Epidemiology of Pediatric Medical Emergencies at the Kindu Reference General Hospital (HGRK): State of Affairs and Perspectives

Kingwengwe, Aimé Abdala; Ndjadi, Aubin Kasongo; Lukusa, Patricia Mishika; Ilunga, Paul Makinko; Ibeki, Emery Kanyinda; Kyanga, Patrick Amuri; Makuburi, Taylor Amury; Kitambo, Delors Mulikita; Pongombo, Mick Shongo; Wakamb, Gray Kanteng A; Assumani, Nsimbo; Nlandu, Ernest Kamavuako; Mwamba, Etienne Shindano; Numbi, Oscar Luboya; Okitotsho, Stanis Wembonyama

doi:10.4236/oalib.1105715

Cited by 4 publications

(5 citation statements)

References 2 publications

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“…Infectious diseases were responsible for over 75% of mortality in the present study. This finding corroborates studies in some regions of Nigeria 7,10,14,16,19) , and the Democratic Republic of Congo 20) , and reports by the World Health Organization stating infectious diseases as the leading cause of childhood mortality 1,21) . Contrary to the above studies, Jofiro et al 6) in Ethiopia reported cardiovascular and infectious diseases as the most and the third common cause of death, respectively.…”

Section: Discussionsupporting

confidence: 91%

The pattern of mortality among children hospitalized in the children emergency ward of a single tertiary hospital in Nigeria

Onubogu¹,

West²,

Azubogu³

2023

Pediatr Emerg Med J

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Methods: A retrospective review of mortality among children hospitalized in the EW was conducted from January 2015 through May 2017. Information on their age, sex, weight, diagnosis, and mortality was recorded. The data were expressed in frequencies, and logistic regressions were performed with mortality as the dependent variable. Results:The median age of the 1,020 children hospitalized in the EW was 1.0 year (interquartile range, 0.6-4.0) with death recorded in 60 children, a 5.9% mortality rate. Mortality was higher in the children younger than 2 years, boys, and those with infectious diseases. Of the 60 dead children, infectious diseases were the leading cause of mortality (53 [88.3%]) with sepsis ( 22[36.7%]), gastroenteritis (10 [16.7%]), and meningitis (6 [10.0%]), accounting for the highest contributors to mortality. The highest case fatality rates were noted in tetanus (1/1 [100%]), human immunodeficiency virus (5/14 [35.7%]), and tuberculosis (2/7 [28.6%]). The logistic regression showed that age of 13-16 years (adjusted odds ratio, 4.59; 95% confidence interval, 1.80-11.20; compared with age < 2 years) and presence of infectious diseases (4.65; 1.80-12.10) significantly increased the risk of mortality. Conclusion:The mortality rate in our EW during the study period was 5.9%. Infectious diseases remained significant contributors to mortality in our practice. Greater efforts at prevention and control of the diseases are required to correct this negative trend.

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Section: Discussionsupporting

confidence: 91%

The pattern of mortality among children hospitalized in the children emergency ward of a single tertiary hospital in Nigeria

Onubogu¹,

West²,

Azubogu³

2023

Pediatr Emerg Med J

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“…The average duration of hospitalization is 4 days. In the Democratic Republic of the Congo, 50% is the rate recorded for the length of hospitalization of children with an emergency sign of fewer than 4 days [ 7 ]. In France, 72% of patients stayed more than 4 days in the emergency department [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…By definition, pediatric emergencies are all morbid conditions that threaten a child´s life in a more or less short period and require rapid and adequate care [ 6 ]. This definition is not always respected because of the pediatric emergency department (PED) heterogeneity and the different perceptions of healthcare by staff and parents [ 5 , 7 ]. As a result, the PED suffers from overcrowding, which has become a universal and growing problem.…”

Section: Introductionmentioning

confidence: 99%

The characterization of a hospitalized population at the pediatric emergency service of Mother and Child Hospital, Marrakech, Morocco

