Key result
Among 157 patients treated for acute coronary syndrome at an Ethiopian hospital, in-hospital mortality was 3.8%, and 96.2% were discharged alive.
Why the study?
In Ethiopia, where patient deaths and hospital stays are rising, ACS treatment is thought to be not very effective.
Cross-Sectional (n=157)
No
In this Ethiopian cohort of ACS patients, in-hospital mortality was 3.8%, with significantly delayed presentation (mean 79.3 hours) and STEMI being the most common diagnosis.
Background: Acute coronary syndrome (ACS) patients need intense therapy and diagnostic evaluation for improved treatment. In Ethiopia, where patient deaths and hospital stays are rising, the ACS treatment is thought to be not very effective. Methods: A retrospective cross-sectional study was conducted at St. Paul Hospital. The data were collected from patients medical records using a structured data abstraction checklist from 2018 to 2020. The data was entered, analyzed, and interpreted using SPSS version 24 software. Results: Of 157 ACS patients, 69 (43.9%) had a STEMI diagnosis. Age was 63.69 years on average (SD: 8.23). The typical amount of time between the onsets of ACS symptoms to hospital presentation was 79.3 hours (3.3 days). For 104 (66.2%) patients, hypertension was the main risk factor for the development of ACS. Killip class III and IV patients made up about 3.8% of the ACS patients at St. Paul hospital. An EF of less than 40% was present in 36.3% of patients. Loading doses of aspirin (90.4%), anticoagulants (14%), beta-blockers (82.8%), statins (86%), clopidogrel (7.6%), and nitrates (2.5%) are among the medications taken inside hospitals. Of 157 ACS patients, 6 (3.8%) patients with medical records examined died while receiving treatment in the hospital, while 151 (96.2%) patients were discharged alive. Conclusion: STEMI was the most common diagnosis for ACS patients at St. Paul Hospital. The two main hospital events for these patients were CHF and cardiogenic shock.
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Anagaw et al. (2023) conducted a cross-sectional in Acute coronary syndrome (n=157). Acute coronary syndrome was evaluated on In-hospital mortality. Among 157 patients treated for acute coronary syndrome at an Ethiopian hospital, in-hospital mortality was 3.8%, and 96.2% were discharged alive.
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