Prevalence and Burden of Diseases Presenting to a General Pediatrics Ward in Gondar, Ethiopia

Gordon, David; Frenning, Sarah; Draper, Heather R.; Kokeb, Mehretie

doi:10.1093/tropej/fmt031

Cited by 39 publications

(53 citation statements)

References 11 publications

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“…This is consistent with other pediatric mortality studies in analogous settings [6,7]. Ethiopia is one of several countries which suffers the largest burden of childhood mortality from pneumonia [25].…”

Section: Discussionsupporting

confidence: 91%

“…Challenges with record keeping in LMIC hospitals have been well recognized [1,30], however we have accurate sex identification for 99.4 % of our records, making this an unlikely contributor to the observed disparity. Sex disparity in hospital admissions has also been reported in other Ethiopian hospitals, implying that this may be a nation-wide phenomenon [6,9]. It may reflect underlying societal factors affecting care-seeking behaviors by family members, and while this is beyond the scope of our analysis, it deserves further investigation.…”

Section: Discussionmentioning

confidence: 69%

“…Despite this lower rate, 44 % of pediatric hospital deaths at ZMH occur early during hospitalization, which is higher than previously reported at other Ethiopian hospitals [6,7]. High early mortality is likely multifactorial, related to patterns of severe disease, delays in care seeking by family members, inadequate pre-hospital care, and underprioritized emergency care in hospital [13][14][15].…”

Section: Discussionmentioning

confidence: 83%

“…Specifically, there is limited information about pediatric hospital admissions, mortality patterns, and cause mortality in Ethiopian hospitals [6,7]. Previous studies on pediatric hospital mortality in sub-Saharan Africa have demonstrated that deficiencies in pediatric triage, assessment, and emergency treatment at least partially accounts for high inpatient mortality, a large burden of which occurs early during hospitalization [8].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies on pediatric hospital mortality in sub-Saharan Africa have demonstrated that deficiencies in pediatric triage, assessment, and emergency treatment at least partially accounts for high inpatient mortality, a large burden of which occurs early during hospitalization [8]. In Ethiopia, one study reported that 33 % of deaths occurred within the first 24 h of admission to the general pediatric ward [6], another reported 34 % within the first 48 h [7], while another reported 100 % of deaths within the first 24 h of admission to the pediatric ICU [9]. This suggests that a large proportion of pediatric hospital mortality occurs early during hospitalization, however available data is limited only to children less than five years of age and does not include a complete analysis of demographics, mortality patterns, and cause mortality.…”

Section: Introductionmentioning

confidence: 99%

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Demographic and mortality analysis of hospitalized children at a referral hospital in Addis Ababa, Ethiopia

Bohn¹,

Record²,

Kassaye³

et al. 2016

Annals of Global Health

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Background: Global childhood mortality rates remain high. Millennium Development Goal 4 focused efforts on reducing rates by two-thirds between 1990 and 2015. In Ethiopia, child mortality rates dropped 71 % from 1990 to 2015, however it is estimated that 184,000 Ethiopian children die each year. There is limited information about pediatric hospital admissions in Ethiopia. Our aims were to examine the temporal relationship of mortality to admission, describe the demographics, and identify cause mortality of children admitted to the Zewditu Memorial Hospital (ZMH). Methods: A four-year retrospective review of pediatric admissions was conducted at the pediatric emergency room and pediatric hospital ward at ZMH in Addis Ababa, Ethiopia. Admission entries from 2011-2014 of children age 29 days-14 years were reviewed. Age, gender, admission date, disease classification, discharge status and date were obtained. Patient gender was compared using Chi-square analysis. A descriptive analysis was used for age and cause mortality. Conclusions: Our study revealed a lower mortality rate than previously reported in Ethiopia. Despite this, 44 % of pediatric hospital mortality occurred early during hospitalization, higher than reported at other Ethiopian hospitals. This adds further evidence that systematic efforts should be dedicated to improve pediatric emergency care. Admissions included 58 % male patients, similar to other reports in Ethiopia implying that this may be a nation-wide phenomenon. The observed disparity may be due to societal factors regarding care-seeking behaviors or male predilection for respiratory illness warranting further investigation. Cause mortality patterns were similar to reports in analogous settings.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Demographic and mortality analysis of hospitalized children at a referral hospital in Addis Ababa, Ethiopia

Bohn¹,

Record²,

Kassaye³

et al. 2016

Annals of Global Health

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The practice of foreign body removal from the ear, nose, and upper esophageal in children in Ethiopia: A retrospective descriptive study

Zewdu

Chufamo

Eanga

et al. 2021

Laryngoscope Investig Oto

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Background Ear, nose, and upper esophageal foreign body (FB) impaction in children is a common emergency in‐hospital service. There are no clear guidelines regarding the management of ingested FBs. This study aimed to determine the FB in terms of type, anatomic site, management outcome, and associated complications. Methods Retrospective study of children with ear, nose, and upper esophageal FB managed under general anesthesia (GA) at operating room of Wolkite Hospital in the southern part of Ethiopia between January 2019 and February 2021. Data were collected from the medical chart of the patients using a prepared checklist. The parameters included were age, sex, FB anatomic site, type, management outcome, and associated complications related to FB or procedure modalities. Results A total of 169 (31.4%) study subjects were required GA for the removal of FBs. The mean age was 4.45 ± 3.20 years. Under 5 years old children comprises 61.5% of total cases. The most common anatomic site of FB impaction was in the ear 97 (57.4%). The most commonly found type of FB was cereals or seeds, which constituted 102 (60.35%). The complication rate was 18.35%. Epistaxis was the commonest complication (6.51%) from the nose while canal abrasion (5.92%) was common from the ear. Conclusion Ear, nose, and upper esophageal FBs were found more frequently in younger children. The ear was the most common anatomic site of FB impaction followed by the nose and upper esophageal. The most common type of FB was cereals or seeds. Level of Evidence 4.

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Predictors of mortality among severe acute malnourished children. A multi-center prospective follow-up study

Alemu

Argaw²,

Adimasu³

et al. 2023

Clinical Nutrition ESPEN

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Prevalence and Burden of Diseases Presenting to a General Pediatrics Ward in Gondar, Ethiopia

Abstract: This study demonstrates a mortality pattern at our hospital that differs considerably from Ethiopia as a whole, and may differ from other hospitals in sub-Saharan Africa. Hospitals must look beyond national and regional agenda when identifying mortality reduction targets.

Cited by 39 publications

References 11 publications

Demographic and mortality analysis of hospitalized children at a referral hospital in Addis Ababa, Ethiopia

Demographic and mortality analysis of hospitalized children at a referral hospital in Addis Ababa, Ethiopia

The practice of foreign body removal from the ear, nose, and upper esophageal in children in Ethiopia: A retrospective descriptive study

Predictors of mortality among severe acute malnourished children. A multi-center prospective follow-up study

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