{"id":"https://openalex.org/W7222553979","doi":"https://doi.org/10.64898/2026.10.14.26365506","title":"Burden and factors associated with hospitalization among patients with chronic Diseases at a tertiary Hospital in Wolaita Zone, South Ethiopia: A Cross-sectional study","display_name":"Burden and factors associated with hospitalization among patients with chronic Diseases at a tertiary Hospital in Wolaita Zone, South Ethiopia: A Cross-sectional study","publication_year":2026,"publication_date":"2026-10-16","ids":{"openalex":"https://openalex.org/W7222553979","doi":"https://doi.org/10.64898/2026.10.14.26365506"},"language":"en","primary_location":{"id":"doi:10.64898/2026.10.14.26365506","doi":"https://doi.org/10.64898/2026.10.14.26365506","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.14.26365506","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/16/2026.10.14.26365506.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/16/2026.10.14.26365506.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027178586","display_name":"Hailu Chare Koyra","orcid":"https://orcid.org/0000-0002-3447-2431","observed_orcids":["https://orcid.org/0000-0002-3447-2431"]},"institutions":[{"id":"https://openalex.org/I4210101494","display_name":"Wolaita Sodo University","ror":"https://ror.org/0106a2j17","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210101494"]}],"countries":["ET"],"is_corresponding":true,"raw_author_name":"Hailu Chare Koyra","raw_affiliation_strings":["School of Pharmacy, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia"],"raw_orcid":"https://orcid.org/0000-0002-3447-2431","affiliations":[{"raw_affiliation_string":"School of Pharmacy, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia","institution_ids":["https://openalex.org/I4210101494"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158922152","display_name":"Yalemzerf Worku Belete","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101494","display_name":"Wolaita Sodo University","ror":"https://ror.org/0106a2j17","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210101494"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Yalemzerf Worku Belete","raw_affiliation_strings":["School of Pharmacy, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Pharmacy, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia","institution_ids":["https://openalex.org/I4210101494"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056501905","display_name":"Zewde Zema Kanche","orcid":"https://orcid.org/0000-0002-5717-0399","observed_orcids":["https://orcid.org/0000-0002-5717-0399"]},"institutions":[{"id":"https://openalex.org/I4210101494","display_name":"Wolaita Sodo University","ror":"https://ror.org/0106a2j17","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210101494"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Zewde Zema Kanche","raw_affiliation_strings":["School of Pharmacy, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Pharmacy, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia","institution_ids":["https://openalex.org/I4210101494"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137899928","display_name":"Zinabu Desalegn","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101494","display_name":"Wolaita Sodo University","ror":"https://ror.org/0106a2j17","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210101494"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Zinabu Desalegn","raw_affiliation_strings":["School of Medicine, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia","institution_ids":["https://openalex.org/I4210101494"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063638719","display_name":"Mengistu Meskele Koyra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210101494","display_name":"Wolaita Sodo University","ror":"https://ror.org/0106a2j17","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210101494"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Mengistu Meskele Koyra","raw_affiliation_strings":["School of Public Health, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health, College of Health sciences and Medicine, Wolaita Sodo University, P.O.Box 138, Wolaita Sodo, Ethiopia","institution_ids":["https://openalex.org/I4210101494"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5027178586"],"corresponding_institution_ids":["https://openalex.org/I4210101494"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.9657999873161316,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.9657999873161316,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14093","display_name":"Global Health and Epidemiology","score":0.030799999833106995,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-disease","display_name":"chronic disease","score":0.9610000252723694},{"id":"https://openalex.org/keywords/hospitalization-burden","display_name":"hospitalization burden","score":0.8989999890327454},{"id":"https://openalex.org/keywords/risk-factors-for-hospitalization","display_name":"hospitalization risk factors","score":0.652999997138977},{"id":"https://openalex.org/keywords/medication-discontinuation","display_name":"drug discontinuation","score":0.8529999852180481},{"id":"https://openalex.org/keywords/multimorbidity","display_name":"multimorbidity","score":0.9419999718666077},{"id":"https://openalex.org/keywords/exercise","display_name":"physical activity","score":0.7210000157356262},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.7409999966621399},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.9020000100135803},{"id":"https://openalex.org/keywords/disease-complications","display_name":"disease complications","score":0.8349999785423279},{"id":"https://openalex.org/keywords/wolaita-zone","display_name":"Wolaita Zone","score":0.8619999885559082}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9474999904632568},{"id":"https://openalex.org/C2778715236","wikidata":"https://www.wikidata.org/wiki/Q55622662","display_name":"Discontinuation","level":2,"score":0.58160001039505},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5576000213623047},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.5159000158309937},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5109000205993652},{"id":"https://openalex.org/C2987552334","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic