Magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2024
BackgroundPreoperative anemia is a common hematologic public health problem among elective surgical patients. Preoperative anemia complications independently increase the risk of perioperative complications and mortality rate. Despite this complication, there is a scarcity of evidence on the prevale...
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Frontiers Media S.A.
2024-12-01
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| author | Wondimnew Mersha Biset Nura Nasser Lemi Belay Tolu Nuhamin Tesfa Tsega Mebratu Abraha |
| author_facet | Wondimnew Mersha Biset Nura Nasser Lemi Belay Tolu Nuhamin Tesfa Tsega Mebratu Abraha |
| author_sort | Wondimnew Mersha Biset |
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| description | BackgroundPreoperative anemia is a common hematologic public health problem among elective surgical patients. Preoperative anemia complications independently increase the risk of perioperative complications and mortality rate. Despite this complication, there is a scarcity of evidence on the prevalence and associated factors of preoperative anemia among adult elective surgical patients in Ethiopia. Therefore, this study aimed to investigate the magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.MethodsAn institution-based cross-sectional study was conducted from January 1 to 30, 2024 at Saint Paul’s Hospital Millennium Medical College. A consecutive sampling technique was used to select eligible study participants. Chart review and a structured, pretested, and interviewer-administered questionnaire were employed. Kobo toolbox was used to collect the data and exported to SPSS version 25 software for data cleaning, coding, and analysis. Binary logistic regression model was fitted to identify factors associated with preoperative anemia. An adjusted odds ratio (AOR) with its 95% CI and a p-value of ≤0.05 was used to declare a statistical association.ResultsA total of 247 study participants were included in the analysis, giving a response rate of 98.8%. Majority (68%) of the participants were from urban areas. The median age of the patient was 38 (IQR ± 32) years. The magnitude of preoperative anemia was found to be 27.1% (95% CI: 21.9, 33.1). Being female (AOR = 3.44; 95%CI: 1.53, 7.73), being overweight (AOR = 0.26; 95%CI: 0.10, 0.88), and having infection and injury/trauma as indications for surgery (AOR = 4.59; 95%CI: 1.62, 12.96) and (AOR = 3.58; 95%CI: 1.35, 9.49) were significantly associated with preoperative anemia.ConclusionIn this study, more than one-fourth of the study participants had preoperative anemia. To decrease this public health problem, it is better to screen at risk patients, specifically females and trauma patients during the preoperative visit and disseminate information about a healthy diet and the prevention and treatment of anemia through health education. |
| format | Article |
| id | doaj-art-7e149a7e09174e9cbb18db59d433b450 |
| institution | OA Journals |
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| language | English |
| publishDate | 2024-12-01 |
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| spelling | doaj-art-7e149a7e09174e9cbb18db59d433b4502025-08-20T02:35:54ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-12-011110.3389/fmed.2024.14665541466554Magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2024Wondimnew Mersha Biset0Nura Nasser1Lemi Belay Tolu2Nuhamin Tesfa Tsega3Mebratu Abraha4Department of Anesthesiology, Critical Care and Pain Medicine, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaDepartment of Anesthesiology, Critical Care and Pain Medicine, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaDepartment of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaDepartment of Women’s and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaReaserch Directorate Office and Nursing Education Department, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaBackgroundPreoperative anemia is a common hematologic public health problem among elective surgical patients. Preoperative anemia complications independently increase the risk of perioperative complications and mortality rate. Despite this complication, there is a scarcity of evidence on the prevalence and associated factors of preoperative anemia among adult elective surgical patients in Ethiopia. Therefore, this study aimed to investigate the magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.MethodsAn institution-based cross-sectional study was conducted from January 1 to 30, 2024 at Saint Paul’s Hospital Millennium Medical College. A consecutive sampling technique was used to select eligible study participants. Chart review and a structured, pretested, and interviewer-administered questionnaire were employed. Kobo toolbox was used to collect the data and exported to SPSS version 25 software for data cleaning, coding, and analysis. Binary logistic regression model was fitted to identify factors associated with preoperative anemia. An adjusted odds ratio (AOR) with its 95% CI and a p-value of ≤0.05 was used to declare a statistical association.ResultsA total of 247 study participants were included in the analysis, giving a response rate of 98.8%. Majority (68%) of the participants were from urban areas. The median age of the patient was 38 (IQR ± 32) years. The magnitude of preoperative anemia was found to be 27.1% (95% CI: 21.9, 33.1). Being female (AOR = 3.44; 95%CI: 1.53, 7.73), being overweight (AOR = 0.26; 95%CI: 0.10, 0.88), and having infection and injury/trauma as indications for surgery (AOR = 4.59; 95%CI: 1.62, 12.96) and (AOR = 3.58; 95%CI: 1.35, 9.49) were significantly associated with preoperative anemia.ConclusionIn this study, more than one-fourth of the study participants had preoperative anemia. To decrease this public health problem, it is better to screen at risk patients, specifically females and trauma patients during the preoperative visit and disseminate information about a healthy diet and the prevention and treatment of anemia through health education.https://www.frontiersin.org/articles/10.3389/fmed.2024.1466554/fullmagnitudeassociated factorspreoperative anemiaadult elective surgical patientsEthiopia |
| spellingShingle | Wondimnew Mersha Biset Nura Nasser Lemi Belay Tolu Nuhamin Tesfa Tsega Mebratu Abraha Magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2024 Frontiers in Medicine magnitude associated factors preoperative anemia adult elective surgical patients Ethiopia |
| title | Magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2024 |
| title_full | Magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2024 |
| title_fullStr | Magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2024 |
| title_full_unstemmed | Magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2024 |
| title_short | Magnitude and associated factors of preoperative anemia among adult elective surgical patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2024 |
| title_sort | magnitude and associated factors of preoperative anemia among adult elective surgical patients at saint paul s hospital millennium medical college addis ababa ethiopia 2024 |
| topic | magnitude associated factors preoperative anemia adult elective surgical patients Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1466554/full |
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