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Article History

Received: 17 November 2024

Accepted: 20 January 2025

First Online: 29 April 2025

Declarations

:

: Ethical clearance was obtained from Woldia University Institutional Review Board (Woldia University IRB) on November 11, 2023. The research directorate office wrote a supportive letter for each selected respective comprehensive specialized hospital. In turn, an internal permission letter obtained from chief executive officers of each hospital to the health service departments within the hospital. The name and the medical record number of the participants were not included in the tool. The retrieved information was used only for the study purpose. This study did not expose the study participants to unnecessary risk due to reviewing their medical records. Due to the retrospective nature of the study, Woldia University Institutional Review Board waived the need of obtaining informed consent. Confidentiality was kept at all levels of the study. The data was also used only for this study purpose. The study was carried out according to the Declaration of Helsinki’s relevant guidelines and regulations. Furthermore, since this study is not a clinical trial, clinical trial number is not applicable.

: Not applicable.

: The authors declare no competing interests.