Mortality audit in the paediatrics department of the University of Uyo teaching hospital, Uyo, Nigeria

Ijezie, Echey; Okpokowuruk, Frances Sam

doi:10.18203/2320-6012.ijrms20160326

Cited by 3 publications

(4 citation statements)

References 13 publications

(21 reference statements)

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“…It is a well-known fact that the nature of illness and quality of care are the major determinants of neonatal admission. (4,5) The finding from this study shows that perinatal asphyxia, prematurity and neonatal sepsis are the leading cause of hospitalization among newborns. This is in keeping with the report from WHO Health report of 2005.…”

Section: Discussionmentioning

confidence: 71%

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Sociodemographic Determinants of Outcome of Newborn Admission in Federal medical Center Owerri, Nigeria

C¹

2019

TIJPH

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Introduction: There has been a global decline in infant mortality without an equivalent decline in newborn mortality. Several studies have investigated the influence of each disease entity on childhood mortality concluding that severity of the disease is a major contributor to outcome. However, only few studies have evaluated the influence of social factors in the outcome of newborn hospitalization. This study aimed to investigate the influence of social and some demographic factors on early neonatal hospital admission. Methods: The study was a descriptive retrospective cross-sectional review of clinical records of 170 newborn admitted in to the Special Care Baby Unit of Federal Medical Centre Owerri form May 2014-May 2015. Case files of all newborn admitted during this period were reviewed and data collated and analyzed using SPSS version 20. Chi-Squared and Odds Ratio were calculated. Results: a total of 170 newborn were admitted, 10 (6.0%) died while 157 (94.0%) were discharged, the outcome of three admissions were missing. Fathers' education and occupation play significant role in neonatal survival OR 3.23 (1.08-10.06) p-value 0.04 and OR 6.36 (1.83-22.17) p-value 0.004 respectively. Newborn of fathers' and mothers with paid employment had better outcome. Conclusion: This study demonstrated that paid employment is associated with better outcome of newborn admission.

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Section: Discussionmentioning

confidence: 71%

“…Globally there has been steady decline in infant and Under five mortality rate which tends to mirror economic status of the nation thereby leading to a postulation that these decline in infant and U5MR is due to speedy economic growth. (1,2,4).…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic Determinants of Outcome of Newborn Admission in Federal medical Center Owerri, Nigeria

C¹

2019

TIJPH

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“…Whereas severe malaria, was the second leading cause of mortality in the under-fives in our study, it was reported as the commonest cause of mortality among under-five children in Azare [18], Gusau, [21] Irrua [23], Uyo [35], and Liberia [25], while HIV/AIDS was reported in Port Harcourt [16], Nigeria. It is not surprising that severe malaria was the commonest cause of death in Irrua [23] and Uyo [35]. These cities are located in the Southern part of Nigeria, typified by a longer raining season (7months) spanning march to July, and September to October [12].Rain typically falls throughout the year in Uyo [36], giving rise to more breeding sites for mosquitoes, higher burden of malaria infection, and severe malaria deaths.…”

Section: Discussionmentioning

confidence: 72%

A Two-year Retrospective Review of Paediatric Mortality in a Tertiary Facility in North-western Nigeria

Ugege

Garba

2020

JAMMR

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Introduction: Mortality pattern is reflective of both the severity of illness and the quality of treatment given. Objective: To identify the age, time and cause of death in the paediatric wards of Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Methods: This was a retrospective review of mortalities in children 5weeks to 15 years at the paediatric wards of UDUTH from 1st January 2016 to 31st December 2017. The bio-data, duration of illness, diagnoses, complications and duration of hospital stay were extracted from the mortality case files and analysed. Results: There were 121 mortalities, representing 2.3% of 5,355 total admissions during the study period. Sixty-seven (55.4%) were males (M: F ratio 1.2:1). Seventy-five (62.0%) were under-fives and mean age ± standard deviation was 54 months ± 46.3. Most deaths 76 (62.0%) occurred between July and December and majority 96 (79.3%) occurred ≥ 24 hours after admission. Severe acute malnutrition [SAM] 31 (41.3%), severe malaria 12(16.0%), and septicaemia 9 (12.0%), were the leading causes of death in the under-fives, whereas severe malaria 8 (17.4%), meningitis 7(15.2%) and malignancy 5 (10.9%) predominate in those > 5 years [P<0.001]. There was delayed presentation ≥ 7 days in 87 (71.9%) children and 90 (74.4%) had at least one or more complications. Conclusion: Severe acute malnutrition and severe malaria were the leading causes of mortalities in our facility. It is needful to scale up preventive and curative services targeted at curbing these diseases in Sokoto and environs.

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“…23,24 In Uyo, no such reports have been documented despite a high rate of birth asphyxia and its contributions to childhood mortality and so this study was conducted to add to the bulk of knowledge in this field. 25,26…”

Section: Introductionmentioning

confidence: 99%

Incidence of acute kidney injury in asphyxiated babies in university of Uyo teaching hospital, Uyo, Nigeria

et al. 2020

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Background: Acute Kidney Injury (AKI) is a consequence of birth asphyxia. In resource poor countries like ours, birth asphyxia still contributes to the high rates of neonatal morbidity and mortality. A few studies have reported the incidence of AKI in birth asphyxia in Nigeria but none from Uyo, south-south region of Nigeria.Methods: A descriptive cross sectional study carried out in the Newborn Unit of the University of Uyo Teaching hospital, Uyo, Nigeria over a period of eight months. One hundred and four term neonates with provisional diagnosis of birth asphyxia using Apgar scoring were recruited. Blood sample was collected within six hours of life from each subject for serum creatinine estimation using modified Jaffe method. Urine output was assessed by application of plastic collection bag to the skin by adhesive patch. AKI was diagnosed when sCr >1.5mg/dl while oliguria was defined as urinary output <1.5ml/kg/hour.Results: Of the total of 104 asphyxiated neonates enrolled into the study, 56 (53.8%) were males while 48 (46.2%) were females giving a male/female ratio of 1.2:1. Twenty-eight (26.9%) of the subjects had severe birth asphyxia; 52 (50%) had moderate birth asphyxia while 24 (23.1%) were mildly asphyxiated. Incidence of AKI was 48 (46.1%), twelve (11.5%) had AKI based on serum creatinine criteria while 36 (34.6%) had AKI based on urinary output criteria. The mean urinary output (ml/kg/hr) for the subjects was 1.65±0.68 while the mean serum creatinine (mg/dl) was 0.88±0.46.Conclusions: The incidence of AKI among asphyxiated neonates in our locale is high at 46.1%.

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Mortality audit in the paediatrics department of the University of Uyo teaching hospital, Uyo, Nigeria

Cited by 3 publications

References 13 publications

Sociodemographic Determinants of Outcome of Newborn Admission in Federal medical Center Owerri, Nigeria

Sociodemographic Determinants of Outcome of Newborn Admission in Federal medical Center Owerri, Nigeria

A Two-year Retrospective Review of Paediatric Mortality in a Tertiary Facility in North-western Nigeria

Incidence of acute kidney injury in asphyxiated babies in university of Uyo teaching hospital, Uyo, Nigeria

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