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The prevalence of asthma and its predictor among patients presetting in Ethiopian public hospitals: systematic review and meta-analysis, 2024.
Adal, Ousman; Mamo, Sosina Tamire; Belay, Alamirew Eneyew; Tsehay, Yeshimebet Tamir; Netsere, Henok Biresaw; Mulatu, Sileshi; Mekonnen, Gebrehiwot Berie; Messelu, Mengistu Abebe; Abebe, Gebremeskel Kibret; Wondie, Wubet Tazeb; Tafere, Chernet; Belayneh, Asnake Gashaw.
Afiliación
  • Adal O; Department of Emergency and Critical care Nursing, College of Medicine and Health Sciences, Bahir Dar University, p.o.Box 79, Bahir Dar, Ethiopia.
  • Mamo ST; Department of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
  • Belay AE; Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
  • Tsehay YT; Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
  • Netsere HB; Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
  • Mulatu S; Department of Pediatreics Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
  • Mekonnen GB; Department of pediatrics and Child Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
  • Messelu MA; Department of Nursing, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
  • Abebe GK; Department of Emergency and Critical Care Nursing, School of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia.
  • Wondie WT; Department of pediatrics and Child Health, College of Medicine and Health Science, Ambo University, Ambo, Ethiopia.
  • Tafere C; Department of Pharmacy, College of Medicine and Health Sciences, Bahir Dar University,Bahir Dar, Ethiopia.
  • Belayneh AG; Department of Emergency and Critical Care Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Ther Adv Respir Dis ; 18: 17534666241275336, 2024.
Article en En | MEDLINE | ID: mdl-39235440
ABSTRACT

BACKGROUND:

Asthma is a leading cause of emergency hospital visits and a significant factor in lost productive hours. The lack of a synthesized body of knowledge on bronchial asthma has notable public health implications.

OBJECTIVE:

This systematic review and meta-analysis aim to investigate the prevalence of asthma and its predictors among patients presenting in Ethiopian public hospitals.

DESIGN:

Duplicate studies were removed using EndNote version X9. The Newcastle-Ottawa Scale guided the quality assessment, and data extraction followed the Joanna Briggs Institute format. DATA SOURCE AND

METHODS:

The authors used advanced search methods, including databases such as PubMed, Scopus, Embase, Africa Index Medicus, Science Direct, HINARI, Google Scholar, and manual searches. Data presentation adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Publication bias was assessed using Egger's regression test and a funnel plot. Sensitivity analysis was also conducted.

RESULTS:

The search yielded 352 original articles, with 22 meeting the criteria for inclusion. Using the random-effects DerSimonian-Laird model, the prevalence of bronchial asthma was found to be 9.02% (95% CI 7.50, 10.53). Several factors were associated with the prevalence of bronchial asthma, including the spring season (AOR 3.7; 95% CI 2.11, 6.49), childhood age (AOR 4.2; 95% CI 1.84, 9.55), and urban residence (AOR 1.7; 95% CI 1.29, 2.31). Other significant factors include family history of asthma (AOR 2.89; 95% CI 2.22, 3.75), insecticide exposure (AOR 3.3; 95% CI 2.23, 4.91), and the presence of household insects like cockroaches (AOR 3.33; 95% CI 2.15, 5.15). Smoking (AOR 3.64; 95% CI 2.66, 4.98), obstructive sleep apnea (AOR 4.29; 95% CI 2.37, 7.76), and recurrent upper respiratory tract infections (AOR 4.31; 95% CI 2.24, 8.32) were also significant.

CONCLUSION:

The pooled prevalence of bronchial asthma is notably high in Ethiopia. Key predictors include childhood age, spring season, urban living, family history of asthma, exposure to insecticides, presence of cockroaches, smoking, obstructive sleep apnea, and recurrent upper respiratory infections. Targeted interventions are crucial and should focus on lifestyle improvements, allergen identification, cockroach control, smoking cessation, reducing insecticide exposure, and promoting a safe environment. TRIAL REGISTRATION This review's protocol was pre-registered with the International Prospective Register of Systematic Reviews (PROSPERO registration number CRD42023491222).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asma / Hospitales Públicos Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: Ther Adv Respir Dis Asunto de la revista: PNEUMOLOGIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asma / Hospitales Públicos Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: Ther Adv Respir Dis Asunto de la revista: PNEUMOLOGIA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Reino Unido