Jofiro, Gemechu (2017) An Audity of Pediatric Mortality Patterns in Pediatric Emergency Unit of Tikur-Anbessa Specialized Hospital in Addis Ababa City, Ethiopia, 2017G.C. Masters thesis, Addis Ababa University.
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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.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 04 Jul 2018 07:40 |
| Last Modified: | 04 Jul 2018 07:40 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5943 |
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