disease","level":2,"score":0.49549999833106995},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4832000136375427},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4392000138759613},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3896999955177307},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.37279999256134033},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.3352000117301941},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.31470000743865967},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.31209999322891235},{"id":"https://openalex.org/C186079640","wikidata":"https://www.wikidata.org/wiki/Q719602","display_name":"Prevalence","level":3,"score":0.30160000920295715},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.299699991941452},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.299699991941452},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.2962999939918518},{"id":"https://openalex.org/C167704817","wikidata":"https://www.wikidata.org/wiki/Q7295548","display_name":"Rate ratio","level":3,"score":0.2922999858856201},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.2888000011444092},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.28369998931884766},{"id":"https://openalex.org/C2909273474","wikidata":"https://www.wikidata.org/wiki/Q1952420","display_name":"Multimorbidity","level":3,"score":0.27140000462532043},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.2639000117778778},{"id":"https://openalex.org/C2780600951","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic condition","level":3,"score":0.26339998841285706},{"id":"https://openalex.org/C2779102576","wikidata":"https://www.wikidata.org/wiki/Q5113984","display_name":"Chronic liver disease","level":3,"score":0.2572999894618988},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.25429999828338623},{"id":"https://openalex.org/C3020448403","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Burden of disease","level":3,"score":0.2531000077724457}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.10.14.26365506","doi":"https://doi.org/10.64898/2026.10.14.26365506","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.14.26365506","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/16/2026.10.14.26365506.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.10.14.26365506","doi":"https://doi.org/10.64898/2026.10.14.26365506","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.14.26365506","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/16/2026.10.14.26365506.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222553979.pdf","grobid_xml":"https://content.openalex.org/works/W7222553979.grobid-xml"},"referenced_works_count":1,"referenced_works":["https://openalex.org/W2484136257"],"related_works":["https://openalex.org/W2491741724","https://openalex.org/W4413736068","https://openalex.org/W4226078714","https://openalex.org/W4220909839","https://openalex.org/W2603002787","https://openalex.org/W1999260412","https://openalex.org/W2043936344","https://openalex.org/W2894975801","https://openalex.org/W7152108444","https://openalex.org/W7172381716"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Chronic":[2],"diseases":[3,74,96,230],"are":[4,55],"the":[5,62,98,171,196,216,271,285],"leading":[6,272],"causes":[7],"of":[8,64,186,225,252,261],"illness,":[9],"disability,":[10],"and":[11,20,37,45,66,134,155,209,222,277,292],"death":[12],"worldwide,":[13],"with":[14,72,94,118,147,150,183,215,237,248,267],"a":[15,25,76,184,223,238,249,258],"disproportionate":[16],"burden":[17,44,260],"in":[18,28,53,79],"low-":[19],"middle-income":[21],"countries.":[22],"Hospitalization":[23],"is":[24],"critical":[26],"outcome":[27],"chronic":[29,50,73,95,99,229,264,299],"disease":[30,33,51,206,265,300],"management,":[31],"reflecting":[32],"severity,":[34],"treatment":[35],"failure,":[36],"healthcare":[38],"utilization.":[39],"However,":[40],"data":[41],"on":[42,181],"hospitalization":[43,65,148,179,202,240,262],"its":[46,67],"associated":[47,68,146,236,247,283],"factors":[48,69,145],"among":[49,70,91,263],"patients":[52,71,93],"Ethiopia,":[54],"limited.":[56],"This":[57,255],"study":[58,88,256],"aimed":[59],"to":[60,111,124,143],"determine":[61],"rate":[63,152],"attending":[75,97],"tertiary":[77],"hospital":[78],"Wolaita":[80,103],"Zone,":[81],"South":[82],"Ethiopia.":[83],"Methods":[84],"A":[85,161],"facility-based":[86],"cross-sectional":[87],"was":[89,116,141,165,195,213,235,246],"conducted":[90],"321":[92,172],"follow-up":[100],"clinic":[101],"at":[102,176],"Sodo":[104],"University":[105],"Comprehensive":[106],"Specialized":[107],"Hospital":[108],"from":[109],"November":[110],"December":[112],"2022.":[113],"Consecutive":[114],"recruitment":[115],"used,":[117],"unique":[119],"medical":[120,135],"record":[121,136],"numbers":[122],"tracked":[123],"prevent":[125],"double":[126],"recruitment.":[127],"Data":[128],"were":[129,281],"collected":[130],"through":[131],"structured":[132,293],"questionnaires":[133],"review.":[137],"Negative":[138],"binomial":[139],"regression":[140],"used":[142],"identify":[144],"rate,":[149,241],"incidence":[151],"ratios":[153],"(IRR)":[154],"95%":[156],"confidence":[157],"intervals":[158],"(CI)":[159],"reported.":[160],"p-value":[162],"<":[163],"0.05":[164],"considered":[166],"statistically":[167],"significant.":[168],"Results":[169],"Of":[170],"participants,":[173],"66%":[174],"reported":[175],"least":[177],"one":[178],"while":[180,242],"treatment,":[182],"mean":[185,224],"1.70":[187],"\u00b1":[188,227],"1.81":[189],"hospitalizations":[190],"per":[191,231],"patient.":[192,232],"Drug":[193],"discontinuation":[194,269],"most":[197],"frequently":[198],"documented":[199,273],"reason":[200],"for":[201,287],"(39.5%),":[203],"followed":[204],"by":[205],"complications":[207],"(22.3%)":[208],"infections":[210],"(11.7%).":[211],"Multimorbidity":[212],"prevalent,":[214],"majority":[217],"(59.8%)":[218],"had":[219],"2\u20133":[220],"conditions,":[221],"2.40":[226],"1.02":[228],"Male":[233,275],"sex":[234,276],"higher":[239],"regular":[243,278],"physical":[244,279],"exercise":[245,280,294],"lower":[250],"number":[251],"hospitalizations.":[253],"Conclusion":[254],"found":[257],"high":[259],"patients,":[266],"drug":[268],"being":[270],"reason.":[274],"significantly":[282],"highlighting":[284],"need":[286],"medication":[288],"adherence":[289],"support":[290],"programs":[291,295],"integrated":[296],"into":[297],"routine":[298],"care,":[301],"as":[302,304],"well":[303],"gender-sensitive":[305],"interventions.":[306]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-17T00:00:00"}
