A retrospective audit of paediatric surgical admission in a sub-urban tertiary hospital

Thanni, OA; Shonubi, A. O.; Akiode, O

doi:10.4314/wajm.v24i1.28154

Cited by 21 publications

(27 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is higher than the 52.7% reported in Ogun State Nigeria and lower than the 66.6% reported in Ondo State Nigeria. [2], [3] The mean duration of admission in this study is similar to that reported in Benin Nigeria but is significantly lower than what was reported in Western Nigeria. [2]- [4] The mortality rate in this report is significantly higher than the 0.8%, 5.3% and 7.46% reported in Ghana, Gambia and Ethiopia respectively.…”

Section: Discussionsupporting

confidence: 72%

“…Within the last two decades more data on epidemiology of childhood surgical admission in Africa has become available [1][2][3][4] In Nigeria most of the studies on pattern of pediatric surgical admissions were done in the southern part of the country. [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…[1,2] With very little amount of data collection, a meaningful insight can be gained into the epidemiology of diseases especially in low resource settings like Nigeria. [1] Data on epidemiology of pediatric surgical diseases will be invaluable in the immediate and long term health care planning.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria

Akau¹

2017

View full text Add to dashboard Cite

Abstract:The pattern and outcome of pediatric surgical admissions may be crucial to policy formulation in a new tertiary hospital. This study reports the pattern and outcome of pediatric surgical admissions in Northwestern Nigeria. This is a retrospective review of all medical records of patients admitted with pediatric surgical pathologies over a 14 months period. Data was extracted from the admission records and case notes of children admitted in the hospital during the study period. Information obtained included the patients' age, sex, diagnosis, duration of admission and outcome. The data obtained was analyzed using SPSS version 15.0 for Windows. There were 191 pediatric surgical admissions representing 12.5% of the total pediatric admissions with a mean age of 71 months and a male to female ratio of 1.2:1 (M 105: F86). Sixty percent of the patients were admitted to female surgical ward, others were admitted to neonatal intensive care unit, male surgical ward, pediatric medical ward and emergency pediatric unit due to shortage of manpower and lack of pediatric surgical facilities. The most common diagnostic categories were congenital anomalies 35.1% (67/191), trauma 30.9% (59/191) and surgical infections 29.8% (57/191). Eighty percent of our patients did well and were discharged. However, we recorded a mortality rate of 9.9%. Our report shows that wide spectrums of pediatric surgical conditions are seen in our hospital with congenital anomalies being the most common. Most of our patients were treated and discharged.

show abstract

Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria

Akau¹

2017

View full text Add to dashboard Cite

show abstract

“…Furthermore, the study confirmed the findings of previous studies performed in single institutions, namely that delayed presentation for surgery was common and that preventable conditions, such as burns and trauma or the complications of infectious processes, accounted for much of the surgery in children. 2,22 Many basic paediatric operations (both elective and emergency in nature) were performed by medical officers, many of whom lacked specialist surgical training. The situation poses a challenge for countries where a rural medical officer is expected to cover medical, surgical and obstetric care.…”

Section: Discussionmentioning

confidence: 99%

Paediatric surgery and anaesthesia in south-western Uganda: a cross-sectional survey

Walker

Obua

Mouton

et al. 2010

Bull World Health Org

View full text Add to dashboard Cite

“…Pediatric surgery has not always been considered as global health problem and health planners and implementers have not given adequate emphasis; but the global health community has recently recognized that surgical condition is significant burden of disease [7]. Surgical intervention plays a major role in preventing death and further chronic disability for those suffering from injuries, emergency abdominal and non abdominal conditions [8,9].…”

Section: Problem Of Statementmentioning

confidence: 99%

Pediatric Surgical Admissions and Their Outcomes at Adama Hospital Medical College: A Facility Based Cross Sectional Study

Ketema¹,

Abeya²,

Abdela³

et al. 2017

AJP

View full text Add to dashboard Cite

Pediatric surgical admissions dramatically increased throughout the world as a result of increased trauma, emergency diseases and survival of congenital diseases. So, Facility based cross sectional study was conducted to identify the common pediatric (Age ≤ 15 years) surgical admissions and their outcomes at Adama Hospital Medical College. All admitted surgical patients from Jun 1, 2014 to June 30, 2015 were included in the study. Data abstraction tool was constructed to retrieve information from charts. Data was entered to SPSS version 20. Descriptive and analytic studies were performed. P value ≤ 0.05 with 95% confidence interval (CI) was used to interpret the findings. The mean age of study participants was 6 years ± 4.5 SD. Males were 276 (71.9%) making male to female ratio of 2.5:1. Gastrointestinal conditions (33.8%) were commonest causes of admissions followed by trauma (25.5%) and congenital anomalies (19%). There were five deaths resulting in a mortality rate of 1.3%. Factors associated with death were: delay in presentation, prolonged length of stay in hospital and delay in intervention. Shorter time of presentation to intervention (< 6 hrs) was found to be significantly associated with the favorable outcomes [Adjusted Odds Ratio (AOR): 36.4, 95% CI: 3.7, 38]. Those who stayed < 7 days in the hospital were more likely to have favorable outcome (AOR: 1.7, 95% CI: 1.6, 16.8) compared to their counterparts. Delayed intervention, prolonged hospital stay and trauma are independent predictors of patient outcomes. Death in Pediatric patients with surgical conditions can be averted by avoiding these delays. Efforts to shorten length of stay in the hospital could also improve patient outcomes.

show abstract

A retrospective audit of paediatric surgical admission in a sub-urban tertiary hospital

Cited by 21 publications

References 0 publications

Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria

Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria

Paediatric surgery and anaesthesia in south-western Uganda: a cross-sectional survey

Pediatric Surgical Admissions and Their Outcomes at Adama Hospital Medical College: A Facility Based Cross Sectional Study

Contact Info

Product

Resources

About