The Burden of Unavailable Drugs Cost to Patients Admitted to Internal Medicine Ward of Tikur Anbessa Specialized Hospital

AbstractAtrial fibrillation (AF), the commonest sustained cardiac arrhythmia affecting the adult population, is often casually discovered among hospitalized people. AF onset is indeed triggered by several clinical conditions such as acute inflammatory states, infections, and electrolyte disturbance, frequently occurring during the hospitalization. We aimed to evaluate whether systematic AF screening, performed through an automated oscillometric blood pressure (BP) device (Microlife WatchBP Office AFIB, Microlife AG, Switzerland), is effective for detecting AF episodes in subjects admitted to an Internal Medicine ward. 163 patients consecutively hospitalized at the Unit of Internal Medicine of the “Santa Maria” Terni University Hospital between November 2019 and January 2020 (mean age ± standard deviation: 77 ± 14 years, men proportion: 40%) were examined. Simultaneously with BP measurement and AF screening, a standard 12-lead electrocardiogram (ECG) was performed in all subjects. AF was diagnosed by ECG in 29 patients (18%). AF screening showed overall 86% sensitivity and 96% specificity. False negatives (n = 4) had RR-interval coefficient of variation lower than true positives (n = 25, p < 0.01), suggesting a regular ventricular rhythm during AF. The repeated evaluation substantially confirmed the same level of agreement. AF screening was positive in all patients with new-onset AF (n = 6, 100%). Systematic AF screening in patients admitted to Internal Medicine wards, performed using the Microlife WatchBP Office AFIB, is feasible and effective. The opportunity to implement such technology in daily routine clinical practice to prevent undiagnosed AF episodes in hospitalized patients should be the subject of further research.

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POS-007 MAGNITUDE AND ASSOCIATED RISK FACTORS OF NEONATAL ACUTE KIDNEY INJURY IN THE NEONATAL INTENSIVE CARE UNIT OF TIKUR ANBESSA SPECIALIZED HOSPITAL, ADDIS ABABA, ETHOPIA

Kidney International Reports ◽

10.1016/j.ekir.2021.03.013 ◽

2021 ◽

Vol 6 (4) ◽

pp. S3

Author(s):

H. Nida ◽

A. Demtse ◽

B.A. Bekele

Keyword(s):

Risk Factors ◽

Intensive Care Unit ◽

Acute Kidney Injury ◽

Intensive Care ◽

Neonatal Intensive Care ◽

Addis Ababa ◽

Kidney Injury ◽

Specialized Hospital ◽

Tikur Anbessa Specialized Hospital ◽

Associated Risk Factors

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Comparative study of the prevalence of sepsis in patients admitted to dermatology and internal medicine wards

Anais Brasileiros de Dermatologia ◽

10.1590/abd1806-4841.20131912 ◽

2013 ◽

Vol 88 (5) ◽

pp. 739-747

Author(s):

Luiz Mauricio Costa Almeida ◽

Michelle dos Santos Diniz ◽

Lorena dos Santos Diniz ◽

Jackson Machado-Pinto ◽

Francisco Chagas Lima Silva

Keyword(s):

Internal Medicine ◽

Comparative Study ◽

Medical Records ◽

Skin Barrier ◽

Epidemiological Studies ◽

Internal Medicine Ward ◽

Cross Sectional ◽

Systemic Corticosteroids ◽

Internal Medicine Wards ◽

Belo Horizonte

BACKGROUND: Sepsis is a common cause of morbidity and mortality among hospitalized patients. The prevalence of this condition has increased significantly in different parts of the world. Patients admitted to dermatology wards often have severe loss of skin barrier and use systemic corticosteroids, which favor the development of sepsis. OBJECTIVES: To evaluate the prevalence of sepsis among patients admitted to a dermatology ward compared to that among patients admitted to an internal medicine ward. METHODS: It is a cross-sectional, observational, comparative study that was conducted at Hospital Santa Casa de Belo Horizonte. Data were collected from all patients admitted to four hospital beds at the dermatology and internal medicine wards between July 2008 and July 2009. Medical records were analyzed for the occurrence of sepsis, dermatologic diagnoses, comorbidities, types of pathogens and most commonly used antibiotics. RESULTS: We analyzed 185 medical records. The prevalence of sepsis was 7.6% among patients admitted to the dermatology ward and 2.2% (p = 0.10) among those admitted to the internal medicine ward. Patients with comorbidities, diabetes mellitus and cancer did not show a higher incidence of sepsis. The main agent found was Staphylococcus aureus, and the most commonly used antibiotics were ciprofloxacin and oxacillin. There was a significant association between sepsis and the use of systemic corticosteroids (p <0.001). CONCLUSION: It becomes clear that epidemiological studies on sepsis should be performed more extensively and accurately in Brazil so that efforts to prevent and treat this serious disease can be made more effectively.

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Prevalence of potential drug–drug interactions among internal medicine ward in University of Gondar Teaching Hospital, Ethiopia

Asian Pacific Journal of Tropical Biomedicine ◽

10.12980/apjtb.4.2014c1172 ◽

2014 ◽

Vol 4 ◽

pp. S204-S208 ◽

Cited By ~ 8

Author(s):

Akshaya Srikanth Bhagavathula ◽

Alemayehu Berhanie ◽

Habtamu Tigistu ◽

Yishak Abraham ◽

Yosheph Getachew ◽

...

