埃塞俄比亚亚的斯亚贝巴部分公立医院儿科急诊室收治儿童的急诊入院结果及相关因素 - 一项回顾性横断面研究

Qeios Pub Date : 2024-03-11 DOI:10.32388/w9lxxc
Tsegaye Asinakew, Teshome Habte
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引用次数: 0

摘要

背景:儿科急诊是一个危及生命的过程,如果没有及时和标准的临床干预,可能会导致死亡。因此,本研究旨在评估部分公立医院儿科急诊收治的儿童的急诊入院结果及相关因素。方法:本研究采用以机构为基础的回顾性横断面研究设计,研究对象为 2020 年 1 月 02 日至 2022 年 1 月 08 日在随机抽取的公立医院急诊科收治的儿童。结果:共审查了303名入院儿童的病历,覆盖率为100%。儿童的平均年龄为 37.47 个月,男女比例为 1.16:1。研究显示,最常见的急诊入院原因分别是肺炎(22.4%)、外科急诊(14.5%)和晚发败血症(9.2%)。半数以上(53.8%)的儿童在儿科急诊室的住院时间不足 24 小时,平均住院时间为 2 天。39.6%的患儿出院时临床症状有所改善。已知合并症(AOR=4.65,95% CI (1.23-17.64))和住院时间少于24小时(AOR=4.2,95% CI (1.2-14.7))与结果密切相关。联邦卫生部建议制定全国儿科急诊护理指南,并为医护人员提供技能差距培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Outcomes of Emergency Admissions and Associated Factors Among Children Admitted to the Pediatric Emergency Unit at Selected Public Hospitals in Addis Ababa, Ethiopia — A Retrospective Cross-Sectional Study
BACKGROUND: A pediatric emergency condition is a life-threatening process that, without timely and standard clinical intervention, may lead to death. Therefore, this study aimed to assess the outcomes of emergency admissions and associated factors among children admitted to the pediatric emergency of selected public hospitals. METHODS: An institutional-based retrospective cross-sectional study design was conducted on children admitted to the emergency unit/ward from January 02, 2020, to January 08, 2022, in the emergency units of randomly selected public hospitals. Data were extracted with prepared checklists from February 1 to March 1, 2022. RESULT: A total of 303 admitted children’s charts were reviewed with 100% coverage. The mean age of children was 37.47 months, and the male-to-female ratio was 1.16:1. The study revealed that the most common causes of emergency admission were pneumonia (22.4%), surgical emergencies (14.5%), and late-onset sepsis (9.2%), respectively. More than half (53.8%) of children were admitted to the Pediatric Emergency Department for less than 24 hours, and the mean length of stay was 2 days. 39.6% of children were discharged with clinical improvement. Known comorbidity (AOR=4.65, 95% CI (1.23-17.64)) and length of stay less than 24 hours (AOR=4.2, 95% CI (1.2-14.7)) were strongly associated with the outcome. CONCLUSION: Pneumonia is still the most common cause of pediatric emergency admission, and the mortality rate of children at the Pediatric Emergency Department is high, with known comorbidity showing a significant association with mortality. FMOH recommended developing national pediatric emergency care guidelines and providing skill gap training for healthcare workers.
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