Pediatric Mortality in a Rural Tertiary Care Center in Liberia

Pediatric Mortality in a Rural Tertiary Care Center in Liberia
复制标题

利比里亚农村三级护理中心的儿科死亡率

DOI:
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发表时间:
2017
期刊:
Children
影响因子:
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通讯作者:
Mary P. Chang
Mary P. Chang
中科院分区:
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文献类型:
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作者:
Carmelle Tsai;C. Walters;J. Sampson;F. Kateh;Mary P. Chang

文献摘要

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利比里亚是西非的一个低收入国家,面临着重大挑战,包括内战和最近的埃博拉疫情。关于利比里亚农村地区战后和埃博拉前儿童健康的最新趋势,几乎没有数据。这项研究是对战后10年利比里亚农村三级保健中心2013年儿童死亡率的回顾性图表审查。从2013年1月到2013年12月,有50例儿科死亡,占920例儿科住院总数的5.4%。新生儿死亡的最常见原因是败血症,五岁以下儿童死亡的最常见原因是疟疾。大多数(82.0%)死亡者为5岁以下儿童。该医院的儿童死亡率与战后6年其他报告的死亡率相似,但低于战后立即报告的死亡率。新生儿败血症和疟疾是该社区儿童死亡的两个重要原因,因此,进一步努力降低儿童死亡率应侧重于这些原因。
Liberia is a low-income country in West Africa that has faced significant challenges, including a civil war and the recent Ebola epidemic. Little data exists on the more current post-war and pre-Ebola trends of child health in Liberia in the rural setting. This study is a retrospective chart review of pediatric mortality in 2013 at a rural tertiary care center in Liberia, 10 years post-war. From January 2013 to December 2013, there were 50 pediatric deaths, or 5.4% of the 920 total pediatric admissions. The most common cause of neonatal death was sepsis, and the most common cause of death under five years of age was malaria. The majority (82.0%) of the deaths were in children under five. Pediatric mortality at this hospital was similar to other reported mortality six years post-war, and lower than that reported immediately post-war. Neonatal sepsis and malaria are two significant causes of pediatric mortality in this community and, therefore, further efforts to decrease childhood mortality should focus on these causes.