Abstract
Death audits have been used to describe pediatric mortality in under-resourced settings, where record keeping is often a challenge. This information provides the cornerstone for the foundation of quality improvement initiatives. Malawi, located in sub-Saharan Africa, currently has an Under-5 mortality rate of 64/1000. Kamuzu Central Hospital, in the capital city Lilongwe, is a busy government referral hospital, which admits up to 3000 children per month. A study published in 2013 reported mortality rates as high as 9%. This is the first known audit of pediatric death files conducted at this hospital. A retrospective chart review on all pediatric deaths that occurred at Kamuzu Central Hospital (excluding deaths in the neonatal nursery) during a 13-month period was done using a standardized death audit form. A descriptive analysis was completed, including patient demographics, HIV and nutritional status, and cause of death. Modifiable factors were identified that may have contributed to mortality, including a lack of vital sign collection, poor documentation, and delays in the procurement or results of tests, studies, and specialist review. Seven hundred forty three total pediatric deaths were recorded and 700 deceased patient fi...Continue Reading
References
Jun 17, 1999·Lancet·T AhmedG J Fuchs
Nov 26, 1999·Archives of Disease in Childhood·G TamburliniS Gove
Feb 24, 2001·Lancet·T NolanN F Pierce
Feb 15, 2003·BMJ : British Medical Journal·J A BerkleyC R J C Newton
Jun 15, 2004·Lancet·Mike EnglishNorbert Peshu
Nov 3, 2004·Lancet·Mike EnglishNorbert Peshu
Apr 22, 2006·Bulletin of the World Health Organization·Elizabeth MolyneuxAnn Robertson
Oct 26, 2006·Acta Paediatrica·Angelika KrugCindy Stephen
Nov 10, 2007·Lancet·Philip W SetelUNKNOWN Monitoring of Vital Events
Apr 3, 2008·Pediatrics·Harry CampbellUNKNOWN Pediatric Hospital Improvement Group
Apr 15, 2008·Lancet·UNKNOWN South Africa Every Death Counts Writing GroupSithembiso Velaphi
Feb 4, 2010·PLoS Medicine·Margaret ChanTadataka Yamada
Jun 3, 2010·Emergency Medicine Journal : EMJ·S AhmadE M Molyneux
Sep 11, 2010·Annals of Tropical Paediatrics·E M Molyneux
Apr 7, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ilse C E HendriksenArjen M Dondorp
Apr 15, 2011·The Journal of Pediatrics·Geoffrey A PreidisMark W Kline
May 28, 2011·The New England Journal of Medicine·Kathryn MaitlandUNKNOWN FEAST Trial Group
Aug 15, 2012·Pediatrics·Jeff A RobisonSusan B Torrey
Nov 9, 2012·The Journal of Infectious Diseases·Ilse C E HendriksenArjen M Dondorp
Jan 22, 2013·Lancet·Mark E RalstonHelen S Doss
Feb 1, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Geoffrey A PreidisMark W Kline
Apr 23, 2013·Tropical Medicine & International Health : TM & IH·Daniel OlsonEric D McCollum
Mar 31, 2015·PloS One·David GatharaUNKNOWN SIRCLE/Ministry of Health Hospital Survey Group
Oct 20, 2015·Bulletin of the World Health Organization·Ziad ObermeyerUNKNOWN Acute Care Development Consortium
Jan 6, 2016·PloS One·Peter HodkinsonAlison Ward
Jan 26, 2016·The Lancet Global Health·Mercy KanyukaTim Colbourn
Mar 4, 2017·PloS One·Celestin HategekaLarry D Lynd
Citations
Apr 6, 2018·Archives of Disease in Childhood·Mathew SandakabatuTrevor Duke
Nov 20, 2018·Paediatrics and International Child Health·Caroline HarrisNeil Kennedy
May 11, 2018·PLoS Neglected Tropical Diseases·Sahar Mubarak BakhietHajo Mohamed El Amin
Jul 18, 2020·BMJ Global Health·Emily J CicconeElizabeth Fitzgerald
Oct 22, 2020·JMIR MHealth and UHealth·Caroline CrehanMichelle Heys
Aug 26, 2020·The Pediatric Infectious Disease Journal·Chris A ReesChristopher P Duggan
Apr 21, 2021·Paediatrics and International Child Health·Elizabeth M KeatingJeff A Robison
Sep 9, 2021·Paediatrics and International Child Health·Bryan J VonasekUNKNOWN Pediatric Alliance for Child Health Improvement in Malawi at Kamuzu Central Hospital and Environs (PACHIMAKE)