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ORIGINAL ARTICLE
Year : 2014  |  Volume : 13  |  Issue : 1  |  Page : 6-10

Pattern and outcome of admissions at the children emergency room at the Federal Teaching Hospital Abakaliki


1 Department of Pediatrics, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
2 Department of Pediatrics, Federal Teaching Hospital; Department of Pediatrics, College of Medicine, Ebonyi State University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria

Correspondence Address:
Dr. Onyinye U Anyanwu
Department of Pediatrics, Federal Teaching Hospital, Abakaliki, Ebonyi State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2384-5589.139435

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Context: The children emergency room (CHER) in Federal Teaching Hospital Abakaliki (FETHA) is one of the units o pediatrics department specialized in meeting the unique needs of children during medical emergencies. A description of the pattern and outcome of its admissions and factors that may contribute to their outcome will help proffer solutions in health care planning with regards emergency care in Abakaliki. Aims: To determine the pattern and outcome of CHER admissions at Federal Teaching Hospital Abakaliki (FETHA). Materials and Methods : A retrospective study of CHER admissions from 1 st of January to 31 st of December 2012. The Nurses book of statistics and case notes of patients in the CHER of FETHA Ebonyi state, a multi-specialty, children's referral, tertiary health hospital in Ebonyi State were used. Statistical analysis used: Descriptive analysis using SPSS version 20 (IBM statistics). Results: Over the period, 1022 patients were seen with a mean age of 1.9 + 2.6 years. Males were 58.8%, 41.2% were females. The most common diagnosis was diarrheal disease (36.1%) followed by malaria (16.2%) and pneumonias (11.7%). A mortality of 10% was recorded while 66.6% were discharged home, 3.8% discharged against medical advice while 19.6% were transferred to other units in the ward. Majority of deaths were in infancy (57.8%), more in males (69.6%), and from diarrheal disease (43.1%). Conclusions: There is a high mortality ratio of patients at CHER in our setting, attributable mainly to preventable causes like diarrhea. This raises concerns that parental education on health promoting and preventive measures may be low.


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