scholarly journals Magnitude of undernutrition and associated factors among children with cardiac disease at University of Gondar hospital, Ethiopia

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mulat Asrade ◽  
Abdulkadir Shehibo ◽  
Zemene Tigabu
Keyword(s):  
Heart Failure ◽  
Pulmonary Hypertension ◽  
Cardiac Disease ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Outcome Variable ◽  
Bivariate Analysis ◽  
Northern Ethiopia ◽  
Binary Logistic Regression Model ◽  
Cardiac Chamber

Abstract Background Undernutrition and cardiac disease are interconnected in a vicious cycle. Little is known about the effect of undernutrition on cardiac disease among children in low- and middle-income countries (LMICs). This study aimed to assess magnitude of undernutrition and associated factors among children with cardiac disease at University of Gondar hospital, northwest Ethiopia. Method This hospital-based cross-sectional study included children with cardiac disease presenting to the pediatric outpatient clinic at University of Gondar Hospital, Ethiopia. A self-administered questionnaire was administered to participating families, and medical records were reviewed. All participants who fulfill the inclusion criteria were included. Anthropometric measurements were made and the presence of malnutrition was diagnosed according to the WHO criteria. Associated factors of undernutrition analyzed by using binary logistic regression model. Variables with p-value ≤0.2 in bivariate analysis were fitted to the final multivariable analysis and those variables with p-value ≤0.05 were considered as having statistically significant association to the outcome variable. AOR and 95% confidence interval was calculated to assess the strength of association between the variables. Result A total of 269 patients participated in the study. 177 (65.7%) were undernourished, of whom 96 (54.5%) were underweight, 70 (39.7%) were stunted, and 95 (53.9%) were wasted. Pulmonary hypertension (adjusted odds ratio [AOR] = 3.82, 95%CI 1.80–8.10), NYHA/modified Ross class III and IV heart failure (AOR = 4.64, 1.69–12.72) and cardiac chamber enlargement (AOR = 2.91, 1.45–5.66) were associated with undernutrition. Conclusion Undernutrition is common among children with cardiac disease in northern Ethiopia. Children with pulmonary hypertension, high-grade heart failure, and cardiac chamber enlargement may warrant close follow-up for malnutrition.

scholarly journals Magnitude of Undernutrition and associated factors among children with cardiac disease in University of Gondar hospital, northwest Ethiopia

2021 ◽  
Author(s):  
Mulat Asrade ◽  
Abdulkadir Shehibo ◽  
Zemene Tigabu
Keyword(s):  
Cardiac Disease ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Northwest Ethiopia ◽  
Outcome Variable ◽  
Bivariate Analysis ◽  
P Value ◽  
Cardiac Diseases ◽  
Binary Logistic Regression Model ◽  
Dietary Counseling

Abstract Background: Undernutrition and cardiac disease are interconnected in a vicious cycle. Children with cardiac disease suffer with different degree of undernutrition resulting in significant morbidity and mortality in developing countries. This study aimed to assess magnitude of undernutrition and associated factors among children with cardiac disease in University of Gondar hospital, northwest Ethiopia. Method: Hospital based quantitative cross-sectional study conducted among 269 children with cardiac disease visiting University of Gondar specialized hospital, northwest Ethiopia. Data was collected by using a pretested self-administered structured questionnaire and medical records of the patients. All participants who fulfill the inclusion criteria were included. The data analysed by using binary logistic regression model. Variables with p-value ≤ 0.2 in bivariate analysis were fitted to the final multivariable analysis and those variables with p-value ≤ 0.05 were considered as having statistically significant association to the outcome variable. AOR and 95% confidence interval was calculated to assess the strength of association between the variables. Result: Of the 269 study participants, 177(65.7%) of them were having undernutrition. 54.5% were underweight, 39.7% were stunted, and 53.9 % were wasted. The result showed that having pulmonary hypertension[AOR =3.82, (95%CI 1.80, 8.10)], NYHA/modified Ross class III and IV heart failure[AOR=4.64(1.69, 12.72)] and cardiac chamber enlargement [ AOR=2.91(1.45, 5.66)] were significantly associated with undernutrition. Conclusion: There is high burden of undernutrition among children with cardiac diseases in the study area. Nutritional management and dietary counseling besides early detection and treatment of the underlying heart disease improves the nutritional status of children with cardiac diseases.

