尼日利亚西南部一所高等卫生机构儿童急诊科的入院模式和结果:四年回顾

IF 1.4 4区 医学 Q3 EMERGENCY MEDICINE
Tosin Anthony Agbesanwa , Adefunke Olarinre Babatola , Odunayo Adebukola Fatunla , Azeez Ibrahim , Felix O Aina , Ezra Olatunde Ogundare , Adewuyi Temidayo Adeniyi , Funmilayo Egbedi , Tinu Olubamiwa , Bolanle Olanipekun , Oladele Simeon Olatunya
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引用次数: 0

摘要

引言儿科和青少年容易患上需要紧急护理的疾病。这些年龄段疾病的发病率和死亡率在全球范围内引起了极大的兴趣,尤其是在非洲。对招生模式和结果的了解可以指导政策和干预措施,尤其是在资源有限的情况下。这项研究旨在确定四年来高等卫生机构儿童急诊的入院模式、结果和季节性变化。方法对2016年1月至2019年12月儿童急诊入院情况进行回顾性描述性研究。获得的信息包括年龄、诊断、入院月份和年份以及结果。描述性统计学用于描述人口统计学特征,卡方检验用于评估其与诊断的相关性。结果住院3223例。男性较多(1866人;57.9%),学步儿童较多(1181人;36.6%)。2018年(951人;29.6%)和雨季(1962年;60.9%)入院人数最多。总体死亡率为7%;复杂的疟疾、肠胃炎和脑膜炎是导致死亡的主要原因。疟疾(χ2=135.522,p值<;0.001)和肠胃炎(χ2=130.883,p值<;0.001)在幼儿中占主导地位,而败血症(χ2=71.530,p值<;0.001。伤寒性肠炎(χ2=26.629,p值<;0.001)和艾滋病毒(χ2=16.419,p值=0.012)在早期青少年中更为常见。结论研究地区的主要死亡原因是可以预防的,其中5岁以下儿童死亡的原因更多。入院有季节性和年龄相关的模式,需要根据全年观察到的这些模式制定政策和应急准备
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Pattern of admissions and outcome in the children emergency department of a tertiary health institution in Southwestern Nigeria: A four-year review

Pattern of admissions and outcome in the children emergency department of a tertiary health institution in Southwestern Nigeria: A four-year review

Pattern of admissions and outcome in the children emergency department of a tertiary health institution in Southwestern Nigeria: A four-year review

Pattern of admissions and outcome in the children emergency department of a tertiary health institution in Southwestern Nigeria: A four-year review

Introduction

Pediatrics and adolescents are susceptible to illnesses that often necessitate emergency attention. Morbidity and mortality from illnesses in these ages have attracted much interest globally, particularly in Africa. Knowledge of pattern and outcomes of admissions may guide policy and interventions especially in resource constrained settings. The study aimed to determine the pattern of admissions, outcomes and seasonal variations of conditions that presented at the children emergency of a tertiary health institution over a four-year period.

Methods

A retrospective descriptive study of children emergency admissions from January 2016 to December 2019. Information obtained included age, diagnosis, month and year of admission, and outcome. Descriptive statistics were used to describe the demographic characteristics and Chi-squared test to assess their associations with the diagnoses made.

Results

There were 3,223 admissions. There were more males (1866; 57.9%) and more toddlers (1181; 36.6%). The highest number of admissions were observed in the year 2018 (951; 29.6%) and during the wet season (1962; 60.9%). There was an overall mortality rate of 7%; complicated malaria, gastroenteritis and meningitis were the leading causes of death. Malaria (χ2 = 135.522, p value < 0.001), and gastroenteritis (χ2 = 130.883, p value < 0.001) were predominant among the toddlers while sepsis (χ2 = 71.530, p value < 0.001) and pneumonia (χ2 = 133.739, p value < 0.001) were more among the infants. Typhoid enteritis (χ2 = 26.629, p value < 0.001) and HIV (χ2 = 16.419, p value = 0.012) were commoner among the early adolescents.

Conclusion

The major causes of death in the study area are preventable with more of these amongst the children under the age of 5 years. There are seasonal and age-related patterns to admissions and the need for policy formulations and emergency preparations to be tailored towards these observed patterns through the year

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CiteScore
2.40
自引率
7.70%
发文量
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审稿时长
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