Premature death of children aged 2 months to 5 years: the case of the Mother and Child Center of the Chantal Biya Foundation, Yaounde, Cameroon
Identifieur interne : 000313 ( Pmc/Curation ); précédent : 000312; suivant : 000314Premature death of children aged 2 months to 5 years: the case of the Mother and Child Center of the Chantal Biya Foundation, Yaounde, Cameroon
Auteurs : David Chelo ; Félicitée Nguefack ; Hubert D. Mbassi Awa ; Roger Dongmo ; Josiane Nkwonkam Mafotso ; Suzanne Ngo Um ; Calson Ambomatei ; Paul O. Koki NdomboSource :
- Translational Pediatrics [ 2224-4344 ] ; 2016.
Abstract
In hospital premature deaths of children less than 5 years of age admitted for different reasons still remains very high in our context warranting study in order to reverse the tendency (using appropriate means). Our study was aimed at describing and analyzing cases of those children aged from 2 months to 5 years who died within the first 48 hours of their admission at the Mother and Child Center of the Chantal Biya Foundation (MCC/CBF).
It was a retrospective descriptive study. Data were extracted from the clinical records of the patients admitted from 2008 to 2012. Cases of accidental trauma were excluded from the study. Level of statistical significance was set at P<0.05. The approval of the ethical committee of the Université des Montagnes was also obtained.
During the period of our study, out of the 14,200 patients aged 2 months and 5 years who were hospitalized 522 premature deaths were registered. This gives an incidence of 4.9%, representing 74.3% of all hospitalized deaths in this age group. Considering the fact that some of the files had very little information, only 373 files were studied. The sex ratio was 1.2. More astonishing was that a majority of the deaths occurred between midnight and 8 am. The most frequent registered cases were patients with severe malaria (42.6%), severe sepsis (20.6%), and acute lower respiratory tract infections (RTI) (16.1%) cases. One third of the patients had a poor nutritional status.
The reinforcement of preventive measures and programs targeting the health of children such as the Integrated Management of Childhood Diseases (IMCD) would be a major priority in proffering a solution to this phenomenon.
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DOI: 10.3978/j.issn.2224-4336.2016.01.02
PubMed: 26835403
PubMed Central: 4729038
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<author><name sortKey="Chelo, David" sort="Chelo, David" uniqKey="Chelo D" first="David" last="Chelo">David Chelo</name>
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<author><name sortKey="Nguefack, Felicitee" sort="Nguefack, Felicitee" uniqKey="Nguefack F" first="Félicitée" last="Nguefack">Félicitée Nguefack</name>
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<author><name sortKey="Mbassi Awa, Hubert D" sort="Mbassi Awa, Hubert D" uniqKey="Mbassi Awa H" first="Hubert D." last="Mbassi Awa">Hubert D. Mbassi Awa</name>
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<author><name sortKey="Dongmo, Roger" sort="Dongmo, Roger" uniqKey="Dongmo R" first="Roger" last="Dongmo">Roger Dongmo</name>
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<author><name sortKey="Nkwonkam Mafotso, Josiane" sort="Nkwonkam Mafotso, Josiane" uniqKey="Nkwonkam Mafotso J" first="Josiane" last="Nkwonkam Mafotso">Josiane Nkwonkam Mafotso</name>
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<author><name sortKey="Ngo Um, Suzanne" sort="Ngo Um, Suzanne" uniqKey="Ngo Um S" first="Suzanne" last="Ngo Um">Suzanne Ngo Um</name>
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<author><name sortKey="Ambomatei, Calson" sort="Ambomatei, Calson" uniqKey="Ambomatei C" first="Calson" last="Ambomatei">Calson Ambomatei</name>
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<author><name sortKey="Koki Ndombo, Paul O" sort="Koki Ndombo, Paul O" uniqKey="Koki Ndombo P" first="Paul O." last="Koki Ndombo">Paul O. Koki Ndombo</name>
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<author><name sortKey="Nguefack, Felicitee" sort="Nguefack, Felicitee" uniqKey="Nguefack F" first="Félicitée" last="Nguefack">Félicitée Nguefack</name>
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<author><name sortKey="Mbassi Awa, Hubert D" sort="Mbassi Awa, Hubert D" uniqKey="Mbassi Awa H" first="Hubert D." last="Mbassi Awa">Hubert D. Mbassi Awa</name>
