摘要
Background: Pediatric emergencies are a public health priority in Senegal. The objective was to describe the epidemiology of admissions to the emergency department of the Albert Royer National Children’s Hospital in Dakar, Senegal. Methods: Prospective, descriptive and analytical study over a period of 4 months (January-April 2020). The study population was children admitted for vital distress. Results: A total of 300 children met the inclusion criteria and represented the study population (2.83%). The majority (70.67%) were younger than 60 months, compared with 2.00% of newborns. Boys represented 53.8%, sex ratio 1.16. A proportion of 35.1% was referred. More than half of our patients (55.88%) were managed within 30 minutes of arrival. Medicalized transport concerned 21.5% against 78.5% of nonmedicalized. Emergencies were dominated by respiratory distress (56.33%), dehydration (29%) and shock (13.33%). We recorded 16 deaths (5.3%). This mortality was significantly related to the low socio-economic level (p = 0.000), as well as the young age of the children (p = 0.01). Conclusion: Life-threatening emergencies are frequent and responsible for significant lethality. Health policy efforts are still needed to reduce this infant and child morbidity and mortality.
Background: Pediatric emergencies are a public health priority in Senegal. The objective was to describe the epidemiology of admissions to the emergency department of the Albert Royer National Children’s Hospital in Dakar, Senegal. Methods: Prospective, descriptive and analytical study over a period of 4 months (January-April 2020). The study population was children admitted for vital distress. Results: A total of 300 children met the inclusion criteria and represented the study population (2.83%). The majority (70.67%) were younger than 60 months, compared with 2.00% of newborns. Boys represented 53.8%, sex ratio 1.16. A proportion of 35.1% was referred. More than half of our patients (55.88%) were managed within 30 minutes of arrival. Medicalized transport concerned 21.5% against 78.5% of nonmedicalized. Emergencies were dominated by respiratory distress (56.33%), dehydration (29%) and shock (13.33%). We recorded 16 deaths (5.3%). This mortality was significantly related to the low socio-economic level (p = 0.000), as well as the young age of the children (p = 0.01). Conclusion: Life-threatening emergencies are frequent and responsible for significant lethality. Health policy efforts are still needed to reduce this infant and child morbidity and mortality.
作者
Aliou Thiongane
Aliou Abdoulaye Ndongo
Amadou Sow
Younoussa Keita
Djibril Boiro
Yaye Joor Dieng
Idrissa Basse
Ndiogou Seck
Lisimo Abwa Hilaire
Papa Moctar Faye
Amadou Lamine Fall
Assane Sylla
Saliou Diouf
Ousmane Ndiaye
Aliou Thiongane;Aliou Abdoulaye Ndongo;Amadou Sow;Younoussa Keita;Djibril Boiro;Yaye Joor Dieng;Idrissa Basse;Ndiogou Seck;Lisimo Abwa Hilaire;Papa Moctar Faye;Amadou Lamine Fall;Assane Sylla;Saliou Diouf;Ousmane Ndiaye(Centre Hospitalier National d’Enfants Albert Royer, Dakar, Sénégal;Service de pédiatrie Hôpital Le Dantec, Dakar, Sénégal;Service de pédiatrie Hôpital Abass ndao, Dakar, Sénégal;Centre Hospitalier National d’Enfants de Diamniadio, Dakar, Sénégal;Service de pédiatrie Hôpital régional, Saint Louis, Sénégal;Service de pédiatrie Hôpital Dalal Jamm, Dakar, Sénégal)
