Pediatric Surgical Admissions and Their Outcomes at Adama Hospital Medical College: A Facility Based Cross Sectional Study
American Journal of Pediatrics
Volume 3, Issue 4, July 2017, Pages: 23-27
Received: May 5, 2017;
Accepted: May 26, 2017;
Published: Aug. 30, 2017
Views 1621 Downloads 60
Tsegaye Ketema, Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Sileshi Garoma Abeya, Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Kalide Abdela, Department of Surgery, Adama Hospital Medical College, Adama, Ethiopia
Tolossa Eticha Chaka, Department of Pediatrics and Child Health, Adama Hospital Medical College, Adama, Ethiopia
Follow on us
Pediatric surgical admissions dramatically increased throughout the world as a result of increased trauma, emergency diseases and survival of congenital diseases. So, Facility based cross sectional study was conducted to identify the common pediatric (Age ≤ 15 years) surgical admissions and their outcomes at Adama Hospital Medical College. All admitted surgical patients from Jun 1, 2014 to June 30, 2015 were included in the study. Data abstraction tool was constructed to retrieve information from charts. Data was entered to SPSS version 20. Descriptive and analytic studies were performed. P value ≤ 0.05 with 95% confidence interval (CI) was used to interpret the findings. The mean age of study participants was 6 years ± 4.5 SD. Males were 276 (71.9%) making male to female ratio of 2.5:1. Gastrointestinal conditions (33.8%) were commonest causes of admissions followed by trauma (25.5%) and congenital anomalies (19%). There were five deaths resulting in a mortality rate of 1.3%. Factors associated with death were: delay in presentation, prolonged length of stay in hospital and delay in intervention. Shorter time of presentation to intervention (< 6 hrs) was found to be significantly associated with the favorable outcomes [Adjusted Odds Ratio (AOR): 36.4, 95% CI: 3.7, 38]. Those who stayed < 7 days in the hospital were more likely to have favorable outcome (AOR: 1.7, 95% CI: 1.6, 16.8) compared to their counterparts. Delayed intervention, prolonged hospital stay and trauma are independent predictors of patient outcomes. Death in Pediatric patients with surgical conditions can be averted by avoiding these delays. Efforts to shorten length of stay in the hospital could also improve patient outcomes.
Pediatrics, Pediatric Surgery, Outcome, Adama Hospital Medical College, Ethiopia
To cite this article
Sileshi Garoma Abeya,
Tolossa Eticha Chaka,
Pediatric Surgical Admissions and Their Outcomes at Adama Hospital Medical College: A Facility Based Cross Sectional Study, American Journal of Pediatrics.
Vol. 3, No. 4,
2017, pp. 23-27.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Nordberg E (1994). Injuries in Africa: A review. East African Medical Journal 71: 339-45.
Division of Pediatric Surgery, Center for Pediatric Surgical Clinical Trials & Outcomes Research, Johns Hopkins University School of Medicine (2004) 125-130.
Ameh EA, Chirdan LB (2001). Paediatric surgical in the rural setting: prospect and feasibility. West Africa journal of Medicine 201: 52-5.
Bicker SW, Rode H (2001). Pediatric surgery in sub-Saharan Africa. Pediatric surgery international 17: 442-7.
Nwomeh BC, Mshelbwala PM (2004). Paediatric surgical specialty: how relevant to Africa? Afr J Paediatr Surg 1: 36-42.
Derebew M. and Ahmed E (2006). Pattern of paediatrics surgical condition at BLH, AAU Medical Faculty. Ethiop Med. J. 44 (4): 331-8.
Thanni OA, Shonubi AMO, Akiode O (2005). A retrospective audit of pediatric surgical admission in a sub-urban tertiary hospital. West Afr J Med 24: 10-12.
Osifo OD, Aduwa IP (2010). Pattern and outcome of paediatric surgical admission to a Nigerian tertiary hospital Annals of Pediatric Surgery 6; 161-166.
Bickler SW, Sanno-Duand B (2000). Epidemiology of pediatric surgical admission to a government referral hospital in the Gambia. Bulletin of the World Health Organ. 78: 1330-6.
Bickler SW, Rode H (2002). Surgical services for children in developing countries. Bull World Health Organ 80 (10): 829–835.
Bickler SW, Telfer ML, Sanno-Duanda B (2003). Need for paediatric surgery care in an urban area of The Gambia. Trop Doct 33 (2): 91–94.
Weiser TG, Regenbogen SE, Thompson KD, et al (2008). An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 372 (9633): 139–144.
Azzie G, Bickler S, Farmer D, Beasley S (2008). Partnerships for developing pediatric surgical care in low-income countries. J Pediatr Surg 43 (12): 2273–2274.
Graham RJ (2008). Specialty services for children with special health care needs. Arch Dis Child 93: 2-4.
Simons D (1985). Accidents in Malawi. Archives of disease in childhood 60: 64-66.
Assefa et al (2014). Magnitude of, trends in, and associated factors of road traffic collision in central Ethiopia. BMC Public Health 14: 1072.
Chalya et al (2014). Childhood intussaucception. Italian Journal of Pediatrics 40: 28.
Tekle TT, Mollalegne TM (2016). Pattern of Pediatric Surgical Admission in Yirgalem Hospital, Southern Ethiopia. J Vasc Med Surg 4: 239.