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<author><name sortKey="Dongmo, Roger" sort="Dongmo, Roger" uniqKey="Dongmo R" first="Roger" last="Dongmo">Roger Dongmo</name>
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<author><name sortKey="Nkwonkam Mafotso, Josiane" sort="Nkwonkam Mafotso, Josiane" uniqKey="Nkwonkam Mafotso J" first="Josiane" last="Nkwonkam Mafotso">Josiane Nkwonkam Mafotso</name>
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<author><name sortKey="Ngo Um, Suzanne" sort="Ngo Um, Suzanne" uniqKey="Ngo Um S" first="Suzanne" last="Ngo Um">Suzanne Ngo Um</name>
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<author><name sortKey="Ambomatei, Calson" sort="Ambomatei, Calson" uniqKey="Ambomatei C" first="Calson" last="Ambomatei">Calson Ambomatei</name>
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<author><name sortKey="Koki Ndombo, Paul O" sort="Koki Ndombo, Paul O" uniqKey="Koki Ndombo P" first="Paul O." last="Koki Ndombo">Paul O. Koki Ndombo</name>
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<series><title level="j">Translational Pediatrics</title>
<idno type="eISSN">2224-4344</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>In hospital premature deaths of children less than 5 years of age admitted for different reasons still remains very high in our context warranting study in order to reverse the tendency (using appropriate means). Our study was aimed at describing and analyzing cases of those children aged from 2 months to 5 years who died within the first 48 hours of their admission at the Mother and Child Center of the Chantal Biya Foundation (MCC/CBF).</p>
</sec>
<sec><title>Methods</title>
<p>It was a retrospective descriptive study. Data were extracted from the clinical records of the patients admitted from 2008 to 2012. Cases of accidental trauma were excluded from the study. Level of statistical significance was set at P<0.05. The approval of the ethical committee of the Université des Montagnes was also obtained.</p>
</sec>
<sec><title>Results</title>
<p>During the period of our study, out of the 14,200 patients aged 2 months and 5 years who were hospitalized 522 premature deaths were registered. This gives an incidence of 4.9%, representing 74.3% of all hospitalized deaths in this age group. Considering the fact that some of the files had very little information, only 373 files were studied. The sex ratio was 1.2. More astonishing was that a majority of the deaths occurred between midnight and 8 am. The most frequent registered cases were patients with severe malaria (42.6%), severe sepsis (20.6%), and acute lower respiratory tract infections (RTI) (16.1%) cases. One third of the patients had a poor nutritional status.</p>
</sec>
<sec><title>Conclusions</title>
<p>The reinforcement of preventive measures and programs targeting the health of children such as the Integrated Management of Childhood Diseases (IMCD) would be a major priority in proffering a solution to this phenomenon.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Transl Pediatr</journal-id>
<journal-id journal-id-type="iso-abbrev">Transl Pediatr</journal-id>
<journal-id journal-id-type="publisher-id">TP</journal-id>
<journal-title-group><journal-title>Translational Pediatrics</journal-title>
</journal-title-group>
<issn pub-type="epub">2224-4344</issn>
<publisher><publisher-name>AME Publishing Company</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26835403</article-id>
<article-id pub-id-type="pmc">4729038</article-id>
<article-id pub-id-type="publisher-id">tp-05-01-023</article-id>
<article-id pub-id-type="doi">10.3978/j.issn.2224-4336.2016.01.02</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Premature death of children aged 2 months to 5 years: the case of the Mother and Child Center of the Chantal Biya Foundation, Yaounde, Cameroon</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Chelo</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nguefack</surname>
<given-names>Félicitée</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mbassi Awa</surname>
<given-names>Hubert D.</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dongmo</surname>
<given-names>Roger</given-names>
</name>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nkwonkam Mafotso</surname>
<given-names>Josiane</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ngo Um</surname>
