Abstract:
Background:poisoning is a common reason for visiting the emergency department worldwide.
However, little is known about this issue in the selected Hospital, North Shoa, Amhara Region,
Ethiopia.
Objectives: To identify the determinants of childhood mortality due to poisoning in emergency
department of public hospital in North Shoa zone, Amhara region, Ethiopia, 2023.
Methods:Institution based unmatched case control study design was conducted from Jauary 1
sr
to June 26th 2023. A total of 428 participants was included in the study, 86 cases and 342
controls. Systematic random sampling was used to select study subjects. The data was checked
for completeness and then entered into Epi-data version 4.6 and exported to SPSS version 25.
The results were presented in frequencies and percentages for categorical variables. Binary
logistic regression model was used to estimate the effect of an independent variable on the
outcome variable and then variables with p-value < 0.25 in bi-variable analysis was enterd to
multivariable analysis. Multiple logistic regression analysis was employed to evaluate
independent effect of covariates. A P-value ≤ 0.05 was used to declare statistical significance.
Results: The study showed that the odds of urban residence is (AOR:2.95 ,95% CI (1.57, 5.55).
route of poisoning inhalation AOR: 5.01, 95% CI [1.67, 15.08]), mode of posioning exposued
accidentaly (AOR: 2.94, 95% CI [(1.17, 7.40)]) were the determinant factors significantly
associated with childhood mortality due to poisoning at emergency department.
Conclusion: The results of the study showed that poisoning was one of the factors in the study
area that contributed to childhood death. The study identified a number of potential risk factors,
including urban residence, accidental poisoning, and poisoning ingestion and inhalation. The
focus of therapy can be changed by using this finding to lower the number of children who die
from poisoning.