 0.47), P = 0.001, I2 = 33%], higher incidence of hallucinations [RR = 12; 95%CI (1.58, 91.40), P = 0.02, I2 = 0%], and comparable effects regarding the incidences of hypotension [RR = 0.60; 95%CI (0.30, 1.21), P = 0.15, I2 = 54%] as compared to tramadol.ConclusionsIntravenous ketamine and tramadol are comparable in the prevention of post-spinal anesthetic shivering. Ketamine had a better outcome with less occurrences of nausea, vomiting, and bradycardia. However, ketamine was associated with higher incidences of hallucinations than tramadol.

BACKGROUND Background: Anemia maximizes the risk of oxygen deprivation; as well it increases the risk of perioperative morbidity and mortality. There are low levels of evidence regarding postoperative anemia prevalence in developing countries. This study aimed to determine the prevalence of postoperative anemia and associated factors among post-surgical patients at Debre Tabor Comprehensive Specialized Hospital, in Northern Ethiopia. OBJECTIVE To determine the prevalence of postoperative anemia and associated factors among adult patients who undergone surgery at Debre Tabor Comprehensive Specialized Hospital, Northern Ethiopia, from April 1 to August 30, 2021. METHODS Hospital-based cross-sectional study was conducted on surgical patients and data was collected by using an interviewer-administered semi-structured questionnaire. Data entry and analysis were done with SPSS version 23. descriptive data were reported using tables and graphs. Bivariable and multivariable analysis was performed to determine whether each of the independent variables is associated with the outcome variable. RESULTS A total of 409 surgical adult patients were included in this study. The hemoglobin test result revealed that 203 (49.6 %) of the participants were anemic during discharge. Based on this study; patients aged above 50 years, unemployed in occupation, patients who had a history of preoperative anemia, ASA IV physical status, emergency surgery, intraoperative blood loss greater than 500 ml, and hospital length of stay above two weeks were significantly associated with postoperative anemia CONCLUSIONS : Among the study participants, 49.6 % of the adult surgical patients developed postoperative anemia. Therefore; clinicians should be familiar with the risk factors of postoperative anemia to minimize complications and to improve the patient’s perioperative quality of life. CLINICALTRIAL This paper was already registered at research registry.com with a unique identifying number of 7711

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