Jbari¹,

Lahmini²,

Eddabbah³

et al. 2022

Pan Afr Med J

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Introduction the pediatric emergency department is the first contact between the population and the hospital. Consequently, its dysfunction influences the quality of the general health care system. However, any successful policy must first be based on convincing results hence the need to better explore this service, diagnose the various dysfunctions, and survey disease trends to identify the needs of the local population. In this perspective, we propose to describe the epidemiological profile of children hospitalized at the emergency service of the Mother-Child hospital, University Hospital Centre Marrakech, and establish the prevalence table for childhood pathologies. Methods a retrospective study was carried out in pediatric emergency services for 1658 hospitalized patients between March 2015 and December 2018. The collected data concerns mainly the socio-demographic, clinical profile, evolution status, mode of admission, and medical history. Results the characterization of the studied population by sex and age showed a predominance of male with a sex ratio of 1.36, infants with 625 patients. Concerning the final diagnosis, the most frequent pathologies affected the respiratory system in 28% of cases, then the digestive system (11.3%), while infectious pathologies represented 10.7% of admissions. The death rate in the emergency department was 7.4%. Multivariate analysis of the data showed a statistically significant relationship between the final diagnosis (16 diseases by a system according to The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)) and age, season, and weight. Thus, for the association between the digestive system diseases and weight (aOR=1.052, 95% CI= 1.019-1.086, p=0.02). While for the skin and subcutaneous tissue diseases and the autumn season (aOR=11.37, 95% CI= 1.272-101.777, p=0.03) and age has a negative significance for most diseases. Conclusion the epidemiological profile study will allow knowledge of patient´s pathologies typology for a well-supported and better definition of needs.

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“…The hospital prevalence of pediatric life-threatening emergencies was 42.4%. Nzame et al, in Gabon (2020),Guedenon et al in Togo (2017) andKingwengwe et al in DRC (2019), had reported a prevalence of PLTE which varied from 18.3% to 21.4% in their respective previous studies[7] [8][9]. The high trend in our series could be explained by the geographical location of this referral hospital which has a technical platform to receive patients with serious pathologies on the one hand and on the other hand, access to care is facilitated through the issuance of internal vouchers (green vouchers) with deferred recovery of care costs.…”

mentioning

confidence: 95%

“…In previous studies in Africa, infectious pathologies were often found in children under 5 years of age consulting at pediatric emergencies, malaria being the most common etiology. Pediatric emergency unit mortality rates ranged from 8% to 17.3% [5] [6] [7]. Few studies have been conducted on critical pediatric emergencies in a resource-limited setting, especially in Cameroon where no studies were available.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Profile of Pediatric Vital Emergencies at Laquintinie Hospital of Douala, Cameroon

Penda¹,

Mireille-Laurent²,

Francine³

et al. 2021

OJPed

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Introduction: In the absence of health coverage in resource limited-settings, life-saving pediatric emergencies remain a challenge. The objective of our study was to describe the epidemiological profile of life-threatening pediatric emergencies at Laquintinie Hospital in Douala (HLD). Methods: A cross-sectional study was carried out for a period of 3 months, from March to May 2017 in the pediatric emergency unit of HLD enrolling all children presenting a lifethreatening emergency on admission. Local emergency kits and an internal deferred cost recovery voucher or "green voucher" were used to facilitate access to care for children on admission. The socio-demographic, clinical, therapeutic and evolutionary characteristics were collected and analyzed using SPSS software version 20.0. Results: A total of 135 children were enrolled and the sex ratio was 1.54. The mean age was 3.8 years ± 4.05 and 80.7% of the children were under 5 years old. The majority of children (82.9%) admitted to the emergency room came from peripheral health structures. The hospital prevalence of life-saving emergencies was 42.4%. The mean time to consultation after the onset of symptoms was 5.9 days and 66.0% of admissions were made during the 3 p.m. to 8 a.m. time slot. More than 4/5 of emergencies were neurological, respiratory and cardio-circulatory emergencies representing 35.6% and 18.5% respectively. Severe malaria accounted 31.9% of the etiologies, bronchopneumopathies and meningo-encephalitis were involved in 18.5% and 17.8% of cases respectively.

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Epidemiology of Pediatric Medical Emergencies at the Kindu Reference General Hospital (HGRK): State of Affairs and Perspectives

Cited by 4 publications

References 2 publications

The pattern of mortality among children hospitalized in the children emergency ward of a single tertiary hospital in Nigeria

The pattern of mortality among children hospitalized in the children emergency ward of a single tertiary hospital in Nigeria

The characterization of a hospitalized population at the pediatric emergency service of Mother and Child Hospital, Marrakech, Morocco

Epidemiological Profile of Pediatric Vital Emergencies at Laquintinie Hospital of Douala, Cameroon

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