scholarly journals Medication Adherence and Associated Factors among Chronic Heart Failure Clients on Follow Up Oromia Region, West Ethiopia

2019 ◽  
Vol 17 (2) ◽  
pp. 104-114
Author(s):  
Getahun Fetensa ◽  
Birhanu Yadecha ◽  
Tadesse Tolossa ◽  
Tariku Tesfaye Bekuma
Keyword(s):  
Heart Failure ◽  
Medication Adherence ◽  
Chronic Heart Failure ◽  
Health Education ◽  
Study Design ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Self Care ◽  
P Value

Background: Chronic heart failure is a complex clinical syndrome with typical symptoms that can occur at rest or on effort. It requires patients to manage their lifestyle with their disease and when to notify their healthcare provider. The study was aimed to identify medication adherence and associated factors among chronic heart failure clients on follow up Oromia region, West Ethiopia, 2017. Methods: Institutional based cross-sectional study design was employed, after selecting three hospitals by lottery method and allocating respondents to the three hospitals proportionally. A total of 424 patients were admitted to the medical ward and/or chronic follow up of Nekemte referral, Gimbi, and Shambu hospitals. The data was collected using a structured questionnaire. The data was entered into Epi-data version 3.1, cleared, explored, and then exported to SPSS windows version 24.0 for further analysis. Variable having a p-value less than 0.05 in the bivariate analysis was a candidate for multivariable analysis and the effect of confounding variables was observed. Variables having a p-value less than 0.05 in the multivariable analysis were assumed significant. Results: A total of 424 respondents were included in the final analysis giving a 95.3% response rate. The result indicated that more than half of the study participants have adhered to prescribed medication. Respondents with good medication adherence were more likely to adhere to good self-care behavior [AOR (95% CI of OR) = 3.5(2.044, 5.96)]. Respondents whose limited fluid intake was one or half-liter per day were more likely to adhere to the medication [AOR (95% CI of OR) = 2.5(1.43, 4.49)]. It was also found that those patients who avoided spices, sauces and others in food are more likely to adhere to the medication [AOR (95% CI of OR) = 2.2 (1.152, 4.039)]. Conclusion and Recommendation: Even if more than half of the study respondents have good medication and self-care adherence, still it needs great attention in health education over their visit. Health institutions are strongly recommended to give health education for clients and researchers to use advanced study design for measuring medication adherence and self-care behaviors.

Abstract 14921: Right Ventricular Extracellular Volume Fraction by Magnetic Resonance T1 Mapping in Pulmonary Hypertension and Heart Failure

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Kenneth C Bilchick ◽  
Bhairav B Mehta ◽  
Virginia Workman ◽  
Daniel Auger ◽  
Xiao Chen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pulmonary Hypertension ◽  
Magnetic Resonance ◽  
T1 Mapping ◽  
Extracellular Volume ◽  
World Health ◽  
Outcome Variable ◽  
Post Contrast ◽  
Thin Walled ◽  
Rv Function

