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Risk factors for mortality in an African pediatric emergency department: case of Sourô Sanou Hospital, a prospective,

Makoura Barro1, Cheick Ahmed Ouattara2, Bintou Sanogo1

  • 1Department of Pediatrics, Sourô Sanou University Hospital, 01 BP 676 Bobo-Dioulasso 01, Burkina Faso.

Journal of Tropical Pediatrics
|December 15, 2023
PubMed

Insights

Pediatric emergency mortality in sub-Saharan Africa is high. Delayed emergency care, young maternal age, and incomplete childhood immunizations significantly increase the risk of death in children.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Childhood mortality rates remain a critical public health concern in sub-Saharan Africa.
  • The Sourô Sanou University Hospital in Bobo-Dioulasso faces significant challenges in pediatric emergency care.

Purpose of the Study:

  • To determine the causes of pediatric emergency mortality.
  • To identify factors associated with mortality in children admitted to the pediatric emergency unit.

Main Methods:

  • A cross-sectional study with prospective data collection was conducted from June to August 2020.
  • Demographic and clinical data were analyzed using descriptive statistics and logistic regression to identify mortality predictors.

Main Results:

  • Out of 618 pediatric patients, 80 (12.9%) died. Severe malaria was the leading diagnosis (61.25%).
  • Factors significantly associated with mortality included delayed emergency care (AOR=1.11), young maternal age (AOR=0.95), and incomplete childhood vaccination (AOR=1.94).
  • Malnutrition affected 48.75% of patients, and only 55% were fully immunized.

Conclusions:

  • The in-hospital mortality rate was 12.94%.
  • Younger maternal age, delayed consultation, incomplete vaccination status, and shorter hospital stays were significantly linked to increased mortality.
  • Interventions targeting timely healthcare access and vaccination are crucial for reducing pediatric deaths.
Abstract

Keywords:
emergencymortalitypediatric

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