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首页> 外文期刊>African Journal of Emergency Medicine >Burden and spectrum of paediatric respiratory diseases at a referral hospital in North-Central Nigeria - A five year review
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Burden and spectrum of paediatric respiratory diseases at a referral hospital in North-Central Nigeria - A five year review

机译：尼日利亚北部调节医院儿科呼吸系统疾病的负担和谱 - 五年审查

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IntroductionGlobally respiratory diseases, comprising a broad range of disease conditions due to infectious and non-infectious causes, are a major cause of childhood morbidity and mortality. Thus, identification of the burden of respiratory illness will ensure appropriate interventions towards reducing its attendant morbidity and mortality. The study was conducted to identify the burden, spectrum and outcome of respiratory diseases in hospitalized children at University of Ilorin Teaching Hospital, North-Central Nigeria.MethodsA retrospective descriptive cross-sectional study involving children admitted through the emergency paediatric unit over five years (January 2013-December 2017) was conducted. Data on demography, diagnosis, co-morbidities and complications, duration of admission, and outcome were collected and analyzed using SPSS 20.ResultsOf the total 7012 children admitted, 1939(27.7%) were due to respiratory diseases with a median age of 16 (interquartile range {IQR} 7-36) months. Males were 994(51.3%) and 945(48.7%) females. Infectious diseases were the most common cause of admission. Pneumonia (50.1%) and aspiration pneumonitis (5.1%) accounted for the highest admissions due to infective and non-infective respiratory diseases respectively. Overall, respiratory diseases accounted for 20.7% (119/574) of the overall mortality among all admissions while the all-respiratory disease mortality was 6.1% (119/1939). The major contributors to mortality were pneumonia, aspiration pneumonitis and tuberculosis accounting for 81(68.1%), 12(10.1%) and nine (7.6%) deaths respectively. The median duration of hospital stay was four days [IQR: 2 to 6 days]. A significantly higher proportion of the deaths occurred with four days of admission and 82.4% of the deaths occurred among those aged less than five years. A higher number of females (70, 58.8%) died compared to males (49, 41.2%), p=0.05.ConclusionPneumonia and aspiration pneumonitis are major contributors to morbidity and mortality due to respiratory diseases for which interventions towards improving childhood health indices should be prioritized.
机译：引进膀胱呼吸系统疾病，包括由于传染性和非传染性原因导致的广泛疾病条件，是儿童发病率和死亡率的主要原因。因此，鉴定呼吸道疾病的负担将确保适当的干预措施来降低其伴随的发病率和死亡率。进行该研究以确定尼日利亚北部伊洛林教学医院住院儿童住院儿童的负担，频谱和结果。。涉及五年（1月）涉及通过急诊儿科（1月）录取的儿童录取的儿童录取的横断面研究2013年至2017年12月）进行了。利用SPSS 20收集和分析有关人口统计学，诊断，共产病，入院持续时间，入学持续时间和结果的数据。录取7012名儿童的呼​​吁，1939年（27.7％）是由于16岁的呼吸系统疾病（狭隘的范围{IQR} 7-36）个月。男性994（51.3％）和945（48.7％）的女性。传染病是最常见的入学原因。肺炎（50.1％）和吸入肺炎（5.1％）分别占感染和非感染性呼吸系统疾病的最高录取。总体而言，呼吸系统疾病占所有入学的总体死亡率的20.7％（119/574），而全呼吸道疾病死亡率为6.1％（119/1939）。死亡率的主要贡献者分别是肺炎，吸入性肺炎和结核病分别占81（68.1％），12（10.1％）和九（7.6％）死亡的核算。医院住宿的中位数是四天[IQR：2至6天]。在少于五年的人中发生了4天的入场和死亡人数，死亡的比例显着更高。与男性（49,41.2％）相比，较多的女性（70,58.8％）死亡（49,41.2％），p = 0.05.结合肺炎和吸入性肺炎是由于呼吸系统疾病引起的发病率和死亡率的主要贡献者应该是改善儿童健康指标的呼吸系统优先考虑。

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