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June 28-29, 2019 | Oslo, Norway
Volume 08
Journal of Medical and Health Sciences | ISSN : 2319-
Breast Pathology and Cancer, Gynecology and Obstetrics Pathology, Palliativecare and Gerontology 2019
Joint Event
Breast Pathology & Cancer
Palliativecare & Gerontology
Gynecology and Obstetrics Pathology
Prevalence and associated factors of pediatric emergency mortality at Tikur Anbessa
specialized tertiary hospital: A f ive year retrospective case review study
Gemechu Jofiro, Kemal Jemal, Lemlem Beza
and
Tigist Bacha Heye
Arsi University, Ethiopia
Background:
Childhood mortality remains high in resource-limited third world countries. Most childhood
deaths in hospital often occur within the f irst 24 hours of admission. Many of these deaths are from preventable
causes. This study aims to describe the patterns of mortality in children presenting to the pediatric emergency
department.
Methods:
This was a f ive-year chart review of deaths in pediatric patients aged seven days to 13 years
presenting to the Tikur Anbessa specialized tertiary hospital (TASTH) from January 2012 to December
2016. Data were collected using a pretested, structured checklist, and analyzed using the SPSS Version 20.
Multivariate analysis by logistic regression was carried out to estimate any measures of association between
variables of interest and the primary outcome of death.
Results:
The proportion of pediatric emergency department (PED) deaths was 4.1% (499 patients) out of
12,240 PED presentations. This translates to a mortality rate of 8.2 deaths per 1000 patients per year. The
three top causes of deaths were pneumonia, congestive heart failure (CHF) and sepsis. Thirty two percent
of the deaths occurred within 24 hours of presentation with 6.5% of the deaths being neonates and the most
common co-morbid illness was malnutrition (41.1%). Multivariate analysis revealed that shortness of breath
[AOR=2.45, 95% CI (1.224.91)], late onset of signs and symptoms [AOR=3.22, 95% CI (1.34-7.73)], fever
[AOR=3.17, 95% CI (1.28-7.86)], and diarrhea [AOR=3.36, 95% CI (1.69-6.67)] had signif icant association
with early mortality.
Conclusion:
The incidence of pediatric emergency mortality was high in our study. A delay in presentation
of more than 48 hours, diarrheal diseases and shortness of breath were signif icantly associated with early
pediatric mortality. Early identif ication and intervention are required to reduce pediatric emergency mortality.
RRJMHS 2019, Volume 08