Introduction: Current cardiac magnetic resonance (CMR) T1 mapping techniques such as Modified Look-Locker inversion recovery (MOLLI) imaging have limited resolution, but the Accelerated and Navigator-Gated Look-Locker Imaging for Cardiac T1 Estimation (ANGIE) is a novel CMR sequence with spatial resolution suitable for T1 mapping of the thin-walled RV. Hypothesis: In pulmonary hypertension (PH) and heart failure (HF), RV extracellular volume (ECV) fraction (as a surrogate measure for RV fibrosis) is a unique parameter describing RV structure that tends to increase with increasing RV size and declining RV function. Methods: Patients with either World Health Organization group 1 or group 4 pulmonary hypertension (PH) or heart failure with reduced ejection fraction (HFrEF) were recruited to undergo contrast-enhanced CMR. RV and LV ECV fractions were determined using pre-contrast and post-contrast T1 mapping using ANGIE (RV and LV) and MOLLI (LV). Results: 22 patients (41% female, median age 61 years old, IQR 51-70 years old) were enrolled, including n=12 with PH and n=10 with HFrEF. ANGIE ECV imaging was of high quality (Figure). A multivariable linear model with RVEF and RVEDVI as independent variables and RVECV as the outcome variable showed independent associations for RVEF and RVEDVI with RVECV (R 2 =0.553) (Table), consistent with a complex relationship involving RV function, dilation, and fibrosis. Conclusions: Pre- and post-contrast ANGIE imaging provides high-resolution ECV determination for the thin-walled RV. RV fibrosis increases with increasing RV size and decreasing overall RV function. Further studies of RVECV in PH and HFrEF are indicated.

Vaccine Hesitancy Among Pediatric Nurses: Prevalence and Associated Factors

2020 ◽  
Author(s):  
Usue Elizondo-Alzola ◽  
Mireia G. Carrasco ◽  
Laia Pinós ◽  
Camila Andrea Picchio ◽  
Cristina Rius ◽  
...  
Keyword(s):  
Primary Care ◽  
Associated Factors ◽  
Whooping Cough ◽  
Vaccination Schedule ◽  
Vaccine Hesitancy ◽  
Outcome Variable ◽  
Bivariate Analysis ◽  
Pediatric Nurses ◽  
Cross Sectional ◽  
Primary Care Nurses

Abstract Background. Immunization rates of immuno-preventable diseases have declined in recent decades due to vaccine hesitancy. Primary care nurses play an essential role in promoting and maintaining vaccination coverage but may have doubts about or question the need to vaccinate. This study describes the prevalence of vaccine hesitancy and the associated factors among pediatric primary care nurses in Barcelona (Spain).Methods. Cross-sectional descriptive study. We invited the pediatric nurses (N = 165) working at all the Barcelona public primary health services (N = 41) to participate. They answered a questionnaire with sociodemographic and behavioral variables: severity and probability of contracting the diseases in the vaccination schedule; safety and protection of each vaccine; and beliefs, social norms, and knowledge about vaccines. Outcome variable was vaccine hesitancy, dichotomized into no hesitant (nurses who would vaccinate their own offspring), and hesitant (including those who would not vaccinate them, those who had doubts and those who would delay the administration of one or more vaccines).We performed bivariate analysis and adjusted logistic regression models.Results. 83% of pediatric nurses (N = 137) agreed to participate. A 32.1% of them reported vaccine hesitancy, especially about the HPV (21.9%) and varicella (17.5%) vaccines. In the multivariate analysis, hesitancy was associated with low perception of the severity of whooping cough [aOR: 3.88; (95%CI):1.32–11.4], low perception of safety of the HPV vaccine [aOR:8.5;(95%CI):1.24–57.8], the belief that vaccines are administered too early [aOR:6.09;(95%CI):1.98–18.8], and not having children [aOR:4.05;(95%CI):1.22–13.3].Conclusions. Although most pediatric nurses would vaccinate their own children, almost one third display some kind of vaccine hesitancy, mainly related with doubts about HPV and varicella vaccines, as well as some misconceptions. These factors should be addressed to enhance their fundamental role in promoting vaccination among families.

