Browsing by Author "Oyedepo, Olanrewaju"

Now showing 1 - 4 of 4
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    Critically Ill Obstetric admissions into a tertiary hospital's intensive care unit
    (College of Medicine and Health Sciences, Abia State University and Abia State University Medical Research Society, 2015-01) Fawole, Adegboyega; Bolaji, Benjamen; Oyedepo, Olanrewaju; Adeniran, Abiodun
    Background: Intensive Care Unit (ICU) management is a critical care and may be lifesaving in critically ill obstetric patients, but mortality remains high in low‑resource countries. Objective: To review obstetric admissions into a tertiary hospital ICU. Design: Retrospective descriptive study. Setting: The ICU of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Subjects: Women admitted to the ICU during pregnancy or within 42 days of the end of the pregnancy. Materials and Methods: A list of all eligible participants was compiled, the case files were retrieved and relevant data extracted; the results were presented in tables and percentages. Results: Obstetric patients constituted 12.3% of the total ICU admissions and 0.84% of all deliveries with 45.6% mortality; the mean age was 29.2 ± 5.4 years (range 18–42 years), mean parity was 2.0 ± 1.5 (range 0–6), 15 (28.8%) had no formal education, 39 (75.0%) were of low social class, 22 (42.3%) had no antenatal care, 41 (78.9%) were admitted for obstetric reason, and postpartum hemorrhage was the most common indication for admission (19 [36.5%]). In all, 44 (84.6%) were admitted postpartum, 45 (86.5%) had organ dysfunction at ICU admission, 36 (69.2%) had mechanical ventilation while the most common drug administered were antibiotics. Conclusion: Obstetric patients are important intensive care users, but maternal mortality remains high among them in low‑resource countries despite the care received.
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    Development and validation of a questionnaire to assess the doctors and nurses knowledge of acute oxygen therapy
    (PLoS ONE, 2019-02-04) Desalu, Olufemi; Aladesanmi, Adeniyi; Ojuawo, Olutobi; Opeyemi, Christopher; Ibraheem, Rasheedah; Suleiman, Zakari; Oyedepo, Olanrewaju; Adesina, Kikelomo; Oloyede, Taofeek; Sanya, Emmanuel
    Background: Prescription and administration of oxygen in emergencies by healthcare providers are reported to be inappropriate in most settings. There is a huge gap in the knowledge of health care providers on various aspects of oxygen therapy, and this may be a barrier to optimal oxygen administration. Hence, it is essential to ascertain providers’ knowledge of acute oxygen therapy so that appropriate educational interventions are instituted for better delivery. There is no available validated instrument to assess knowledge of acute oxygen therapy. The study aimed to develop, validate and evaluate the test-retest reliability of a questionnaire to determine the doctors and nurses understanding of acute oxygen therapy. Methods: This study involved the development of the questionnaire contents by a literature review, assessment of face validity (n = 5), content validity, using a panel of experts (n = 10), item analysis and test-retest reliability among a sample (n = 121) of doctors and nurses. Results: Face validity indicated that the questionnaire was quick to complete (10–15 min), most items were easy to follow and comprehensible. The global content validity index (S-CVI) was 0.85. The test-retest reliability statistics showed a kappa coefficient of 0.546–0.897 (all P<0.001) and percentage agreement of 80–98.3% indicating high temporal stability in the target population. In total, 90% of the items fulfilled the reliability acceptance criteria. Item discrimination analysis showed that most questions were at an acceptable level. The final questionnaire included 37 item questions and eight sections. Conclusion: The designed questionnaire is a reliable and valid tool for assessing knowledge of acute oxygen therapy among doctors and nurses.
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    The high dependency unit in the management of critically Ill obstetric patients in low resource countries
    (university of Sierra Leone, Freetown, Sierra Leone, 2015-12) Adeniran, Abiodun; Bolaji, Olusomi; Fawole, Adegboyega; Oyedepo, Olanrewaju; Gbadeyan O, Ejilude O
    The care of the obstetric population requiring critical care at the intensive care unit is associated with challenges that have made the establishment of obstetric high dependency units (HDU) a priority in the developed unlike low resource countries. The objective was to evaluate the need to establish obstetric HDUs in low resource countries. The study was a retrospective descriptive study of obstetric patients admitted into the intensive care unit of the University of Ilorin Teaching Hospital from 1st January 2010 to30th June 2013. Those that were suitable for management at a HDU were compared with those who needed ICU care. The statistical analysis was with SPSS version 20 with p-values, x2 and odds ratio; p value <0.05 was considered significant. All the 52 patients were postpartum; 16(30.8%) were suitable for HDU care. Of the HDU eligible patients, 11(68.8%) were of low social class, 12(75%) were booked, 11(68.8%) had no further complication at ICU and mortality was 1(6.25%). Compared to those who needed ICU care, there were no statistical significance in maternal age, parity, duration of ICU admission and total cost of ICU care. There were more cases with statistical significance of organ involvement (p<0.001), severity of Glasgow coma score at admission (p<0.001), further complications at ICU (p<0.001) and maternal mortality (p<0.001) among those needing ICU care compared to those needing HDU care. In conclusion, establishment of the HDU will reduce cost and the burden on the few ICUs in low resource countries without increasing maternal mortality
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    Predictors ofmaternalmortality among critically Ill obstetric patients
    (University of Malawi and Malawi Medical Association, 2015-03) Adeniran, Abiodun; Bolaji, Olusomi; Fawole, Adegboyega; Oyedepo, Olanrewaju
    Aim Evaluation of the predictors of maternal mortality among critically ill obstetric patients managed at the intensive care unit (ICU). Methods A case control study to evaluate the predictors of maternal mortality among critically ill obstetric patients managed at the intensive care unit (ICU) of the University of Ilorin Teaching Hospital, Ilorin, Nigeria from 1st January 2010 to 30th June 2013. Participants were critically ill obstetric patients who were admitted and managed at the ICU during the study period. Subjects were those who died while controls were age and parity matched survivors. Statistical analysis was with SPSS-20 to determine chi square, Cox-regression and odds ratio; p value < 0.05 was significant. Results The mean age of subjects and controls were 28.92 ± 5.09 versus 29.44 ± 5.74 (p = 0.736), the level of education was higher among controls (p= 0.048) while more subjects were of low social class (p = 0.321), did not have antenatal care (p = 0.131) and had partners with lower level of education (p = 0.156) compared to controls. The two leading indications for admission among subjects and controls were massive postpartum haemorrhage and severe preeclampsia or eclampsia. The mean duration of admission was higher among controls (3.32 ± 2.46 versus 3.00 ± 2.58; p = 0.656) while the mean cost of ICU care was higher among the subjects (p = 0.472). The statistical significant predictors of maternal deaths were the patient’s level of education, Glasgow Coma Scale (GCS) score, oxygensaturation, multiple organ failure at ICU admission and the need for mechanical ventilation or inotrophic drugs after admission. Conclusion The clinical state at ICU admission of the critically ill obstetric patients is the major outcome determinant. Therefore, early recognition of the need for ICU care, adequate pre-ICU admission supportive care and prompt transfer will improve the outcome.