Demographic Profile and Childhood Morbidity Pattern in Western Nepal

Adhikari, Jyoti; Belbase, Mohan; Bahl, L

doi:10.3126/jngmc.v12i2.14471

Cited by 9 publications

(13 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Children less than 5 years of age contributed to about 65% of the total admission, this could be explained by the low immunity against infectious diseases in this age group, making them susceptible to infections. This is similar to other studies done all over Nigeria and outside the country [10,12,8,[21][22][23][24].…”

Section: Discussionsupporting

confidence: 91%

“…The result is comparable to what was obtained by Toma et al in Jos [12] and Garba et al in Gusau [21]. Respiratory tract infections and acute diarrhoeal diseases accounted for very high number of morbidity in this study, which is similar to what was obtained in study done in Benin [10], Osogbo [11], Ababkaliki [13], Ethiopia [23], Nepal [22] and Papua-New Guinea [8].…”

Section: Discussionsupporting

confidence: 91%

“…This result is comparable to what was obtained by Toma et al in Jos [12], Abhulimhen-Iyoha in Benin [10], Garba et al in Gusau [21] and Anyanwu et al in Abakaliki [13]. Other studies done by Adhikeri et al in Nepal [22] and Gordon et al [23] in Ethiopia also had male preponderance.…”

Section: Discussionsupporting

confidence: 88%

See 2 more Smart Citations

Morbidity and Mortality Statistics in Paediadric Medical Ward of Bingham University Teaching Hospital, Jos

Maryam¹

2019

AJIM

View full text Add to dashboard Cite

Background: Approximately seventy-five percent of the deaths that occur in children excluding neonatal deaths in sub-Sahara Africa result from preventable and curable diseases like pneumonia, diarrhea and malaria. A hospital-based mortality and mortality pattern can be used to appraise the demographic profile and burden of disease in a community. AIM: To determine the morbidity and mortality pattern of children admitted into the PMW of BHUTH, Jos. Methodology: This was a retrospective study. Admissions into the paediatric medical ward of Bingham University Teaching hospital, Jos between October 2017 to Octorber 2018 were reviewed, with data from the admission and discharge records of the ward. Data was analyzed using SPSS version 20. A p value < 0.05 was considered statistically significant. Ethical clearance was gotten from the ethical committee of the hospital. Results: A total of 357 children aged 1 month-15 years were admitted over the study period, of these, 189 (52.9%) were males, and 168 (47.1%) were females with a male:female ratio of 1.1:1. The age range was 1-168 months. Two hundred and twenty-seven (63.6%) of the children were under 5 years old. The major cause of mortality in children less than 5 years of age were BPN, Sepsis and malaria with 2 (18.2%) each respectively. The cause of morbidity was majorly due to malaria 70 (20.2%), followed by various crisis of SCA 42 (12%). The highest case fatality rate was from viral haemorrhagic fever (VHF) with 28%, followed by Acute bacterial meningitis (ABM) and Protein energy malnutrition (PEM) with complications each having 15.4% respectively. The length of hospital stay was inversely proportional to mortality and the difference was statistically significant (χ2 = 24.58, p < 0.00). The trend of sex distribution and morbidities showed that the month with the highest morbidity was in October 2017 with 44 admissions, the highest number of male morbidities was in January, 2018 with 26 males, while the month with the highest number of morbidities for females was in October 2017 with 21 patients. Out of all the 357 admissions, (92.7%) were discharged, (2.2%) left against medical advice, (0.6%) were referred, while (4.5%) died. Conclusion: The burden of paediatric morbidity and mortality is on children under 5 years and the causes are mainly preventable. An emphasis and focus on malaria eradication, vaccination and other child survival strategies will help to reduce childhood morbidity and mortality.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

Morbidity and Mortality Statistics in Paediadric Medical Ward of Bingham University Teaching Hospital, Jos

Maryam¹

2019

AJIM

View full text Add to dashboard Cite

show abstract

“…This was also shown in other studies -Adhikari et al from Nepal and Saho B et al (61.3%). 5,6 Majority of males in admission also present in Shah and Mirdha's study. 7,8 It may be due to still preference of boys over girls for care which also reflected in difference in mortality rate where females outnumbered.…”

Section: Discussionmentioning

confidence: 58%

Morbidity and mortality profile of children admitted in pediatric department – A single center study

