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Pediatric Patients in a Local Nepali Emergency Department: Presenting Complaints, Triage and Post-Discharge Mortality

Samita Giri1,2, Tine Halvas-Svendsen3, Tormod Rogne1

  • 1Norwegian University of Science and Technology, Trondheim, Norway.

Global Pediatric Health
|September 30, 2020
PubMed

Insights

In low-income countries, pediatric emergency care needs improvement. High triage priority indicates intensive care needs and higher mortality risk, highlighting the need for better pediatric triage systems.

Area of Science:

  • Global Health
  • Pediatric Emergency Medicine
  • Health Systems Research

Background:

  • Pediatric emergency care is underdeveloped in low-income countries.
  • Child mortality in emergency settings is disproportionately high compared to adults.
  • High post-discharge mortality rates are observed in pediatric emergency patients.

Purpose of the Study:

  • To characterize pediatric emergency patients in Nepal.
  • To analyze triage categories and their correlation with outcomes.
  • To determine post-discharge mortality in this population.

Main Methods:

  • Prospective assessment of pediatric patients in an emergency department (ED).
  • Data collection on patient characteristics and triage categories.
  • 90-day follow-up via telephone interviews for mortality assessment.

Main Results:

  • Injuries and infections were the most common presentations (~40% each).
  • Girls presented to the ED less frequently than boys.
  • High triage priority (orange/red) strongly predicted intensive care needs and post-discharge mortality.

Conclusions:

  • The study validates the use of pediatric triage systems in resource-limited EDs.
  • There is a critical need for interventions to reduce pediatric mortality post-emergency care.
  • Preventive strategies and effective treatment of infections and injuries are crucial for reducing pediatric emergency disease burden.

Keywords:
Nepalemergencymortalitypediatricpresenting complaints

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