Pattern and Outcome of Admissions in the Children's Emergency Room of the University of Nigeria Teaching Hospital, Enugu.

Ibeziako, SN; Ibekwe, RC

doi:10.4314/njp.v29i4.12018

Cited by 32 publications

(69 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13,14 Fortunately, the core programme of integrated management of childhood illnesses (IMCI) targets these diseases. 15 Majority of the deaths in this series occurred among under-fives as was also documented by previous studies, 8,[10][11][12] thus indicating their vulnerability and the need to pay special attention to this group of children if an overall reduction in child mortality rate is to be achieved.…”

Section: Discussionsupporting

confidence: 50%

“…This is in consonance with the findings from various other studies over the past decades. [8][9][10][11][12] Malaria, respiratory tract infections and gastroenteritis which were the major causes of admission are recognized by the World Health Organisation as the major causes of under-five morbidity and mortality either as a single entity or in combination with other causes. 13,14 Fortunately, the core programme of integrated management of childhood illnesses (IMCI) targets these diseases.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Morbidity and mortality of childhood illnesses at the emergency paediatric unit of the University of Benin Teaching Hospital, Benin City.

Abhulimhen-Iyoha¹,

Okolo²

2012

Nig. J. Paed.

View full text Add to dashboard Cite

Objective: To describe the pattern of morbidity and mortality as seen at the Emergency Paediatric Unit of the University of Benin Teaching Hospital, Benin City. Methods: A retrospective study in which records of admissions over a two-year period were obtained from the medical and ward records. Information retrieved included age, sex, diagnosis, duration of stay in the unit and outcome. Results: A total of 3,261 patients aged between 29 days and 16 years were admitted into the Children Emergency Room during the period. Of these, 1,835 (56.3%) were males while 1,426 (43.7%) were females. The total number of underfives admitted was 2,289 (70.2% of total admissions). The major causes of admission were malaria (44.4%), respiratory tract infections (17.8%) and gastroenteritis with moderate or severe dehydration (10.1%). There were 992 (30.4%) discharges while 2,126 (65.2%) were transferred tothe paediatric wards for further management. One hundred and forty-three (4.4%) patients died during the period with over 80% being children five years or less. Severe malaria accounted for the largest number of deaths (29.4%) in the unit, followed by meningitis (16.9%) and septicaemia (15.4%) with over 80% of the deaths being from infectious diseases. Conclusion: Infectious diseases are still the major causes of morbidity and mortality especially in underfives in our locality. The role of environmental sanitation, health education and good nutrition in the health of the child must be brought to the fore. The nation's immunisation schedule should include vaccines against infectious organisms like Haemophilus influenzae and Streptococcus pneumoniae which are major causes of pneumonia and meningitis in childhood. Also, a boost in the coverage of our health insurance scheme would be a step in the right direction.

show abstract

Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Morbidity and mortality of childhood illnesses at the emergency paediatric unit of the University of Benin Teaching Hospital, Benin City.

Abhulimhen-Iyoha¹,

Okolo²

2012

Nig. J. Paed.

View full text Add to dashboard Cite

show abstract

“…This agrees with the findings in the study in Enugu, Nigeria, by Ibeziako & Ibekwe, but contrasts with other studies, which respectively found HIV/AIDS & bronchopneumonia, and anaemia & sepsis as the top two common causes of death in this age group in their studies. 35,23,32 Deaths occurring in the more than 5 years age group in this study were most commonly caused by malignancies and septicaemia. This is different from others that have found the top two common causes of death in this age group to be malaria & sepsis, severe malaria & malignancy, malignancy & HIV/AIDS, severe malaria & sepsis, 33 malignancy & severe malaria.…”

Section: Discussionmentioning

confidence: 99%

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

Ijezie

Okpokowuruk

2016

Int J Res Med Sci

View full text Add to dashboard Cite

“…As a result, 56 (19.9%) mortality was recorded among the children who suffered one or more of the spectrum of surgical child abuse/neglect due to irreversible complications of the primary surgical pathology; which was statistically significant compared with other children who were not abused or neglected, and this agrees with previous reports. [9][10][11][12] In addition, the effect of poverty which is prevalent in developing countries was obvious as 40.2% parents/ caregivers gave this as a cause for surgical child abuse and neglect. This is fallout from the economic recession and inadequate government policy that makes it compulsory for all children to pay hospital bills irrespective of the disease and financial background.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11][12] This study became timely and was designed to determine why in the last ten years some parents/caregivers perpetrated this abuse or neglect against children with surgical pathology, the range of the abuse and its effect on the outcome of management of affected children in a tertiary hospital. The aim is to generate results that may influence policy makers in this subregion so as to enable them formulate policies that will protect children, particularly those with surgical pathology against this form of child abuse and neglect.…”

Section: Introductionmentioning

confidence: 99%

Causes, Spectrum and Effects of Surgical Child Abuse and Neglect in a Nigerian City

Osifo¹,

Oku²

2010

West African Journal of Medicine

View full text Add to dashboard Cite

BACKGROUND: Children are dependent on parents/care givers for the quality of health care services received and in developing countries, where they are not protected against child abuse; many die as a result of denial of appropriate treatment. OBJECTIVE: The objective of this study was to determine the causes, spectrum and effects of abuse/neglect on surgical children. METHODS: Analysis of cases of surgical child abuse/neglect between January, 1998 and December, 2007 at the University of Benin Teaching Hospital, Benin City, Nigeria, was done. RESULTS: A total of 281 children aged two days and 12 years comprising 113 males and 168 females with male/female ratio 1:1.4, mainly with congenital malformation, suffered surgical child abuse/neglect ranging from delayed presentation, to child abandonment which was perpetuated by ignorance, poverty, superstitious beliefs, customs as well as non availability of free medical services for children. Counselling and home visits in addition to surgeries were done and 198 (70.5%) children were successfully treated with those abandoned happily reunited with their families, while 56 (19.9%) mortality was recorded due to complications of the primary surgical pathology, and this was statistically significant compared with other children with similar lesions but without abuse or neglect during the period (P=0.0102). Whereas 27 (9.6%) among those discharged against medical advice were lost to follow-up, of the 198 children that survived, 22 suffered psychological trauma and were co-managed with psychologists while seven were transferred to orphanage homes. CONCLUSION: Surgical child abuse/neglect is rampant, hence, it is hoped that these findings will influence policy makers in this sub-region to formulate policies that will protect children against this form of child abuse.

show abstract

Pattern and Outcome of Admissions in the Children's Emergency Room of the University of Nigeria Teaching Hospital, Enugu.

Cited by 32 publications

References 0 publications

Morbidity and mortality of childhood illnesses at the emergency paediatric unit of the University of Benin Teaching Hospital, Benin City.

Morbidity and mortality of childhood illnesses at the emergency paediatric unit of the University of Benin Teaching Hospital, Benin City.

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

Causes, Spectrum and Effects of Surgical Child Abuse and Neglect in a Nigerian City

Contact Info

Product

Resources

About