Pediatric surgical admissions dramatically increased throughout the world as a result of increased trauma, emergency diseases and survival of congenital diseases. So, Facility based cross sectional study was conducted to identify the common pediatric (Age ≤ 15 years) surgical admissions and their outcomes at Adama Hospital Medical College. All admitted surgical patients from Jun 1, 2014 to June 30, 2015 were included in the study. Data abstraction tool was constructed to retrieve information from charts. Data was entered to SPSS version 20. Descriptive and analytic studies were performed. P value ≤ 0.05 with 95% confidence interval (CI) was used to interpret the findings. The mean age of study participants was 6 years ± 4.5 SD. Males were 276 (71.9%) making male to female ratio of 2.5:1. Gastrointestinal conditions (33.8%) were commonest causes of admissions followed by trauma (25.5%) and congenital anomalies (19%). There were five deaths resulting in a mortality rate of 1.3%. Factors associated with death were: delay in presentation, prolonged length of stay in hospital and delay in intervention. Shorter time of presentation to intervention (< 6 hrs) was found to be significantly associated with the favorable outcomes [Adjusted Odds Ratio (AOR): 36.4, 95% CI: 3.7, 38]. Those who stayed < 7 days in the hospital were more likely to have favorable outcome (AOR: 1.7, 95% CI: 1.6, 16.8) compared to their counterparts. Delayed intervention, prolonged hospital stay and trauma are independent predictors of patient outcomes. Death in Pediatric patients with surgical conditions can be averted by avoiding these delays. Efforts to shorten length of stay in the hospital could also improve patient outcomes.
| Published in | American Journal of Pediatrics (Volume 3, Issue 4) |
| DOI | 10.11648/j.ajp.20170304.12 |
| Page(s) | 23-27 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Pediatrics, Pediatric Surgery, Outcome, Adama Hospital Medical College, Ethiopia
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APA Style
Tsegaye Ketema, Sileshi Garoma Abeya, Kalide Abdela, Tolossa Eticha Chaka. (2017). Pediatric Surgical Admissions and Their Outcomes at Adama Hospital Medical College: A Facility Based Cross Sectional Study. American Journal of Pediatrics, 3(4), 23-27. https://doi.org/10.11648/j.ajp.20170304.12
ACS Style
Tsegaye Ketema; Sileshi Garoma Abeya; Kalide Abdela; Tolossa Eticha Chaka. Pediatric Surgical Admissions and Their Outcomes at Adama Hospital Medical College: A Facility Based Cross Sectional Study. Am. J. Pediatr. 2017, 3(4), 23-27. doi: 10.11648/j.ajp.20170304.12
AMA Style
Tsegaye Ketema, Sileshi Garoma Abeya, Kalide Abdela, Tolossa Eticha Chaka. Pediatric Surgical Admissions and Their Outcomes at Adama Hospital Medical College: A Facility Based Cross Sectional Study. Am J Pediatr. 2017;3(4):23-27. doi: 10.11648/j.ajp.20170304.12
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Download@article{10.11648/j.ajp.20170304.12,
author = {Tsegaye Ketema and Sileshi Garoma Abeya and Kalide Abdela and Tolossa Eticha Chaka},
title = {Pediatric Surgical Admissions and Their Outcomes at Adama Hospital Medical College: A Facility Based Cross Sectional Study},
journal = {American Journal of Pediatrics},
volume = {3},
number = {4},
pages = {23-27},
doi = {10.11648/j.ajp.20170304.12},
url = {https://doi.org/10.11648/j.ajp.20170304.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20170304.12},
abstract = {Pediatric surgical admissions dramatically increased throughout the world as a result of increased trauma, emergency diseases and survival of congenital diseases. So, Facility based cross sectional study was conducted to identify the common pediatric (Age ≤ 15 years) surgical admissions and their outcomes at Adama Hospital Medical College. All admitted surgical patients from Jun 1, 2014 to June 30, 2015 were included in the study. Data abstraction tool was constructed to retrieve information from charts. Data was entered to SPSS version 20. Descriptive and analytic studies were performed. P value ≤ 0.05 with 95% confidence interval (CI) was used to interpret the findings. The mean age of study participants was 6 years ± 4.5 SD. Males were 276 (71.9%) making male to female ratio of 2.5:1. Gastrointestinal conditions (33.8%) were commonest causes of admissions followed by trauma (25.5%) and congenital anomalies (19%). There were five deaths resulting in a mortality rate of 1.3%. Factors associated with death were: delay in presentation, prolonged length of stay in hospital and delay in intervention. Shorter time of presentation to intervention (< 6 hrs) was found to be significantly associated with the favorable outcomes [Adjusted Odds Ratio (AOR): 36.4, 95% CI: 3.7, 38]. Those who stayed < 7 days in the hospital were more likely to have favorable outcome (AOR: 1.7, 95% CI: 1.6, 16.8) compared to their counterparts. Delayed intervention, prolonged hospital stay and trauma are independent predictors of patient outcomes. Death in Pediatric patients with surgical conditions can be averted by avoiding these delays. Efforts to shorten length of stay in the hospital could also improve patient outcomes.},
year = {2017}
}
TY - JOUR T1 - Pediatric Surgical Admissions and Their Outcomes at Adama Hospital Medical College: A Facility Based Cross Sectional Study AU - Tsegaye Ketema AU - Sileshi Garoma Abeya AU - Kalide Abdela AU - Tolossa Eticha Chaka Y1 - 2017/08/30 PY - 2017 N1 - https://doi.org/10.11648/j.ajp.20170304.12 DO - 10.11648/j.ajp.20170304.12 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 23 EP - 27 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20170304.12 AB - Pediatric surgical admissions dramatically increased throughout the world as a result of increased trauma, emergency diseases and survival of congenital diseases. So, Facility based cross sectional study was conducted to identify the common pediatric (Age ≤ 15 years) surgical admissions and their outcomes at Adama Hospital Medical College. All admitted surgical patients from Jun 1, 2014 to June 30, 2015 were included in the study. Data abstraction tool was constructed to retrieve information from charts. Data was entered to SPSS version 20. Descriptive and analytic studies were performed. P value ≤ 0.05 with 95% confidence interval (CI) was used to interpret the findings. The mean age of study participants was 6 years ± 4.5 SD. Males were 276 (71.9%) making male to female ratio of 2.5:1. Gastrointestinal conditions (33.8%) were commonest causes of admissions followed by trauma (25.5%) and congenital anomalies (19%). There were five deaths resulting in a mortality rate of 1.3%. Factors associated with death were: delay in presentation, prolonged length of stay in hospital and delay in intervention. Shorter time of presentation to intervention (< 6 hrs) was found to be significantly associated with the favorable outcomes [Adjusted Odds Ratio (AOR): 36.4, 95% CI: 3.7, 38]. Those who stayed < 7 days in the hospital were more likely to have favorable outcome (AOR: 1.7, 95% CI: 1.6, 16.8) compared to their counterparts. Delayed intervention, prolonged hospital stay and trauma are independent predictors of patient outcomes. Death in Pediatric patients with surgical conditions can be averted by avoiding these delays. Efforts to shorten length of stay in the hospital could also improve patient outcomes. VL - 3 IS - 4 ER -
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