دورية أكاديمية

Epidemiological and clinical features of the emergency visits in a rural hospital in Cubal, Angola.

التفاصيل البيبلوغرافية
العنوان: Epidemiological and clinical features of the emergency visits in a rural hospital in Cubal, Angola.
المؤلفون: Turbau Valls M; Emergency Department and Semicritical Area, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.; Autonomous University of Barcelona (UAB), Spain., Gil Olivas E; Emergency Department and Semicritical Area, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.; Hospital Nossa Senhora da Paz, Missão Catolica de Cubal, Benguela, Angola., López García T; Hospital Nossa Senhora da Paz, Missão Catolica de Cubal, Benguela, Angola., Piedade D; Hospital Nossa Senhora da Paz, Missão Catolica de Cubal, Benguela, Angola., Pessela A; Hospital Nossa Senhora da Paz, Missão Catolica de Cubal, Benguela, Angola., Nicasio MM; Autonomous University of Barcelona (UAB), Spain.
المصدر: The Pan African medical journal [Pan Afr Med J] 2018 Mar 05; Vol. 29, pp. 143. Date of Electronic Publication: 2018 Mar 05 (Print Publication: 2018).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kampala, Uganda : African Field Epidemiology Network
مواضيع طبية MeSH: Emergency Service, Hospital/*statistics & numerical data , Hospitalization/*statistics & numerical data , Hospitals, Rural/*statistics & numerical data, Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Angola ; Child ; Child, Preschool ; Female ; Hospital Mortality ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Patient Transfer/statistics & numerical data ; Referral and Consultation ; Retrospective Studies ; Young Adult
مستخلص: Introduction: There is scarce information on the profiles of patients attended in the Emergency Departments (ED) in rural Angola.
Methods: Retrospective descriptive study including all the patients treated in the ED in Hospital Nossa Senhora da Paz (Cubal) during 6 months (December 2014- May 2015). The epidemiological and clinical data collected were: age, sex, shift, service assignment, reason for consultation and outcome (discharge, admission, referral or death).
Results: A total of 2384 patients (53.4% women) were attended. The median age was 10 years (range: 0 - 96 years); 57.9% and 40.2% of them were under 17 and 5 years, respectively. No differences were observed regarding the assistance per shift, weekdays, weekends, or mean age per shift. The reason for consultation was registered in 69.9% of the patients; the most common were respiratory tract infections (20.5%), fever (14%), digestive diseases (13.6%) and malaria (10.4%). Up to 47.2% of the patients required in-hospital treatment and 1.3% were transferred to other hospitals. The patients admitted were significantly younger than the patients discharged (median age of 4 vs.16 years, p < 0.01). The mortality rate within the ED was 0.5%.
Conclusion: Young patients were those who mostly required assistance in the ED. Infectious diseases were the most frequent reason for consultation. Pulmonary tuberculosis was suspected in one third of respiratory infections. The admission rate was high, especially in children under 5 years and in cases of malaria and malnutrition. Low referral rate and low mortality within the ED were observed.
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فهرسة مساهمة: Keywords: Angola; Tropical medicine; emergency service; low-and middle-income countries; malaria
تواريخ الأحداث: Date Created: 20180728 Date Completed: 20180827 Latest Revision: 20220318
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC6057579
DOI: 10.11604/pamj.2018.29.143.13780
PMID: 30050607
قاعدة البيانات: MEDLINE
الوصف
تدمد:1937-8688
DOI:10.11604/pamj.2018.29.143.13780