Disease Profile Among Children Admitted in a Tertiary Care Hospital

Abstract

Background: An understanding of epidemiological trend in hospital admissions, including diseases and death pattern, is critical for health care planning, appropriate resource allocation & improving existing services facilities. To evaluate the disease and death pattern of children admitted in the Department of Child Health, Bangubandhu Memorial Hospital. Chattogram.
 Materials and methods: This was a retrospective study. The case records of all patients admitted in the Department of Child Health from Jan 1, 2015 to Dec 31, 2016 were analyzed.
 Results: Total 3560 children were admitted during this study period. All the patients were distributed into three age groups. Infant, under five and more than five age groups constitute 35%, 33% and 32% respectively. Acute watery diarrhea (33%) bronchiolitis (21%) Bronchopneumonia (10.5%) hereditary hemolytic anemia (9%) and Enteric fever (4.3%) were the five top disease in two years of admission. Among them total 12 (0.34%) patient died. Highest case fatality rate was found in bronchopneumonia (75%). Other common causes of death include meningitis (17%) and heart failure (8.5%). Patient came from urban area was 63% and 37% came from rural area.
 Conclusion: Admission related findings of this study will help to evaluate the disease pattern of a hospital and planning for more effective case-management strategies.
 Chatt Maa Shi Hosp Med Coll J; Vol.18 (1); Jan 2019; Page 31-35

Fever assessment in children under five: Are we following the guidelines?

“…This trend is consistent with the results of other studies conducted in different countries. This percentage is similar to that reported by Mehdi et al [ 12 ] in Pakistan and Ambaye et al [ 13 ] in Ethiopia (58% each) and comparable with that observed by Alam et al [ 14 ] and George et al [ 15 ] in Bangladesh and Nepal (51% and 71%, respectively). However, the reason for this male predominance has not been extensively studied.…”

“…The top three reasons for hospital admission in the current study were gastrointestinal (34.6%), respiratory (21.3%), and hematological (10.3%) diseases. Gastrointestinal disease predominance was similar to the findings of other studies published in Pakistan and Bangladesh, as reported by Mehdi et al [ 12 ] and Alam et al [ 14 ], respectively. In contrast, studies conducted in other countries have shown respiratory diseases to be the predominant cause of admission in this age group, including those conducted by Ambaye et al [ 13 ] in Ethiopia, George et al [ 15 ] in Nigeria, Bhurtel et al [ 18 ] in Nepal, and Merrill et al [ 19 ] in the United States of America.…”

“…While these percentages reflect a male predominance in the birth rate, they are unlikely to be the major contributing factor to the higher male predominance reported in our study. This male predominance may also be attributed to a sex bias in the health-seeking behavior of parents[ 14 , 17 ]. Other potential reasons include sociocultural variations and biological/genetic differences in disease susceptibility across the sexes.…”

Assessment of Health Performance and Outcome with Disease Profile among Paediatrics Population of a Non COVID Tertiary Care Hospital in Bangladesh in COVID Era

“…14 Respiratory illness had two peak of admission which is also similar to other study. 15 A little variation is also seen from study done by Alam et al 16 . They said AWD is top of all admissions as they don't have any ORT corner, so all diarrhoeal cases got admitted leading to top admission.…”