Volume 9, Issue 4, December 2020, Page: 98-101
Critically Ill Children Admitted into the Paediatric Emergency Unit of a Tertiary Hospital in a Developing Country and the Causes of Delayed Presentation
Labaeka Adeyemi Adeyinka, Department of Paediatrics, University College Hospital, Ibadan, Nigeria
Received: Oct. 14, 2020;       Accepted: Oct. 28, 2020;       Published: Nov. 11, 2020
DOI: 10.11648/j.sjcm.20200904.12      View  120      Downloads  41
Abstract
Decades of advancement in health care delivery and clinical practice may have massively impacted the efficiency of health delivery and patient outcome in high-income countries, but its effect is still minimal in the low-income countries who are still dealing with poorly equipped and inadequate health facilities low insurance coverage and poor education. This study set out to evaluate the clinical profiles of critically ill admitted into the paediatric emergency unit and causes delay presentation. A prospective review of children admitted into the children emergency room between January 2018 to December 2019. A total of 8087 emergency room visits were attended to over the two years out of which 4039 were admitted. The majority of participants (63.5%) are less than 5 years, there was a male to female ratio of 1.6:1 and 1458 (36.1%) had emergency signs necessitating resuscitation at presentation. 74% of participants have been self-medicated by parent/caregiver before presenting in the hospital (50% antibiotics, 44% antimalaria). The most frequent symptoms include fever, vomiting, breathlessness and seizures, majority (73%) of those with emergency sign presented 48 hours after onset of symptoms and the major reason for the delay was the fear of the cost of treatment. Children that had significant odd of dying include those that: were self-medicated, had emergency signs and under- 5 children. The high dependence of out-of-pocket financing in Nigeria health care system remains a major cause of delayed presentation among critically ill children. There is an urgent need for the government to improve on the universal health coverage by improving the number of the population with health insurance coverage.
Keywords
Critically Ill Child, ETAT, Emergency Signs, Delay Presentation, Emergency Room
To cite this article
Labaeka Adeyemi Adeyinka, Critically Ill Children Admitted into the Paediatric Emergency Unit of a Tertiary Hospital in a Developing Country and the Causes of Delayed Presentation, Science Journal of Clinical Medicine. Vol. 9, No. 4, 2020, pp. 98-101. doi: 10.11648/j.sjcm.20200904.12
Copyright
Copyright © 2020 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.
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