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Paediatric Mortality: Aetiologies and Predictors among Children Aged 1 Month to 15 Years in a Tertiary Hospital in Douala, Cameroon

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Open Journal of Pediatrics 2021年第3期11卷 360-378页

作者： Daniele Kedy Koum Calixte Ida Penda Laurent Mireille Endale Henri Essome Christiana Mpongo Moukongo Loick Pradel Kojom Foko Cecile Okalla Ebongue Diomede Noukeu Dominique Enyama Charlotte Eposse Mbono Rhita Patricia Epée Eboumbou Emile Telesphore Mboudou Paul Koki Ndombo Department of Clinical Sciences Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Department of Pediatrics Douala Gynaeco-Obstetric and Pediatric Hospital Douala Cameroon Deido District Hospital Douala Cameroon Department of Internal Medicine Faculty of Health Sciences University of Buea Buea Cameroon Department of Internal Medicine Laquintinie Hospital Douala Cameroon Department of Surgery Faculty of Medicine and Pharmaceutical Sciences The University of Douala Douala Cameroon Department of Gynecology Laquintinie Hospital Douala Cameroon Department of Animal Organism Biology Faculty of Science The University of Douala Douala Cameroon Department of Biology Faculty of Medicine and Pharmaceutical Sciences The University of Douala Douala Cameroon Department of Gynecology Douala Gynaeco-Obstetric and Pediatric Hospital Douala Cameroon Department of Pediatrics Faculty of Medicine and Biomedical Sciences University of Yaounde I Yaoundé Cameroon Chantal Biya Foundation Mother-Child Centre Yaoundé Cameroon

Background: Children and adolescent mortality remains a public health concern in developing countries. This study aimed to describe risk factors and aetiologies of mortality among children and young adolescents at a tertiary hospital in the town of Douala, Cameroon. Methods: We carried out a retrospective cohort study from January 1st to May 31st, 2019 among deceased patients aged 1 month to 15 years admitted to the paediatric ward of the Gynaeco-Obstetric and Paediatric Hospital. Data of interest were collected and analysed. Results: Out of 3088 children admitted, 123 death cases were recorded. The overall hospital mortality rate was 3.98%. Females accounted for 51% of the deceased patients. Fever was the main reason for consultation. Severe malaria was the most common diagnosis. In univariate logistic regression analysis, factors associated with mortality included hyperthermia (OR = 0.24;95% CI 0.80 - 1.33;p = 0.012), coma/impaired consciousness (OR = 0.30;95% CI 0.10

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