Burden and spectrum of paediatric respiratory diseases at a referral hospital in North-Central Nigeria - A five year review

Ibraheem, Rasheedat Mobolaji; Aderemi, Jubril Adegboyega; Abdulkadir, Mohammed Baba; Johnson, Wahab Babatunde Rotimi

doi:10.1016/j.afjem.2019.09.001

Cited by 10 publications

(12 citation statements)

References 17 publications

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“…Our study revealed a slight male predominance (54%) and infants were the vulnerable population for respiratory illness which is in keeping with other studies [9][10][11][12][13][14][15][16][17][18][19] . This may be due to less mature immune system making the infant more susceptible to respiratory infections.…”

Section: Discussionsupporting

confidence: 92%

“…Admissions due to respiratory illness accounted for 31% of hospital admissions. This is similar to studies done in other areas of Sri Lanka as well as worldwide where the admissions due to respiratory illness ranged from 25-35% [9][10][11][12][13][14][15][16][17][18][19] . According to the 2017 Annual Health Statistics, Sri Lanka, respiratory illnesses are in the 4 th rank both in hospital admissions and in mortality 1 .…”

Section: Discussionsupporting

confidence: 88%

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Burden of respiratory disease on hospital admission of children: Experience from a tertiary care centre

Umasankar

2021

Sri Lanka J Child Health

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Introduction: Respiratory disease is a common cause of hospital admission in children. Objectives:To assess the burden of respiratory diseases on hospital admissions of children under 14 years at Teaching Hospital Jaffna (THJ), Sri Lanka Method: A prospective cross-sectional study was carried out at the Professorial Unit of THJ, Sri Lanka. All the children diagnosed with the respiratory disease were recruited into the study. Data were collected from 1 st January to 31 st December 2017 by interviewer-administered questionnaire. The data were analysed using SPSS version 20.0. Results were expressed as percentages and frequencies for qualitative data and mean and standard deviation for quantitative data.Results: Out of a total of 4127 admissions 1286 (31%) children were admitted with respiratory illness. There was male predominance (55.7%). Mean age of the study population was 42 ± 39 months. Infectious diseases contributed to 92% of hospital admissions. During the previous six-month period 79.6% had no respiratory illness, and 80% had no hospital admission. The mean distance from home to the hospital was 2.3 ± 1.5km. During the ward stay oxygen was needed in 9.5% of children. Mean duration of hospital stay was 3.73 ± 2.03 days. Seasonal variations were seen with a peak incidence in March. Conclusions:Respiratory illness contributes to a significant burden on hospital admission of children.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

Burden of respiratory disease on hospital admission of children: Experience from a tertiary care centre

Umasankar

2021

Sri Lanka J Child Health

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“…The 53 studies containing ‘AFEM-CC quality indicators near match’ evidence were split between two groups of publications. The first group included 38 publications, which were identified as containing only ‘AFEM-CC quality indicators near match’ data 57–94. The second group included 15 publications, which were cited above as containing ‘AFEM-CC quality indicators exact match’ data, but which contained additional ‘AFEM-CC quality indicators near match’ data 22 25 26 28 29 31 33 34 39 41 45 46 54–56.…”

Section: Resultsmentioning

confidence: 99%

Clinical emergency care quality indicators in Africa: a scoping review and data summary

et al. 2023

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ObjectivesEmergency care services are rapidly expanding in Africa; however, development must focus on quality. The African Federation of Emergency Medicine consensus conference (AFEM-CC)-based quality indicators were published in 2018. This study sought to increase knowledge of quality through identifying all publications from Africa containing data relevant to the AFEM-CC process clinical and outcome quality indicators.DesignWe conducted searches for general quality of emergency care in Africa and for each of 28 AFEM-CC process clinical and five outcome clinical quality indicators individually in the medical and grey literature.Data sourcesPubMed (1964—2 January 2022), Embase (1947—2 January 2022) and CINAHL (1982—3 January 2022) and various forms of grey literature were queried.Eligibility criteriaStudies published in English, addressing the African emergency care population as a whole or large subsegment of this population (eg, trauma, paediatrics), and matching AFEM-CC process quality indicator parameters exactly were included. Studies with similar, but not exact match, data were collected separately as ‘AFEM-CC quality indicators near match’.Data extraction and synthesisDocument screening was done in duplicate by two authors, using Covidence, and conflicts were adjudicated by a third. Simple descriptive statistics were calculated.ResultsOne thousand three hundred and fourteen documents were reviewed, 314 in full text. 41 studies met a priori criteria and were included, yielding 59 unique quality indicator data points. Documentation and assessment quality indicators accounted for 64% of data points identified, clinical care for 25% and outcomes for 10%. An additional 53 ‘AFEM-CC quality indicators near match’ publications were identified (38 new publications and 15 previously identified studies that contained additional ‘near match’ data), yielding 87 data points.ConclusionsData relevant to African emergency care facility-based quality indicators are highly limited. Future publications on emergency care in Africa should be aware of, and conform with, AFEM-CC quality indicators to strengthen understanding of quality.

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“…This is probably due to the YLL, considering the life expectancy for the patient age group. Besides, most of our population with respiratory failure belonged to the group of infants and preschoolers who have a particular vulnerability to the development of respiratory pathologies secondary to lower lung compliance, as well as increased probability of airway obstruction due to secretions, inflammation, and foreign bodies, secondary to smaller airway dimensions and an immature immune system 25 …”

Section: Discussionmentioning

confidence: 99%

Burden of respiratory failure in pediatric patients: Analysis of a prospective multicenter cohort in Bogotá, Colombia

Hernández‐Corredor,

Plazas‐Pachón,

Argote‐Bolaños

et al. 2023

Health Science Reports

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Background and AimsThe approach to the burden of disease is a demographic, economic, and a health problem, which requires the design and application of specific measures of cost of the disease, such as disability‐adjusted life years (DALYs), to establish better public health policies in the pediatric population. The aim of this study is to approach the burden of disease in children with acute respiratory failure (ARF) through the calculation of DALYs.MethodsThis study was conducted in the framework of a prospective, multicenter cohort in Bogotá, Colombia. Inclusion criteria were all pediatric patients admitted to the emergency department, hospitalization, and intensive care unit with respiratory distress; eligible patients were all those who developed ARF between April 2020 and December 2021. They were followed‐up during hospitalization, at 30 and 60 days after admission. The Infant/Toddler Quality of Life Questionnaire and KIDSCREEN quality of life scales were applied for follow‐up according to the age group. The results were used to calculate DALYsResultsSix hundred and eighty‐five eligible patients, 296 (43.08%) developed ARF, of these 22 (6.08%) patients died (mortality rate = 7.43%). The total DALYs was 277.164 years. For younger than 9 years, the DALYs were 302.64 years, while for older than 10 years were 40.49 years.ConclusionARF is one of the main causes of preventable mortality in pediatrics, its progression to respiratory failure is a highly prevalent condition in pediatric age, a condition that has a great impact on mortality, morbidity, and disability in our patients.

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Burden and spectrum of paediatric respiratory diseases at a referral hospital in North-Central Nigeria - A five year review

Cited by 10 publications

References 17 publications

Burden of respiratory disease on hospital admission of children: Experience from a tertiary care centre

Burden of respiratory disease on hospital admission of children: Experience from a tertiary care centre

Clinical emergency care quality indicators in Africa: a scoping review and data summary

Burden of respiratory failure in pediatric patients: Analysis of a prospective multicenter cohort in Bogotá, Colombia

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