Undesirable Postoperative Anesthesia Outcomes at Two National Referral Hospitals: A Cross-Sectional Study in Eritrea

Andemeskel, Yonatan Mehari; Elsholz, Traudl; Gebreyohannes, Ghidey; Tesfamariam, Eyasu H.

doi:10.1155/2020/9792170

Cited by 4 publications

(18 citation statements)

References 34 publications

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“…This study aimed to investigate prevalence of postoperative thirst and the contributing factors associated with it. Our study found that thirst occurs in more than half of post-surgical patients (59.4%)).The result of this study is considerably high as compared to a studies done in Eritrea with prevalence of postoperative thirst (27.7%) [ 15 ] and Kenya (43.1%) [ 16 ]. This discrepancy might be underestimation of the problem and the quality of PACU differ from country to country.…”

Section: Discussioncontrasting

confidence: 38%

Prevalence and factors associated with thirst among postsurgical patients at University of Gondar comprehensive specialized hospital. Institution-based cross-sectional study

Belete

Ashagrie

Workie

et al. 2022

J Patient Rep Outcomes

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Introduction Thirst is a powerfully distressing sensation that occurs most frequently in the immediate postoperative period. Postoperative thirst is prevalent, the moderate-to-severe type is estimated to affect 53.2–69.8% of patients and causes significant patient discomfort. Objective The objective of this study was to assess the prevalence, and factors associated with postoperative thirst among surgical patients in PACU at the University of Gondar Comprehensive Specialized Hospital from April 20 to June 27, 2021. Methods An institution-based cross-sectional study was conducted at the University of Gondar Comprehensive Specialized Hospital. A total of 424 participants were included in the study. Statistical analysis had performed using SPSS 26.00 version statistical software. Binary logistic regression analysis was performed to identify the association between the prevalence of postoperative thirst and independent variables and only variables with p-value < 0.2 were entered into the multivariable analysis. The strength of the association was presented by odds ratio and 95% Confidence interval. P-value < 0.05 was considered statistically significant. Result The prevalence of postoperative thirst among postsurgical patients was 59% (95% CI = 54.74–64.13). Inadequate preloading (Adjusted odes ratio (AOR) = 2.137 95% CI 1.260–3.624), prolonged Nil Per Os (NPO) time (AOR = 13.80 95% CI 2.93–65.37), general anesthesia (AOR = 3.90 95% CI 3.56–11.25), and axillary body temperature ≥ 37.5 °C (AOR = 8.07 95% CI 3.63–17.96) were significantly associated with postoperative thirst. Low room temperature (< 20 °C) was protective for the occurrence of postoperative thirst (AOR = 0.162 95% CI 0.37–0.707). Conclusion and recommendations The prevalence of postoperative thirst remains high and need commitment in close monitoring of PACU patients and immediate intervention. We also urge that high-level, ongoing research be conducted in this area, as postoperative thirst is a very common problem with a lot to discover.

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Section: Discussioncontrasting

confidence: 38%

Prevalence and factors associated with thirst among postsurgical patients at University of Gondar comprehensive specialized hospital. Institution-based cross-sectional study

Belete

Ashagrie

Workie

et al. 2022

J Patient Rep Outcomes

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“…POP was previously stated the most undesirable outcome. 5 In reflection to that, in this current study, the prevalence of POP in the immediate post-surgery in the SBM group was found to be 88.1%, but in the EM, group was 98.3%. The reason for the decrease of the POP prevalence in the SBM group could be due to the effect of pre-emptive analgesia which was given 1 hour before surgery.…”

Section: Discussionsupporting

confidence: 69%

“…4 The goals of effective and appropriate pain management is to improve quality of life for the patient, facilitate rapid recovery and return to full function, reduce morbidity and allow early discharge from hospital. 5 The WHO analgesic ladder outlines simple techniques using minimal resources to combat pain. 6 Non pharmacological methods also play an important role as a sole or in combination for reliving postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of post-operative pain management among patients who underwent general and orthopedic surgeries at a national referral hospital Asmara, Eritrea