Exploring the Incidence of Premature Rupture of Membrane and its Associated Factors in Public Hospitals of Eastern Zone Tigray Region, Ethiopia, 2019

2021 ◽  
Vol 17 ◽  
Author(s):  
Desta Abraha Weldegeorges ◽  
Fissaha Tekulu Welay ◽  
Meresa Berwo Mengesha ◽  
Senait Gebreslasie Gebremeskel ◽  
Selam Shushay Kassahun ◽  
...  
Keyword(s):  
Associated Factors ◽  
Multivariable Analysis ◽  
Previous History ◽  
Public Hospitals ◽  
Fetal Membrane ◽  
Northern Ethiopia ◽  
Premature Rupture ◽  
Tigray Region ◽  
Membrane Rupture ◽  
Eastern Zone

Background: Premature membrane rupture is an obstetric emergency when the fetal membrane ruptures and the amniotic fluid is expelled from the uterus at least one hour before the start of labor. The incidence of PROM during pregnancy is a concern to obstetrics as it is associated with many adverse pregnancy outcomes such as chorioamnionitis oligohydramnios, preterm labour, neonatal sepsis and neonatal asphyxia. Objective: The aim of this study was to explore the incidence of premature rupture of membranes and its associated factors in public hospitals of the eastern zone, Tigray region, Northern Ethiopia, 2019. Methods: The authors used a facility-based cross-sectional study design to study 212 participants from April to May 2019. The sample size was calculated by using a single population proportion formula. An interviewer-administered, pretested, and structured questionnaire were used to collect the data. The analysis was run using SPSS version 20. Finally, the odds ratio with 95% CI used to measure the association after multivariable analysis and statistical significance was declared at p-value <0.05. Results: The incidence of premature rupture of a membrane in this study was 29 (13.7%). The multivariate logistic regression analysis revealed that predictors like multigravida 2.1(1.94-6.03) having sexually transmitted infection AOR 1.3 and 95% CI (1.02-5.56) and previous history of premature rupture of membrane AOR and 95% CI 3.9 (1.9-10.02) were found to be associated with the occurrence of premature rupture of membrane. Conclusions: The incidence of premature rupture of membrane in this study was high. Hence the occurrence of the case put the health of the mother and the fetus in danger. The pregnant mothers with preexisting obstetric and medical cases should be followed with special emphasis as a pretext to prevent the occurrence of maternal and neonatal adverse outcomes.

scholarly journals Meal frequency and associated factors among children 6-23 months in Tahtay michew district, northern Ethiopia, 2018

2020 ◽  
Author(s):  
Ermyas Brhane ◽  
Teklit Grum ◽  
Teklehaymanot Huluf Abraha ◽  
Gebrekiros Aregawi
Keyword(s):  
Associated Factors ◽  
Dietary Diversity ◽  
Multivariable Analysis ◽  
P Value ◽  
Growth Monitoring ◽  
Northern Ethiopia ◽  
Meal Frequency ◽  
Micronutrient Deficiencies ◽  
Wealth Status ◽  
Cross Sectional

Abstract BackgroundThe term meal frequency is used to describe the adequacy of complementary feedings among children. In the absence of adequate meal frequency young children are susceptible to malnutrition like stunting, wasting, micronutrient deficiencies and associated morbidity and mortality. More half of Ethiopian children did not receive age appropriate minimum meal frequency. Therefore, the aim of this study is to determine minimum meal frequency and associated factors among children 6–23 months in Tahtay Michew district, Northern Ethiopia.MethodsA community based cross sectional study was conducted among systematically selected 981 mothers with index children 6–23 month. An interviewer- administered structured questionnaire was used to collect data. 24 hours dietary recalls was used to determine minimum meal frequency. Crude and Adjusted Odds Ratio with the corresponding 95% confidence interval were computed. In the multivariable analysis, variables with less than 0.05 P-value were considered statistically significant.ResultsMinimum meal frequency was 68% [95% CI: 64.9, 70.9%]. Wealth index (AOR = 1.69, 95% CI = 1.09, 2.61), growth monitoring follow up (AOR = 1.98, 95% CI = 1.41, 2.79) and mothers knowledge (AOR = 2.15, 95% CI = 1.51, 3.04) were factors significantly associated with minimum meal frequency.Conclusion and recommendationThe proportion of children who received the minimum meal frequency was found low. Improving the wealth status of families and encouraging all mothers to attend growth monitoring follow ups are important for improving meal frequency and dietary diversity.