<given-names>Suzanne</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ambomatei</surname>
<given-names>Calson</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Koki Ndombo</surname>
<given-names>Paul O.</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<aff><target id="aff1" target-type="aff"><sup>1</sup>
</target>
Mother and Child Center of the Chantal Biya Foundation, Yaounde,<country>Cameroon</country>
;<target id="aff2" target-type="aff"><sup>2</sup>
</target>
Pediatrics Department, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde,<country>Cameroon</country>
;<target id="aff3" target-type="aff"><sup>3</sup>
</target>
Gyneco-Obstetric and Pediatric Hospital, Ngousso, Yaounde,<country>Cameroon</country>
;<target id="aff4" target-type="aff"><sup>4</sup>
</target>
District Hospital Efoulan, Yaounde,<country>Cameroon</country>
</aff>
</contrib-group>
<author-notes><fn id="afn1"><p><italic>Contributions:</italic>
(I) Conception and design: D Chelo, F Nguefack, HD Mbassi Awa, R Dongmo; (II) Administrative support: D Chelo, F Nguefack, PO Koki Ndombo; (III) Provision of study materials or patients: D Chelo, F Nguefack, J Nkwonkam Mafotso; (IV) Collection and assembly of data: D Chelo, F Nguefack, J Nkwonkam Mafotso, HD Mbassi Awa; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.</p>
</fn>
<corresp id="cor1"><italic>Correspondence to:</italic>
David Chelo. Pediatric Cardiology Unit, Mother and Child Center of the Chantal Biya Foundation, P.O Box 1936, Yaounde, Cameroon. Email: <email xlink:href="chelodad6@yahoo.fr">chelodad6@yahoo.fr</email>
.</corresp>
</author-notes>
<pub-date pub-type="epub-ppub"><month>1</month>
<year>2016</year>
</pub-date>
<pmc-comment>Fake ppub date generated by PMC from publisher
pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>1</month>
<year>2016</year>
</pub-date>
<volume>5</volume>
<issue>1</issue>
<fpage>23</fpage>
<lpage>30</lpage>
<history><date date-type="received"><day>17</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>21</day>
<month>12</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>2016 Translational Pediatrics. All rights reserved.</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>Translational Pediatrics.</copyright-holder>
</permissions>
<abstract><sec><title>Background</title>
<p>In hospital premature deaths of children less than 5 years of age admitted for different reasons still remains very high in our context warranting study in order to reverse the tendency (using appropriate means). Our study was aimed at describing and analyzing cases of those children aged from 2 months to 5 years who died within the first 48 hours of their admission at the Mother and Child Center of the Chantal Biya Foundation (MCC/CBF).</p>
</sec>
<sec><title>Methods</title>
<p>It was a retrospective descriptive study. Data were extracted from the clinical records of the patients admitted from 2008 to 2012. Cases of accidental trauma were excluded from the study. Level of statistical significance was set at P<0.05. The approval of the ethical committee of the Université des Montagnes was also obtained.</p>
</sec>
<sec><title>Results</title>
<p>During the period of our study, out of the 14,200 patients aged 2 months and 5 years who were hospitalized 522 premature deaths were registered. This gives an incidence of 4.9%, representing 74.3% of all hospitalized deaths in this age group. Considering the fact that some of the files had very little information, only 373 files were studied. The sex ratio was 1.2. More astonishing was that a majority of the deaths occurred between midnight and 8 am. The most frequent registered cases were patients with severe malaria (42.6%), severe sepsis (20.6%), and acute lower respiratory tract infections (RTI) (16.1%) cases. One third of the patients had a poor nutritional status.</p>
</sec>
<sec><title>Conclusions</title>
<p>The reinforcement of preventive measures and programs targeting the health of children such as the Integrated Management of Childhood Diseases (IMCD) would be a major priority in proffering a solution to this phenomenon.</p>
</sec>
</abstract>
<kwd-group kwd-group-type="author"><title>Keywords: </title>
<kwd>Hospital deaths</kwd>
<kwd>48 hours</kwd>
<kwd>children</kwd>
<kwd>Integrated Management of Childhood Diseases (IMCD)</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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