دورية أكاديمية
Patterns of paediatric emergency admissions and predictors of prolonged hospital stay at the children emergency room, University of Calabar Teaching Hospital, Calabar, Nigeria.
| العنوان: | Patterns of paediatric emergency admissions and predictors of prolonged hospital stay at the children emergency room, University of Calabar Teaching Hospital, Calabar, Nigeria. |
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| المؤلفون: | Enyuma CO; Division of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; Department of Paediatrics, Faculty of Medicine, University of Calabar, Nigeria.; Department of Paediatrics, University of Calabar Teaching Hospital. Nigeria., Anah MU; Department of Paediatrics, Faculty of Medicine, University of Calabar, Nigeria.; Department of Paediatrics, University of Calabar Teaching Hospital. Nigeria., Pousson A; John Hopkins school of Medicine, Baltimore, Maryland, USA., Olorunfemi G; Division of Epidemiology and Biostatistics, School of Public health, University of the Witwatersrand, Johannesburg, South Africa., Ibisomi L; Division of Epidemiology and Biostatistics, School of Public health, University of the Witwatersrand, Johannesburg, South Africa., Abang BE; Department of Paediatrics, University of Calabar Teaching Hospital. Nigeria., Imoke EJ; Department of Paediatrics, University of Calabar Teaching Hospital. Nigeria. |
| المصدر: | African health sciences [Afr Health Sci] 2019 Jun; Vol. 19 (2), pp. 1910-1923. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Faculty of Medicine, Makerere University Country of Publication: Uganda NLM ID: 101149451 Publication Model: Print Cited Medium: Internet ISSN: 1729-0503 (Electronic) Linking ISSN: 16806905 NLM ISO Abbreviation: Afr Health Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Kampala, Uganda : Faculty of Medicine, Makerere University, [2001- |
| مواضيع طبية MeSH: | Emergencies/*epidemiology , Hospitals, Teaching/*statistics & numerical data , Length of Stay/*statistics & numerical data , Patient Admission/*statistics & numerical data, Anemia, Sickle Cell/epidemiology ; Child ; Child, Preschool ; Cross-Sectional Studies ; Emergency Service, Hospital ; Female ; Fever/epidemiology ; Hospital Mortality ; Humans ; Infant ; Malaria/epidemiology ; Male ; Nigeria/epidemiology ; Outcome Assessment, Health Care ; Prospective Studies ; Sepsis/epidemiology ; Socioeconomic Factors ; Time Factors |
| مستخلص: | Background: There is a high prevalence of paediatric emergency cases in less developed countries. However, prolonged hospital stay at emergency units may further overstretch the facilities. Objective: To assess the patterns of presentations, services offered and predictors of a prolonged stay at the Children Emergency Room of a tertiary hospital in Southern Nigeria. Methods: This prospective cross-sectional, study was conducted at the University of Calabar Teaching Hospital, Nigeria from 1 st January-31 st December 2014. Socio-demographic and clinical characteristics of consecutively recruited children (n=633) were recorded in a proforma. Binary logistic regression was conducted to determine predictors of prolonged stay (>72 hours). Result: The median age of participants was 2 (1 - 4.6) years. Three-fifths of children were admitted at off-hours and the commonest symptom was fever (73.9%). About 16.4% (95%CI:13.6% - 19.4%, n= 103/633) of the children had prolonged stay while those with sepsis had the longest mean stay (65.5±72.1 hours). Children admitted on account of Sickle cell disease (OR:11.2, 95%CI:1.3-95.1, P-value = 0.03), Malaria (OR:10.7, 95%CI:1.4-82.5, P-value = 0.02) or sepsis (OR:10.5, 95%CI:1.3 - 82.7, P-value = 0.03) had higher odds of prolonged hospital stay. There was no significant difference in hospital stay among children admitted by the consultant as compared to other health personnel (P-value = 0.08). Conclusion: Prevention and proper management of Sickle cell disease and malaria reduces paediatric hospital stay in our environment. Paediatric emergency medicine should be re-organized to cater for high volume of off-hour admissions. (© 2019 Enyuma et al.) |
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| فهرسة مساهمة: | Keywords: Paediatric emergency; children emergency unit; paediatric emergency admissions; predictors of prolonged stay |
| تواريخ الأحداث: | Date Created: 20191029 Date Completed: 20191112 Latest Revision: 20231014 |
| رمز التحديث: | 20231014 |
| مُعرف محوري في PubMed: | PMC6794543 |
| DOI: | 10.4314/ahs.v19i2.14 |
| PMID: | 31656474 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1729-0503 |
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| DOI: | 10.4314/ahs.v19i2.14 |