scholarly journals Prevalence and associated factors of baseline anemia among cervical cancer patients in Tikur Anbesa Specialized Hospital, Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mulugeta Wassie ◽  
Agazhe Aemro ◽  
Beletech Fentie
Keyword(s):  
Cervical Cancer ◽  
Treatment Outcome ◽  
Cancer Patients ◽  
Associated Factors ◽  
Stage Iv ◽  
Outcome Variable ◽  
Cancer Center ◽  
Binary Logistic Regression Model ◽  
Specialized Hospital ◽  
Tikur Anbesa Specialized Hospital

Abstract Background Almost one patient with cancer in two is anemic. About 40 to 64% of cervical cancer patients are anemic at time of presentation. The rate of anemia increases with the use of chemotherapy, radiotherapy, hormonal therapy and associated with poorer treatment outcome and quality of life. Therefore, the aim of this study was to assess prevalence and associated factors of baseline anemia among cervical cancer patients in Tikur Anbesa Specialized Hospital (TASH), Ethiopia. Methods Institutional based cross-sectional study was done from March to April 2019 at TASH cancer center. Data were collected from patient’s chart using structured checklist and analyzed using Stata14.2. Binary logistic regression model was used to identify covariates which affected the outcome variable. Result This is a 3-years retrospective study from 2014 to 2016. The prevalence of baseline anemia among cervical cancer patients was 50.95%. Being stage IV [AOR = 2.38, 95% CI (1.21–4.67)], having comorbidity [AOR = 3.32, 95% CI (2.25–4.90)] and using substances (patients who used one, two or all of the three substances (cigarate, chat and alcohol)) [AOR = 2.03, 95% CI (1.21–3.41)] significantly increased the occurrence of anemia while being divorced [AOR = 0.6, 95% CI (0.36–0.98)] decreased the occurrence of anemia in the current study. Conclusion The prevalence of baseline anemia was high in the current study compared to other literatures. Significant factors of baseline anemia of cervical cancer in the current study were advanced stage (stage IV), presence of comorbidity, substance usage and being divorced (protective). The authors recommend that it is better to give special attention to those patients with the stated factors that could interfere treatment outcome.

scholarly journals Dietary diversity and associated factors among children (6–23 months) in Gedeo zone, Ethiopia: cross - sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Wondwosen Molla ◽  
Dirshaye Argaw Adem ◽  
Ruth Tilahun ◽  
Seid Shumye ◽  
Robel Hussen Kabthymer ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Multivariable Analysis ◽  
Household Wealth ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Food Groups ◽  
Sectional Study ◽  
Cross Sectional

Abstract Introduction Different foods and food groups are good sources for various macro- and micronutrients. Diversified diet play an important role in both physical and mental growth and development of children. However, meeting minimum standards of dietary diversity for children is a challenge in many developing countries including Ethiopia. Objective To assess dietary diversity and associated factors among children (6–23 months) in Gedieo Zone, Ethiopia. Method Community based cross-sectional study was carried out at Gedieo Zone, Ethiopia, from January to March 15, 2019. Multi-stage sampling technique was used to get a total of 665 children with the age of between 6 and 23 months from their kebeles. Data was collected by using face-to-face interview with structured questionnaire. Data was entered into Epidata version 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 23.0 for analyses. Variables having p < 0.25 at bivariate analysis were fitted to multivariable analysis. Multivariable logistic regression model was used at 95% confidence interval and with P-Value < 0.05. Bivariate. Result A total of 665 children were participated with response rate of 96.2%. Only 199(29.9%) of children were met the minimum requirements for dietary diversity. Age of children [AOR 4.237(1.743–10.295))], Educational status [AOR 2.864(1.156–7.094)], Number of families [AOR 2.865(1.776–4.619))] and household wealth index [AOR4.390(2.300–8.380)] were significantly associated with Dietary Diversity of children. Conclusion Only, one out of four children aged of 6–23 months attained the minimum dietary diversity score. Children from low socioeconomic status and mothers with no formal educational attainment need special attention to improve the practice of appropriate feeding of children.

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