摘要
Introduction: The United Nations Sustainable Development Goals (SDGs) aim to decrease the global maternal mortality ratio to below 70 per 100,000 live births and eliminate preventable deaths of newborns and children under the age of five in all countries by 2030. The pediatric department at Spécialisé Mère-Enfant Blanche Gomes Hospital (HSMEBG) is divided into two sectors, one catering to children aged one month to four years and the other dedicated to children aged five to 17 years. According to department records, over the past three years, there has been an average of 1050 hospitalizations per year, with an average duration of five days. Objectives: This study aims to describe the socio-demographic characteristics of children who died while in the pediatrics department of the HSMEBG and analyze the factors associated with their deaths. Methodology: A retrospective analytical cross-sectional study was conducted, collecting data over a three-year period, covering the years 2019, 2020 and 2021. Data were collected from medical records of deceased children using Excel software version 2016, and statistical calculations and logistic regression were performed using Epi info software version 7.2.5.0. Results: During the three years of operation, the pediatric department at HSMEBG recorded 3060 new admissions, of which 271 resulted in death, representing an overall frequency of 8.8%. December and January had the highest mortality rates, accounting for 15.5% and 12.5%, respectively. Out of the 271 recorded deaths, 143 (52.77%) occurred in children under the age of one, and 230 (84.87%) occurred in children under the age of five. The average age at death was 2.4 years, ranging from one month to 17 years. The sex ratio was 1. More than half of the deaths (51.66%) occurred during the night, and 165 (60.89%) sought medical help more than three days after the onset of symptoms. Weekend deaths accounted for nearly half (45.7%) of the cases. Upon admission, slightly over half of the children (55.72%) had impaired conscious
Introduction: The United Nations Sustainable Development Goals (SDGs) aim to decrease the global maternal mortality ratio to below 70 per 100,000 live births and eliminate preventable deaths of newborns and children under the age of five in all countries by 2030. The pediatric department at Spécialisé Mère-Enfant Blanche Gomes Hospital (HSMEBG) is divided into two sectors, one catering to children aged one month to four years and the other dedicated to children aged five to 17 years. According to department records, over the past three years, there has been an average of 1050 hospitalizations per year, with an average duration of five days. Objectives: This study aims to describe the socio-demographic characteristics of children who died while in the pediatrics department of the HSMEBG and analyze the factors associated with their deaths. Methodology: A retrospective analytical cross-sectional study was conducted, collecting data over a three-year period, covering the years 2019, 2020 and 2021. Data were collected from medical records of deceased children using Excel software version 2016, and statistical calculations and logistic regression were performed using Epi info software version 7.2.5.0. Results: During the three years of operation, the pediatric department at HSMEBG recorded 3060 new admissions, of which 271 resulted in death, representing an overall frequency of 8.8%. December and January had the highest mortality rates, accounting for 15.5% and 12.5%, respectively. Out of the 271 recorded deaths, 143 (52.77%) occurred in children under the age of one, and 230 (84.87%) occurred in children under the age of five. The average age at death was 2.4 years, ranging from one month to 17 years. The sex ratio was 1. More than half of the deaths (51.66%) occurred during the night, and 165 (60.89%) sought medical help more than three days after the onset of symptoms. Weekend deaths accounted for nearly half (45.7%) of the cases. Upon admission, slightly over half of the children (55.72%) had impaired conscious
作者
Pascal Diogène Bingui Outman
Nelly Sandrine Guembo Pandzou
Rolyne Vanissia Madzou Nganie
Verlem Bomelefa-Bomel
Benoite Diatewa
Kadidja Grace Nkounkou Milandou
Jean Brice Mouendenguia
Luopou Lamah
Audrey Niangui-Bakala
Dorthéa Banga Massalat
Rel Gérald Boukaka Kala
Jean Robert Mabiala Babela
Pascal Diogène Bingui Outman;Nelly Sandrine Guembo Pandzou;Rolyne Vanissia Madzou Nganie;Verlem Bomelefa-Bomel;Benoite Diatewa;Kadidja Grace Nkounkou Milandou;Jean Brice Mouendenguia;Luopou Lamah;Audrey Niangui-Bakala;Dorthéa Banga Massalat;Rel Gérald Boukaka Kala;Jean Robert Mabiala Babela(Pediatrics Department, Hô,pital Spécialisé Mère-Enfant Blanche Gomes (HSMEBG), Brazzaville, Republic of the Congo;Neonatology Department, Hô,pital Spécialisé Mère-Enfant Blanche Gomes, Brazzaville, Republic of the Congo;Pediatric Surgery Department, Hô,pital Spécialisé Mère-Enfant Blanche Gomes, Brazzaville, Republic of the Congo;Pediatrics Department, University Hospital Center of Brazzaville, Brazzaville, Republic of the Congo;Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of the Congo)