Keyword(s):

Internal Medicine ◽

Drug Interactions ◽

Teaching Hospital ◽

Potential Drug ◽

Internal Medicine Ward

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The Prevalence of Alprazolam Uses in Geriatric Patients at Dr. Mohammad Hoesin Hospital Palembang

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v5i2.4785 ◽

2016 ◽

Vol 5 (2) ◽

pp. 193

Author(s):

Yohanes Febrianto ◽

Sutomo Tanzil ◽

Theodorus Parulian

Keyword(s):

Internal Medicine ◽

Heart Disease ◽

Medical Records ◽

Geriatric Patients ◽

Age Group ◽

Internal Medicine Ward ◽

Drug Utilization Study ◽

Short Acting ◽

Infectious Origin ◽

Male Patients

One of the most frequently prescribed drugs in geriatric patients is a benzodiazepine, especially a short-acting such as alprazolam. Unfortunately, alprazolam is oftenly used inappropriately because this drug has a short acting effect. Geriatric patients are more sensitive to this drug that can lead to the dependence. However, there is still lack of data on the use of this drug in geriatric patients. The aim of this study was to determine the prevalence of the use of alprazolam. A drug utilization study has been done for 2 months through analysis of patient’s medical records in the internal medicine ward at RSMH Palembang from June 1st, 2012 to May 31st, 2013. There were 25 out of 1634 patients receiving alprazolam, but only 23 patients whose data were obtained from the available medical records. Prevalence of alprazolam use was 1.408%. Based on gender, the prevalence was 1.798% in female and 1.09% in male patients. Proportion by age group was 91.3%, 8.7% and 0% in age group 60-74 years, 75-90 years and over 90 years, respectively. Based on the job, the population study comprised of the housewive (52.1%), unemployment (39.1%), and entrepreneur and farmer (4.3% together). The indication of usage was atheroscerotic heart disease, diarrhoea and gastroenteritis of presumed infectious origin, unspecified gastritis, and thyrotoxic heart disease. In other words, it could be said that the usage of alprazolam was inappropriate.

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Pain in an Internal Medicine Ward: An Undervalued Reality?

Cureus ◽

10.7759/cureus.17838 ◽

2021 ◽

Author(s):

Inês Egídio de Sousa ◽

Maria Teresa Neves ◽

Cristina Gouveia ◽

Renato Guerreiro ◽

Luciana Frade ◽

...

Keyword(s):

Internal Medicine ◽

Internal Medicine Ward

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Prevalence and Factors Associated with Undernutrition on Cancer Patients at Tikur Anbessa Specialized Hospital, Ethiopia: A cross-sectional study

10.21203/rs.3.rs-138814/v2 ◽

2021 ◽

Author(s):

Eyerusalem Worku ◽

Hayat Aragaw ◽

Damitie Kebede

Keyword(s):

Cancer Patients ◽

Addis Ababa ◽

Performance Status ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Under Nutrition ◽

Specialized Hospital ◽

Tikur Anbessa Specialized Hospital

Abstract Background Cancer is one of the leading causes of death in the world and it is considered that every fourth person dies of it. Under-nutrition is most commonly seen in cancer patients with some types of solid tumors, various chronic diseases, as well as in older persons and young children. This can result in longer hospital stay, reduced response to therapies, increased complications to therapy and surgery proceedings, poor survival and higher care costs. This study aimed to assess the prevalence and factors associated with under-nutrition on cancer patients attending Tikur Anbessa Specialized Hospital, Ethiopia.Methods Cross-sectional study was conducted from September to October 2018 among 347 cancer patients in Tikur Anbessa Specialized hospital Addis Ababa, Ethiopia. All cancer patients 18–65 years of age who were on the 2nd cycle and above treatment phase were included. Quantitative data was collected using questionnaires and the Patient Generated-Subjective Global Assessment (PG-SGA) score. Data was entered into Epi-Info version 7 and exported and analyzed by SPSS version 20. Both bivariate and multivariate logistic regression analyses were employed to identify the associated factors. Variables with 𝑃 value of less than 0.05 were considered as significant predictors.Results The prevalence of under-nutrition according to PG-SGA score result 202 (63.1%) and 88(27.5%) of the participants were moderately and severely undernourished, respectively. BMI of the participants also showed that 206 (64.4%) and 89 (27.8%) were normal and underweight, respectively. Two hundred seventy-six (86.3%) of the patients needed critical nutrition intervention. Performance status of ≥ 2 [AOR = 7.9, 95% CI (3.05, 20.48)] and cancer stage II, III & IV [AOR = 3.47, 95% CI (1.25, 9.58)], [AOR = 3.81, 95% CI (1.17, 12.31)] and [AOR = 6.11, 95% CI (1.48, 25.14)] were significantly associated with malnutrition on cancer patients at a P-value < 0.05.Conclusion The prevalence of under-nutrition is prevalent in the study area. Performance status of ≥ 2 and cancer stages were important factors associated with malnutrition in cancer patients. Screening and evaluation of nutritional status of the patients and planning nutritional therapy such as dietary supplements or enteral nutrition to counteract malnutrition on cancer patients should be implemented.

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