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Tytuł pozycji:

Pediatric emergency care in a low-income country: Characteristics and outcomes of presentations to a tertiary-care emergency department in Mozambique.

Tytuł :
Pediatric emergency care in a low-income country: Characteristics and outcomes of presentations to a tertiary-care emergency department in Mozambique.
Autorzy :
Valentina Brugnolaro
Laura Nai Fovino
Serena Calgaro
Giovanni Putoto
Arlindo Rosario Muhelo
Dario Gregori
Danila Azzolina
Silvia Bressan
Liviana Da Dalt
Pokaż więcej
Temat :
Medicine
Science
Źródło :
PLoS ONE, Vol 15, Iss 11, p e0241209 (2020)
Wydawca :
Public Library of Science (PLoS), 2020.
Rok publikacji :
2020
Kolekcja :
LCC:Medicine
LCC:Science
Typ dokumentu :
article
Opis pliku :
electronic resource
Język :
English
ISSN :
1932-6203
Relacje :
https://doaj.org/toc/1932-6203
DOI :
10.1371/journal.pone.0241209
Dostęp URL :
https://doaj.org/article/fb843a03160c4947bfcdc18128023f3b
Numer akcesji :
edsdoj.fb843a03160c4947bfcdc18128023f3b
Czasopismo naukowe
BackgroundAn effective pediatric emergency care (PEC) system is key to reduce pediatric mortality in low-income countries. While data on pediatric emergencies from these countries can drive the development and adjustment of such a system, they are very scant, especially from Africa. We aimed to describe the characteristics and outcomes of presentations to a tertiary-care Pediatric Emergency Department (PED) in Mozambique.MethodsWe retrospectively reviewed PED presentations to the "Hospital Central da Beira" between April 2017 and March 2018. Multivariable logistic regression was used to identify predictors of hospitalization and death.ResultsWe retrieved 24,844 presentations. The median age was 3 years (IQR 1-7 years), and 92% lived in the urban area. Complaints were injury-related in 33% of cases and medical in 67%. Data on presenting complaints (retrieved from hospital paper-based registries) were available for 14,204 (57.2%) records. Of these, respiratory diseases (29.3%), fever (26.7%), and gastrointestinal disorders (14.2%) were the most common. Overall, 4,997 (20.1%) encounters resulted in hospitalization. Mortality in the PED was 1.6% (62% ≤4 hours from arrival) and was the highest in neonates (16%; 89% ≤4 hours from arrival). A younger age, especially younger than 28 days, living in the extra-urban area and being referred to the PED by a health care provider were all significantly associated with both hospitalization and death in the PED at the multivariable analysis.ConclusionsInjuries were a common presentation to a referral PED in Mozambique. Hospitalization rate and mortality in the PED were high, with neonates being the most vulnerable. Optimization of data registration will be key to obtain more accurate data to learn from and guide the development of PEC in Mozambique. Our data can help build an effective PEC system tailored to the local needs.
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