Epidemiological, Clinical, and Evolutionary Profile of Children Admitted to the Pediatric Emergency Department of the Maroua Regional Hospital, Cameroon  

作　　者：Soureya Haman Kamo Selangaï Héléne Enyama Dominique Abouame Palma Haoua Salihou Sadjo Mekone Nkwele Isabelle Nguefack Félicitée Soureya Haman;Kamo Selangaï Héléne;Enyama Dominique;Abouame Palma Haoua;Salihou Sadjo;Mekone Nkwele Isabelle;Nguefack Félicitée(Faculty of Medicine and Biomedical Sciences, University of Garoua, Garoua, Cameroon;Garoua General Hospital, Garoua, Cameroon;Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon;Faculty of Medicine and Biomedical Sciences, University of Yaound, Yaound, Cameroon)

机构地区：[1]Faculty of Medicine and Biomedical Sciences, University of Garoua, Garoua, Cameroon [2]Garoua General Hospital, Garoua, Cameroon [3]Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon [4]Faculty of Medicine and Biomedical Sciences, University of Yaound, Yaound, Cameroon

出　　处：《Open Journal of Pediatrics》2024年第5期878-888,共11页儿科学期刊（英文）

摘　　要：Introduction: Pediatric emergencies in developing countries are associated with high morbidity and mortality. The Maroua Regional Hospital (MRH) is one of the referral centers for pediatric emergencies in the Far north region of Cameroon. Pediatric emergencies are frequent in Maroua and are associated with significant mortality. The aim of our study is to determine the epidemiological, clinical, and evolutionary profile of children admitted to the pediatric emergency department of the HRM. Methods: We conducted an observational, descriptive, and retrospective study over a period from April 10, 2023 to April 10, 2024, focusing on the records of patients admitted to the pediatric emergency department of the MRH. The variables studied included epidemiological, clinical, and evolutionary characteristics. Data analysis was performed using CSPro version 8.01 and SPSS version 27.0. Results: We included 1027 patients;the sex ratio was 1.2 infants under 2 years represented 54.33%. The main reasons for consultation were fever (62.22%) and seizures (30.18%). The most frequently prescribed additional test was the Complete Blood Count (CBC), performed in 97.37% of cases. The most common pathologies were severe malaria (45.18%), broncho-pulmonary infections (15.48%), and bacterial meningitis (12.26%). At admission, 32.9% were transfused. There were 68 deaths, representing 6.67%, and 86% of the deaths occurred within 24 hours of admission. The leading cause of death was severe malaria, with 28 (41.17%) cases. Conclusion: Febrile illnesses were the main reason for consultation, and mortality was linked to severe malaria. Therefore, in addition to the other preventive methods already used against malaria, it is recommended to consider the use of the malaria vaccine.Introduction: Pediatric emergencies in developing countries are associated with high morbidity and mortality. The Maroua Regional Hospital (MRH) is one of the referral centers for pediatric emergencies in the Far north region of Cameroon. Pediatric emergencies are frequent in Maroua and are associated with significant mortality. The aim of our study is to determine the epidemiological, clinical, and evolutionary profile of children admitted to the pediatric emergency department of the HRM. Methods: We conducted an observational, descriptive, and retrospective study over a period from April 10, 2023 to April 10, 2024, focusing on the records of patients admitted to the pediatric emergency department of the MRH. The variables studied included epidemiological, clinical, and evolutionary characteristics. Data analysis was performed using CSPro version 8.01 and SPSS version 27.0. Results: We included 1027 patients;the sex ratio was 1.2 infants under 2 years represented 54.33%. The main reasons for consultation were fever (62.22%) and seizures (30.18%). The most frequently prescribed additional test was the Complete Blood Count (CBC), performed in 97.37% of cases. The most common pathologies were severe malaria (45.18%), broncho-pulmonary infections (15.48%), and bacterial meningitis (12.26%). At admission, 32.9% were transfused. There were 68 deaths, representing 6.67%, and 86% of the deaths occurred within 24 hours of admission. The leading cause of death was severe malaria, with 28 (41.17%) cases. Conclusion: Febrile illnesses were the main reason for consultation, and mortality was linked to severe malaria. Therefore, in addition to the other preventive methods already used against malaria, it is recommended to consider the use of the malaria vaccine.

关 键 词：Pediatric Emergencies MALARIA Cameroon 

分 类 号：R72[医药卫生—儿科]