Respiratory compromise in children presenting to an urban emergency department of a tertiary hospital in Tanzania: a descriptive cohort study

BMC Emergency Medicine
Biita MuhanuziEllen J Weber

Abstract

Respiratory compromise is the leading cause of cardiac arrest and death among paediatric patients. Emergency medicine is a new field in low-income countries (LICs); the presentation, treatment and outcomes of paediatric patients with respiratory compromise is not well studied. We describe the clinical epidemiology, management and outcomes of paediatric patients with respiratory compromise presenting to the first full-capacity Emergency Department in Tanzania. This was a prospective cohort study of paediatric patients (< 18 years) with respiratory compromise (respiratory distress, respiratory failure or respiratory arrest) presenting to the Emergency Medicine Department of Muhimibili National Hospital (EMD-MNH) in Dar es Salaam, from July-November 2017. A standardized case report form was used to record demographics, presenting clinical characteristics, management and outcomes. Primary outcomes were hospital mortality and secondary outcomes were EMD mortality, 24-h mortality, incidence of cardiac arrest in the EMD, length of stay, ICU admission, and risk factors for mortality. We enrolled 165 children; their median age was 12 months [IQR: 4-36 months], and 90 (54.4%) were male. At presentation 92 (55.8%) children were in respira...Continue Reading

References

Apr 1, 1991·Pediatric Emergency Care·B S KraussG R Fleisher
Nov 14, 1996·The New England Journal of Medicine·M B SchindlerG Barker
Apr 9, 2005·American Journal of Respiratory and Critical Care Medicine·Daniel TrachselDesmond Bohn
May 25, 2005·Paediatric Respiratory Reviews·Varinder Singh
Dec 3, 2009·Pediatrics in Review·Mara E Nitu, Howard Eigen
Jan 4, 2013·Journal of Public Health Policy·Teri A ReynoldsVictor Mwafongo
Sep 24, 2014·BMC International Health and Human Rights·Hendry R SaweTeri A Reynolds
Jul 2, 2016·BMC Medicine·Matthew BatesAlimuddin Zumla
Mar 1, 2016·African Journal of Emergency Medicine : Revue Africaine De La Médecine D'urgence·Kennedy B JapiongCharles N Mock

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REDCap
Statistical Package for Social Science ( SPSS

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