Paediatric Morbidity and Mortality in a Suburban Hospital in Jos, North -Central Nigeria
Paediatric Morbidity and Mortality in a Suburban Hospital in Jos, North -Central Nigeria
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尼日利亚中北部乔斯郊区医院的儿科发病率和死亡率
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
M. Ihekaike
中科院分区：
文献类型：
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作者：
B. Toma;M. Gyang;H. Abdu;D. Shwe;I. Ekere;M. Ihekaike
背景：尽管儿童死亡率有所下降，但撒哈拉以南非洲的数字仍然很高。卫生保健机构的发病率和死亡率模式可能反映了它所服务的社区的疾病负担，并将有助于预防/控制战略。本研究旨在确定尼日利亚中北部乔斯市郊区一家二级医院的儿科发病率和死亡率模式。材料和方法：这项回顾性研究是对Vom基督教医院儿科住院病例的回顾。所有儿童的相关数据谁被接纳到Vom基督教医院原始研究文章托马等; IJTDH，5（2）：156-164，2015;从入院记录中检索了2012年5月至2013年4月期间的文章no.IJTDH.2015.016 157，其中有医疗条件。将数据输入Excel电子表格中，并使用Epi info 7进行分析。p< 0.05被认为具有统计学显著性。结果如下：在此期间，共有334名1天至15岁的儿童入院，其中235名（70.4%）为5岁以下的儿童。感染221例（66.2%）是主要病因。在所有334例住院患者中，304例（91%）出院，7例（2.1%）不遵医嘱，6例（1.8%）转介，17例（5.1%）死亡。疟疾是最常见的发病原因（102例，30.5%）和死亡原因（6例，35.3%）。严重蛋白质能量营养不良的病死率最高（25%）。结论：儿科发病率和死亡率的负担主要发生在5岁以下儿童，而且主要是可以预防的。强调消灭疟疾和儿童生存战略将有助于降低儿童发病率和死亡率。
Background: Even though there has been some decline in childhood mortality, figures still remain high in subSaharan Africa. The pattern of morbidity and mortality in health care institutions may be a reflection of the disease burden of the community which it serves and will facilitate prevention/ control strategies. This study was conducted to determine the pattern of paediatric morbidity and mortality in a secondary level hospital in a sub – urban area in Jos, North – central Nigeria. Materials and Methods: This retrospective study is a review of paediatric admissions into the Vom Christian Hospital. Relevant data on all children who were admitted into the Vom Christian Hospital Original Research Article Toma et al.; IJTDH, 5(2): 156-164, 2015; Article no.IJTDH.2015.016 157 between May 2012 and April 2013 with medical conditions were retrieved from the admissions records. Data were entered into excel spread sheet and analyzed using Epi info 7. A p< 0.05 was considered statistically significant. Results: A total of 334 children aged between one day and 15 years were admitted during the period, out of which 235 (70.4%) were children less than 5 years old. Infections (221, 66.2%) were the major causes of morbidity. Out of all the 334 admissions, 304(91%) were discharged, 7 (2.1%) left against medical advice, 6(1.8%) were referred, while 17 (5.1%) died. Malaria was the commonest cause of morbidity (102, 30.5%) and mortality (6, 35.3%). Severe protein energy malnutrition had the highest case fatality rate (25%). Conclusion: The burden of paediatric morbidity and mortality is in children under 5 years and are mainly preventable. An emphasis on malaria eradication and child survival strategies will help to reduce childhood morbidity and mortality.