An Audity of Pediatric Mortality Patterns in Pediatric Emergency Unit of Tikur-Anbessa Specialized Hospital in Addis Ababa City, Ethiopia, 2017g.C
No Thumbnail Available
Date
2017-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: Globally and Sub-Saharan Africa country still now childhood mortality rates remain
high. In Ethiopia, child mortality rates dropped 71% from 1990 to 2015, however it is still around
184,000 Ethiopian children die each year. More deaths of children in hospital often occur within the
first 24hrs of admission. Many of these deaths occur from preventable causes. The most causes are
pneumonia, diarrhea, circulatory impairment, severely mental function altered and sepsis.
Objective: To assess causes and associated factors of pediatric emergency mortality in pediatric
emergency unit at Tikur-Anbessa Specialized Hospital in Addis Ababa city, Ethiopia.
Methodology: A five years retrospective study review of pediatric mortality from neonate to 13 years
was conducted at the pediatric emergency unit. The data was entered to epi-data version 3.1 software
and the data was exported to Statistical Package for Social Science Version 20, then result analyzed
by using descriptive statistics, Pearson chi-square, and logistic regression. Final result was displaced
by graph, tabulation, texts and pie-chart.
Result: This study found that from 12,240 pediatric patients that entered to admitted pediatric
emergency unit only about 449(4.1%) documented as death outcome with 107(31.7%) of early
mortality rate. The average mean of study participant age was 37.46 months and more mortality rate
found among neonate age group 69(6.5%). A 298(88.2%) of pediatric emergency mortality was due to
medical emergency cases that more consists cardiovascular diseases and respiratory diseases. About
146(43.2) primary cause of death was concomitant with secondary causes of deaths. Malnutrion
60(41.1%) was the most leading causes of co morbidity with primary causes. Early mortality was
strongly significant association with late come to ED (AOR=1.865, CI=1.103-3.152, P= 0.020) and
diarrheal diseases (COR=0.221, CI=0.054-0.903, P=0.036).
Conclusion and recommendation: In this study Pneumonia 60(17.8%), Congestive heart failure
46(13.6%) and sepsis 40(11.8%) were the top causes of pediatric emergency mortality in pediatric
emergency unit. So that early identifying and intervention is very important to decrease pediatric
emergency mortality
Description
Keywords
Pediatric Mortality Patterns; Pediatric Emergency