Ramawat

Jain

2021

Asian J Med Sci

View full text Add to dashboard Cite

Back ground: Child morbidity and mortality is an issue of great concern for policy makers because in spite of good efforts still less than 5 years mortality rate is very high and many babies could not survive beyond infancy. Majority of pediatric deaths occurred due to preventable and treatable causes. An emphasis needed on early diagnosis and timely interventions in pediatric patients associated with high risk factors. Aims and Objectives: To study clinical spectrum, morbidity and mortality profile in hospitalized children and to evaluate association of clinicodemographic variable with outcome. Materials and Methods: A cross sectional study was conducted among 2315 patients admitted during study period to evaluate morbidity and mortality profile of patients in pediatric department. Data was collected between January to December 2018 and analyzed for demography, clinical profile including diagnosis, hospital and pediatric intensive care stay, management and outcome. Results: Mean age (mean ± SD) reported was 42.35 ± 35.85 months. Under 5 years children were admitted in majority (62.5%). Respiratory system (21.9%) and nervous system diseases (21.7%) were leading reasons for admission followed by gastrointestinal (11.2%) and hematological disorders (10.8%). Based on etiology infection was leading cause, most common infection in hospitalized children lower respiratory tract infections (19.5%). Vaccine preventable diseases were present in 3.7% patients. 2.5% children admitted due to severe acute malnutrition (SAM). Nervous system diseases (18.2%) associated with highest mortality followed by cardiac (11.7%) and respiratory diseases (11.2%) Mortality rate was 8.07%. Significant association was found between gender, duration of PICU stay, condition at admission, under nutrition and severe anemia to outcome (p <0.01). Conclusion: Early diagnosis and timely interventions can improve outcome in patients with co morbidities and high risk factors. Social awareness is very important to prevent gender discrimination. Emphasis on simple hygiene measures, vaccination and nutrition improvement can decrease the disease burden in pediatric population. Vaccine preventable diseases still occurring and needed hospitalization so strengthening of awareness program for vaccination required, especially in remote rural areas.

show abstract

“…[ 24 ] In a study conducted in Nepal, respiratory tract infections caused mortality in 28% of inpatients, followed by central nervous system illness (14.5%) and gastrointestinal system illness (12.9%). [ 25 ] In a study conducted in medical wards of Ethiopia, 12.6% of patients expired in the hospital. [ 15 ] Similarly in Nigeria 12.3% of patients expired in medical wards during the course of treatment, mainly in the age group of 56.15 ± 19.63.…”

Section: Discussionmentioning

confidence: 99%

Outcome of care in an apex tertiary care referral institute of North India – A study of 90,000 patients

Mirza

Siddharth

Garg

et al. 2020

J Family Med Prim Care

View full text Add to dashboard Cite

Introduction: Outcome of care is an important measure of quality in health care and also provides input for healthcare planning. It is an indicator which can be used for comparing performance of various hospital/Institute. Aims: Study intended to analyze the morbidity and mortality pattern among admitted patients with respect to selected hospital indices. Study Settings: All India Institute of Medical Sciences (AIIMS), New Delhi. Subjects and Methods: A cross-sectional retrospective study was conducted in 93,223 patients admitted at AIIMS, New Delhi. Information provided in Management Information System (MIS) was used for analysing morbidity as per International Statistical Classification of Diseases (ICD)-10. Results: Diseases related to the genitourinary system (14.25%) and neoplasms (14.18%) were the most common cause of admissions. Overall, predominance of adult age group (61.6%) followed by geriatric age group (20.5%) was observed. Male predominance was observed in diseases related to mental, behavioural, and neurodevelopmental disorders (89.2%). Overall, median length of stay was calculated to be 4 days (mean LOS-7 days), maximum for diseases related to mental, behavioural, and neurodevelopmental disorders (median 13 days). Gross and net death rate for admitted patients was calculated to be 4.3% and 3%, respectively, with maximum rate for diseases related to respiratory system (22.7% and 17%). Conclusions: Analysis of morbidity and mortality in high volume tertiary care centers and segregation of the patients according to their ailment and disease behaviour helps in establishing priorities in healthcare delivery system and thus allocating limited resources accordingly.

show abstract

Demographic Profile and Childhood Morbidity Pattern in Western Nepal

Cited by 9 publications

References 1 publication

Morbidity and Mortality Statistics in Paediadric Medical Ward of Bingham University Teaching Hospital, Jos

Morbidity and Mortality Statistics in Paediadric Medical Ward of Bingham University Teaching Hospital, Jos

Morbidity and mortality profile of children admitted in pediatric department – A single center study

Outcome of care in an apex tertiary care referral institute of North India – A study of 90,000 patients

Contact Info

Product

Resources

About