دورية أكاديمية
Childhood dead-before-arrival at a Nigerian tertiary health facility: A call for concern and improvement in health care delivery
| العنوان: | Childhood dead-before-arrival at a Nigerian tertiary health facility: A call for concern and improvement in health care delivery |
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| المؤلفون: | Adewuyi Temidayo Adeniyi, Bankole Peter Kuti, Samuel Ademola Adegoke, Oluwasola Julius Oke, Theophilus Adesola Aladekomo, Oyeku Akibu Oyelami |
| المصدر: | Nigerian Journal of Medicine, Vol 30, Iss 5, Pp 514-518 (2021) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | children emergency, dead-before-arrival, mortality, verbal autopsy, Medicine |
| الوصف: | Background: Dead-before-arrival (DBA) is a term used to describe patients who had no sign of life at the time of presentation to the hospital. Little information exists about it in children. This study sets out to determine the prevalence and pattern of DBA among children presenting to a tertiary health facility in Nigeria. Materials and Methods: Standardized verbal autopsy was used to ascertain the details about children aged 1 month to 14 years who were cases of DBA at the Children Emergency Ward of the Wesley Guild Hospital, Ilesa, Nigeria, over 12 months. Socio-demographic history, symptoms before demise, treatment received, and suspected cause (s) of death were documented. The prevalence of DBA was compared to the in-hospital mortality during the period. Results: A total of 64 (7.4%) of the 863 emergency admissions were cases of DBA. Median (interquartile range) age was 18.0 (8.0–52.5) months, male: female was 1.7 and over 78.1% were under-fives. Infections such as malaria, sepsis, and gastroenteritis were the most common suspected causes of death, followed by accidental injuries from a road traffic crash, drowning, and aspirations. Cases of DBA were significantly higher than in-hospital mortality during the study period (7.4% vs. 5.6%). Conclusion: In-hospital mortality may be a tip of the iceberg as cases of DBA, and those who did not present to the hospital at all may take the lion share of childhood mortality. Making basic health care available and affordable to the populace may help reduce the burden of DBA. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1115-2613 98433857 |
| Relation: | http://www.njmonline.org/article.asp?issn=1115-2613;year=2021;volume=30;issue=5;spage=514;epage=518;aulast=Adeniyi; https://doaj.org/toc/1115-2613 |
| DOI: | 10.4103/NJM.NJM_100_21 |
| URL الوصول: | https://doaj.org/article/435c307f963b4ea98433857da0696007 |
| رقم الأكسشن: | edsdoj.435c307f963b4ea98433857da0696007 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 11152613 98433857 |
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| DOI: | 10.4103/NJM.NJM_100_21 |