Pattern of childhood morbidities and outcome of childhood admissions in a Nigerian public secondary healthcare facility
Pattern of childhood morbidities and outcome of childhood admissions in a Nigerian public secondary healthcare facility
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尼日利亚公立二级医疗机构的儿童发病模式和儿童入院结果
DOI：
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发表时间：
2018
影响因子：
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通讯作者：
Olayinka A. Otetubi
中科院分区：
文献类型：
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作者：
S. Oninla;A. O. Fadugbagbe;O. Oninla;Olayinka A. Otetubi
背景资料：住院患者的发病率和死亡率模式表明社区的卫生需求，可用于规划改善的医疗服务。目的：确定在公立二级医疗机构住院儿童的发病率、死亡率和结局模式以及平均住院时间。研究方法：对一年期间（2010年10月1日至2011年9月30日）入院的1个月至15岁儿童的可用医院记录进行了审查，以获得相关数据，如年龄、性别、最终诊断、结局以及入院和出院日期。结果：在回顾的1，266份记录中，57.6%的儿童为男性，42.4%为女性（Z =-10.9458; p = 0.0001），82.5%为5岁以下儿童。感染占发病率的81.6%，疟疾（39.2%）、胃肠炎（15.2%）、肺炎（10.9%）、严重贫血（4.2%）和败血症（3.0%）是前五位。入院时间从24小时到30天不等，平均3.2（2.8）天。998名（78.8%）儿童出院，64名（5.1%）死亡; 85.9%的死亡发生在5岁以下儿童中。537名女性中有34名（6.3%）死亡，729名男性中有30名（4.1%）死亡（Z = 7.7374; p = 0.0001）。前三位死亡原因包括疟疾（26.6%）、败血症（12.5%）和肺炎（10.9%）。59例死亡中50例（84.7%）发生在入院后72小时内，7例（11.9%）发生在入院后24小时内。结论：男性儿童更容易受到疾病的影响，而女性儿童的死亡率明显较高。在公立二级保健设施中，感染是儿童发病和死亡的主要原因，5岁以下儿童首当其冲。
Background: Patterns of morbidity and mortality in hospital populations are indicative of community health needs and can be useful in planning improved medical services. Objectives: To determine the morbidity, mortality and outcome patterns, and the average duration of hospital stay of admitted children in the public secondary healthcare facility. Methods: Available hospital records of children aged one month to 15years, admitted during a one year period (October 1, 2010, to September 30, 2011) were reviewed for relevant data such as age, gender, final diagnosis, outcomes and dates of admissions and discharges. Results: Of the 1,266 records reviewed, 57.6% children were males, 42.4% females (Z= -10.9458; p=0.0001) and 82.5% were aged under-five years. Infections accounted for 81.6% of the morbidities, with malaria (39.2%), gastroenteritis (15.2%), pneumonia (10.9%), severe anaemia (4.2%) and septicaemia (3.0%) being the top five conditions. The duration of admission ranged from less than 24hours to 30 days, with a mean of 3.2 (2.8) days. Nine hundred and ninety-eight (78.8%) children were discharged while 64 (5.1%) died; 85.9% of the deaths occurred among under-five children. Thirty-four (6.3%) out of 537 females and 30 (4.1%) out 729 males died (Z= 7.7374; p= 0.0001). The top three causes of mortality included malaria 26.6%, septicaemia 12.5% and pneumonia 10.9%. Fifty out of 59 deaths (84.7%) occurred within 72 hours and 7 (11.9%) in<24hours of admission. Conclusions: Male children were more vulnerable to diseases while mortality was significantly higher among females. Infections dominated the causes of childhood morbidity and mortality in the public secondary healthcare facility, with under-five children bearing the brunt.