Beyn¹,

Kidamemariam²,

Hidremichael³

et al. 2022

JACCOA

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Background: Post-operative pain poses significant challenges with high global prevalence. Inadequately managed pain can result in patients increased medical complications, prolonged hospital stays and reduced effective pain management. The study was aimed at comparing the effectiveness of existing and severity-based POP management of patients who underwent general and orthopedic surgeries in Halibet National Referral Hospital. Methods: This was a quasi-experimental study conducted among 118 patients who underwent general and orthopedic surgeries. Data was collected by using socio-demographic, clinical characteristics and visual analogue scale (VAS). The intervention group received a severity based (SBM) POP management, whereas the comparative group received the existing management (EM). Data on severity of POP and effectiveness of its management was collected using VAS. Descriptive statistics for the demographic and clinical data, median pain reduction, and Mann-Whitney U value were used to analyze data. P< 0.05 was taken as statistically significant. Results:98.3% of the patients in the EM and 88.1% in the SBM experienced pain at the initial point after surgery with mild pain (30.5%) (11.9%), moderate pain (37.3%) (54.2%) and severe pain (30.5%) (22%) respectively. The common type of analgesic used in the EM was Diclofenac (63.72%). The median pain reduction was statistically insignificant (p=0.056) in the EM group, while a significant pain reduction (p<0.001) was seen in the SBM group. Significant difference in the effectiveness of POP management was found between EM and SBM groups in middle aged adults (p=0.026), females (p= 0.016), patients who took GA (p<0.001) and patients who had general surgery (p<0.001). Conclusion: The management of POP should be based on the severity of pain experienced by the patient and use of the most suitable analgesics. Pain assessment should be performed for every post-operative patient using appropriate pain assessing tool and documented.

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“…Unfavorable anesthetic outcomes are adverse events that can affect all of the patient’s body systems. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

“…These may arise from the squeal of operations, anesthetic and analgesic agents, worsening co-morbidities. 1 …”

Section: Introductionmentioning

confidence: 99%

Incidence and Associated Factors of Postoperative Undesirable Anesthetic Outcomes Among Surgical Patients at Referral Hospitals in Amhara Region, Ethiopia: A Multi-Center Study

Admassie¹,

Admass²,

Melesse³

2023

PROM

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Background Patients undergoing surgery frequently experience unfavorable anesthetic outcomes. They may have an impact on body systems and result in more serious postoperative morbidities. This study was conducted to determine the incidence of postoperative undesirable anesthetic outcomes among surgical patients at referral hospitals in Amhara region, Ethiopia. Methods A total of 412 patients, who underwent surgical procedures between August 1 and October 30 of 2022, were included in this study. The Leiden Perioperative Care Patient Satisfaction Questionnaire’s (LPPSq) dimension “discomfort and needs” was used to collect data on the first postoperative day. Data entry and analysis were performed using SPSS version 20. To assess how risk factors affected the outcome variable, logistic regression analysis was utilized. In multivariable logistic regression analysis, a variable with a P-value of less than 0.05 was statistically considered as significant. Results The proportion of those who had “at least a little bit” of unfavorable outcomes was calculated to estimate their overall prevalence, and the prevalence of those who had “more than moderate” levels of unfavorable outcomes was determined to appreciate how severe these outcomes were. The percentages of postoperative pain, the most common undesired result, for “at least a little bit” and “more than moderate” were 87.7% and 32.3%, respectively. In this study, postoperative cold was the least prevalent (51.4%) undesirable anesthetic outcome. The remaining undesirable postoperative outcomes were reported less frequently. Conclusion and Recommendation Undesirable postoperative anesthetic outcomes were still common. The most frequent unfavorable result was postoperative pain. Adequate postoperative patient follow-up and quality service are paramount.

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Undesirable Postoperative Anesthesia Outcomes at Two National Referral Hospitals: A Cross-Sectional Study in Eritrea

Cited by 4 publications

References 34 publications

Prevalence and factors associated with thirst among postsurgical patients at University of Gondar comprehensive specialized hospital. Institution-based cross-sectional study

Prevalence and factors associated with thirst among postsurgical patients at University of Gondar comprehensive specialized hospital. Institution-based cross-sectional study

Effectiveness of post-operative pain management among patients who underwent general and orthopedic surgeries at a national referral hospital Asmara, Eritrea

Incidence and Associated Factors of Postoperative Undesirable Anesthetic Outcomes Among Surgical Patients at Referral Hospitals in Amhara Region, Ethiopia: A Multi-Center Study

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