[HTML][HTML] The magnitude of mortality and its determinants in Ethiopian adult intensive care units: a systematic review and meta-analysis
AS Endeshaw, F Tarekegn, HT Bayu, SB Ayalew… - Annals of Medicine and …, 2022 - Elsevier
AS Endeshaw, F Tarekegn, HT Bayu, SB Ayalew, BC Gete
Annals of Medicine and Surgery, 2022•ElsevierIntroduction Despite mortality in intensive care units being a global burden, it is higher in low-
resource countries, including Ethiopia. A sufficient number of evidence is not yet established
regarding mortality in the intensive care unit and its determinants. This study intended to
determine the prevalence of ICU mortality and its determinants in Ethiopia. Methods
PubMed, Google Scholar, The Cochrane Library, HINARI, and African Journals Online
(AJOL) databases were systematically explored for potentially eligible studies on mortality …
resource countries, including Ethiopia. A sufficient number of evidence is not yet established
regarding mortality in the intensive care unit and its determinants. This study intended to
determine the prevalence of ICU mortality and its determinants in Ethiopia. Methods
PubMed, Google Scholar, The Cochrane Library, HINARI, and African Journals Online
(AJOL) databases were systematically explored for potentially eligible studies on mortality …
Introduction
Despite mortality in intensive care units being a global burden, it is higher in low-resource countries, including Ethiopia. A sufficient number of evidence is not yet established regarding mortality in the intensive care unit and its determinants. This study intended to determine the prevalence of ICU mortality and its determinants in Ethiopia.
Methods
PubMed, Google Scholar, The Cochrane Library, HINARI, and African Journals Online (AJOL) databases were systematically explored for potentially eligible studies on mortality prevalence and determinants reported by studies done in Ethiopia. Using a Microsoft Excel spreadsheet, two reviewers independently screen, select, review, and extract data for further analysis using STATA/MP version 17. A meta-analysis using a random-effects model was performed to calculate the pooled prevalence and odds ratio with a 95% confidence interval. In addition, using study region and sample size, subgroup analysis was also performed.
Results
9799 potential articles were found after removing duplicates and screening for eligibility, 14 were reviewed. Ethiopia's pooled national prevalence of adult intensive care unit mortality was 39.70% (95% CI: 33.66, 45.74). Mechanical ventilation, length of staying more than two weeks, GCS below 9, and acute respiratory distress syndrome were major predictors of mortality in intensive care units of Ethiopia.
Conclusion
Mortality in adult ICU is high in Ethiopia. We strongly recommend that all health care professionals and other stakeholders should act to decrease the high mortality among critically ill patients in Ethiopia.
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