Surgical management of acute abdomen in adult patients: Experience from a private hospital in Addis Ababa, Ethiopia

Ademe, Yonas; Seyoum, Nebyou; Lemma, Rakeb

doi:10.4314/ejhs.v32i4.9

Cited by 10 publications

(8 citation statements)

References 6 publications

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“…The war, in addition to the pandemic, further affected the provision of major surgeries at a tertiary hospital in Tigray as compared to those conducted during the same period in another tertiary hospital, in Addis Ababa, Ethiopia. 20 COVID-19 has left an assignment for both local and international policy makers, health facilities and other stakeholder to stay tuned to and prepared to combat any pandemic which could arise at any time before it causes significant damage to the health system. Moreover, we recommend that the international community ensures that international humanitarian laws are respected and human rights (such as access to health services) are protected even during war times.…”

Section: Discussionmentioning

confidence: 99%

Impact of War and COVID-19 on Major Surgery in a Tertiary Hospital in Tigray, Ethiopia: An Interrupted Time-Series Study

Gebresilassie,

Tequare,

Gebremedhin

et al. 2023

OAS

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Methods: All major surgeries carried out over four consecutive years were included and subjected to an interrupted time-series analysis called segmented regression analysis to examine the effect of war and COVID-19 on level of and trend changes in major surgeries. The outcome was measured and estimated that there was a significant change in the number of major surgeries as a result of the conflict and COVID-19 pandemic compared to the baseline status.Results: We analyzed 29,877 major surgeries conducted during the study period. The results indicate that, before the beginning of the intervention period, on average 632 surgeries per month were performed [632.1 (95% CI: 575.8, 688.41)]. Right after COVID-19, however, this number dropped by 359 patients per month [−359.3 (95% CI: −486.4, −232.2)]. During the war period, the number of surgeries decreased by 232 patients per month [−232.7 (95% CI: −408.5, −56.9)]. Conclusion:This study revealed that both COVID-19 and the war in Tigray have significantly reduced the number of major surgeries that could have been carried out in their absence at a large tertiary hospital in Northern Ethiopia.

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Section: Discussionmentioning

confidence: 99%

Impact of War and COVID-19 on Major Surgery in a Tertiary Hospital in Tigray, Ethiopia: An Interrupted Time-Series Study

Gebresilassie,

Tequare,

Gebremedhin

et al. 2023

OAS

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“…Among the study population presenting with acute abdomen, AA was diagnosed in 74.5% of cases which is consistent with the study by Ademe et al(72.3%). ( 9 )…”

Section: Discussionmentioning

confidence: 99%

The Roles of USG and NCCT in the Diagnosis of Acute Appendicitis: A Study in a Tertiary Care Center in North Eastern India

Uddalok Das,

Amarendra Nath Sarkar,

Dilip Chandra Barman

et al. 2023

Ethiop J Health Sci

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BACKGROUND: Acute appendicitis is a common cause of hospital admission and emergency laparotomy among children and young adults. Although the diagnosis is clinical, the use of radiological imaging has emerged over the past decades. Its principal use is as a problem-solving tool in equivocal cases. Owing to the increased use of imaging in the last few years, the negative appendicectomy rate has dropped significantly. In this prospective observational study, we compared the diagnostic accuracy of Ultrasonography and Non-Contrast Computed Tomography. METHOD: One hundred and eighteen patients with clinically suspected appendicitis followed a designed protocol. Patients underwent appendicectomy after a first performed positive ultrasonography or after a positive Non-Contrast Computed Tomography when Ultrasonography was equivocal or nonspecific. When any other diagnosis was apparent in either imaging modality which could explain the symptomatology in the patient, they were considered negative for acute appendicitis and treated accordingly. RESULTS: The respective sensitivity, specificity, and accuracy for Ultrasonography, Non-Contrast Computed Tomography, and the whole diagnostic pathway for the diagnosis of acute appendicitis were 70.73%,80.83%, and 78.54; 100%,100%,100%, and 83.6%; and 100%,83.33% and 94.92%. CONCLUSION: Using Ultrasonography as the first-line diagnostic tool and Non-Contrast Computed Tomography as a complementary second-line diagnostic tool, appendicitis can be diagnosed with high accuracy and the negative laparotomy rate can be brought down significantly without any increase in the risk of complications. Computed Tomography is superior to Ultrasonography for the diagnosis of acute appendicitis.

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“…On the other hand, Kamran et al reached a similar conclusion to our study, where medical students had a positive attitude toward patient safety; however, there were misconceptions about the causes of medical errors and error disclosure among students [ 22 ]. Furthermore, one study was conducted in Ethiopia, but it focused on surgical residents; the conclusion drawn from that study was that the overall awareness regarding medical malpractice was relatively low [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Patient Safety in the Surgical Field: A Cross-Sectional Study Among Al-Baha University Medical Students

Alzahrani,

Kofiah,

Taishan

et al. 2023

Cureus

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Background Patient safety and quality of surgical care are crucial in healthcare. Adequate knowledge and attitudes among healthcare providers regarding differentiating malpractice from surgical complications are essential for preventing adverse events. We aimed to assess medical students' knowledge and attitudes toward patient safety in surgical procedures. Methodology A cross-sectional study was conducted among clinical years of medical students and interns at Al-Baha University, Saudi Arabia, from June 15, 2023, to August 1, 2023. Exclusion criteria were students from basic years, pharmacology students, applied medical science, dental students, and students from other universities. A self-administered questionnaire collected data on participants' demographics, knowledge, attitudes, and practices related to patient safety in surgical procedures. Results A total of 271 medical students participated, exceeding the target sample size of 181. Participants' ages ranged from 20 to 28 years, with the majority between 23 and 25 (60.5%). Males accounted for 63.8% of participants. The largest group was fourth-year students (31.7%), followed by interns (23.6%), those in sixth year (23.2%), and those in fifth year (21.4%). Moreover, 82.7% of participants demonstrated good knowledge of patient safety concepts. The highest level of knowledge was noted among fourth-year students (89.5%), and the lowest was among fifth-year medical students (75.9%), but was not statistically significant (p=0.701). Most participants demonstrated appropriate attitudes and practices (83.6%); however, 9.2% refused to perform surgery on a patient with active hepatitis B due to concerns for their own safety. Conclusion The majority of participants exhibited suitable knowledge and attitudes toward patient safety in surgical scenarios, but there was deficient knowledge among fifth- and sixth-year students. Moreover, a negative attitude regarding patient safety was noticed, exemplified by refusing surgeries on patients with active hepatitis B.

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Surgical management of acute abdomen in adult patients: Experience from a private hospital in Addis Ababa, Ethiopia

Cited by 10 publications

References 6 publications

Impact of War and COVID-19 on Major Surgery in a Tertiary Hospital in Tigray, Ethiopia: An Interrupted Time-Series Study

Impact of War and COVID-19 on Major Surgery in a Tertiary Hospital in Tigray, Ethiopia: An Interrupted Time-Series Study

The Roles of USG and NCCT in the Diagnosis of Acute Appendicitis: A Study in a Tertiary Care Center in North Eastern India

Patient Safety in the Surgical Field: A Cross-Sectional Study Among Al-Baha University Medical Students

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