Jurnal internasional Afrika vol.11 issue 4 2021
African Journal of Emergency Medicine
Paediatric emergency care at an academic referral hospital in Mozambique
Dublin Core
Title
Jurnal internasional Afrika vol.11 issue 4 2021
African Journal of Emergency Medicine
Paediatric emergency care at an academic referral hospital in Mozambique
African Journal of Emergency Medicine
Paediatric emergency care at an academic referral hospital in Mozambique
Subject
Paediatric
Emergency care
Sub-Saharan Africa
Triage
Emergency care
Sub-Saharan Africa
Triage
Description
Background: Improved emergency care of children with acute illness or injuries is needed for countries in Africa
to continue to reduce childhood mortality rates. Quality improvement efforts will depend on robust baseline
data, but little has been published on the breadth and severity of paediatric illness seen in Mozambique.
Methods: This was a retrospective review of routinely collected provider shift summary data from the Paediatric
Emergency Department (PED) at Hospital Central de Maputo (HCM), the principal academic and referral hospital
in the country. All children 0–14 years of age seen in the 12-month period from August 2018–July 2019 were
included. Descriptive statistical analyses were performed.
Results: Data from 346 days and 64,966 patient encounters were analyzed. The large majority of patients (96.4%)
presented directly to the PED without referral from a lower level facility. An average of 188 patients was seen per
day, with significant seasonal variation peaking in March (292 patients/day). The most common diagnoses were
upper respiratory infections (URI), gastroenteritis, asthma, and dermatologic problems. The highest acuity di-
agnoses were neurologic problems (59%), asthma (57%), and neonatal diagnoses (50%). Diagnoses with the
largest proportion of admissions included neurologic problems, malaria, and neonatal diagnoses. Rapid malaria
antigen tests were the most commonly ordered laboratory test across all diagnostic categories; full blood count
(FBC) and chemistries were also commonly ordered. Urinalysis and HIV testing were rarely done in the PED.
Conclusion: This epidemiologic profile of illness seen in the HCM PED will allow for improved resource uti-
lisation. We identified opportunities for evidence-based care algorithms for common diagnoses such as respi-
ratory illness to improve patient care and flow. The PED may also be able to optimize laboratory and radiology
evaluation for patients and develop standardized admission criteria by diagnosis.
to continue to reduce childhood mortality rates. Quality improvement efforts will depend on robust baseline
data, but little has been published on the breadth and severity of paediatric illness seen in Mozambique.
Methods: This was a retrospective review of routinely collected provider shift summary data from the Paediatric
Emergency Department (PED) at Hospital Central de Maputo (HCM), the principal academic and referral hospital
in the country. All children 0–14 years of age seen in the 12-month period from August 2018–July 2019 were
included. Descriptive statistical analyses were performed.
Results: Data from 346 days and 64,966 patient encounters were analyzed. The large majority of patients (96.4%)
presented directly to the PED without referral from a lower level facility. An average of 188 patients was seen per
day, with significant seasonal variation peaking in March (292 patients/day). The most common diagnoses were
upper respiratory infections (URI), gastroenteritis, asthma, and dermatologic problems. The highest acuity di-
agnoses were neurologic problems (59%), asthma (57%), and neonatal diagnoses (50%). Diagnoses with the
largest proportion of admissions included neurologic problems, malaria, and neonatal diagnoses. Rapid malaria
antigen tests were the most commonly ordered laboratory test across all diagnostic categories; full blood count
(FBC) and chemistries were also commonly ordered. Urinalysis and HIV testing were rarely done in the PED.
Conclusion: This epidemiologic profile of illness seen in the HCM PED will allow for improved resource uti-
lisation. We identified opportunities for evidence-based care algorithms for common diagnoses such as respi-
ratory illness to improve patient care and flow. The PED may also be able to optimize laboratory and radiology
evaluation for patients and develop standardized admission criteria by diagnosis.
Creator
Hajra Ismail, Harshika Chowdhary , Breena R. Taira , Solange Moiane, Laila Faruk , Benilde Alface , Jyodi Mohole , Otília Gonçalves , Emily A. Hartford , W. Chris Buck
Source
https://doi.org/10.1016/j.afjem.2021.07.003
Date
11 July 2021
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Hajra Ismail, Harshika Chowdhary , Breena R. Taira , Solange Moiane, Laila Faruk , Benilde Alface , Jyodi Mohole , Otília Gonçalves , Emily A. Hartford , W. Chris Buck , “Jurnal internasional Afrika vol.11 issue 4 2021
African Journal of Emergency Medicine
Paediatric emergency care at an academic referral hospital in Mozambique,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1855.
African Journal of Emergency Medicine
Paediatric emergency care at an academic referral hospital in Mozambique,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1855.