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Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria

Received: 24 May 2017     Accepted: 17 August 2017     Published: 19 October 2017
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Abstract

The pattern and outcome of pediatric surgical admissions may be crucial to policy formulation in a new tertiary hospital. This study reports the pattern and outcome of pediatric surgical admissions in Northwestern Nigeria. This is a retrospective review of all medical records of patients admitted with pediatric surgical pathologies over a 14 months period. Data was extracted from the admission records and case notes of children admitted in the hospital during the study period. Information obtained included the patients’ age, sex, diagnosis, duration of admission and outcome. The data obtained was analyzed using SPSS version 15.0 for Windows. There were 191 pediatric surgical admissions representing 12.5% of the total pediatric admissions with a mean age of 71 months and a male to female ratio of 1.2:1 (M 105: F86). Sixty percent of the patients were admitted to female surgical ward, others were admitted to neonatal intensive care unit, male surgical ward, pediatric medical ward and emergency pediatric unit due to shortage of manpower and lack of pediatric surgical facilities. The most common diagnostic categories were congenital anomalies 35.1% (67/191), trauma 30.9% (59/191) and surgical infections 29.8% (57/191). Eighty percent of our patients did well and were discharged. However, we recorded a mortality rate of 9.9%. Our report shows that wide spectrums of pediatric surgical conditions are seen in our hospital with congenital anomalies being the most common. Most of our patients were treated and discharged.

Published in Journal of Surgery (Volume 5, Issue 5)
DOI 10.11648/j.js.20170505.13
Page(s) 82-85
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Pattern, Outcome, Pediatric Surgical, Admission

References
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[2] Thami L. O. A, Shonubi A. M. O, Akiode O. A retrospective audit of paediatric surgical admission in a sub-urban tertiary hospital. WAJM 2005; 24(1): 10-12.
[3] A Olasinde, K Oluwadiya, A Akinkuolie, LOginni. Paediatric surgical admissions in a tertiary hospital in Western Nigeria. The internet journal of paediatrics and neonatology. 2004; 5(2): 1-6.
[4] Osarumwense DO, Isiuwa PA. Pattern and outcome of paediatric surgical admissions to a Nigerian tertiary hospital. Annals of pediatric surgery. 2010; 6(3): 161-166.
[5] Paingha J. A, Isesoma G. Pattern of paediatric surgical admissions in a tertiary hospital in a semi- urban community in the Niger Delta: a three- year review. International Journal of Tropical Disease and Health. 2014; 4(1): 45-51.
[6] Tekie TT, Mollalegne TM. Pattern of Paediatric Surgical Admission in Yirgalem Hospital Southern Ethiopia. J Vasc Med Surg. 2016; 4: 239.
[7] Stoll C, Alembik Y, Roth MP, Dott B. Parental Consanguinity as a cause for increased incidence of births defects in a study of 238,942 consecutive births. Ann Genet 1999; 42(3): 133-139.
[8] Muktar MY. Clinical pattern and perinatal outcome of major congenital malformations seen at Aminu Kano teaching hospital, Kano, Nigeria. Sahel medical Journal 2006; 9(1): 23-25.
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[10] Rene RG. Accidental injury in childhood: a literature review on paediatric trauma. J Trauma 1979; 19: 551-555.
[11] Abatanga AF, Amaning EP. Pediatric elective surgical conditions as seen at a referral hospital in Kumasi, Ghana. ANZ J Surg 2002; 72: 890-892.
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[13] Chapp-Jumbo AU, Onyire NB, Adisa AC. Paediatric surgical admissions in the Abia state university teaching hospital: a 5 years study. Eur J Sci Research. 2009; 29: 540-542.
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Cite This Article
  • APA Style

    Kache Stephen Akau, Sale Danjuma, Ajah Jonathan Luka, Yusuf Nuhu, Omisakin Oluleke Olatunde, et al. (2017). Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria. Journal of Surgery, 5(5), 82-85. https://doi.org/10.11648/j.js.20170505.13

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    ACS Style

    Kache Stephen Akau; Sale Danjuma; Ajah Jonathan Luka; Yusuf Nuhu; Omisakin Oluleke Olatunde, et al. Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria. J. Surg. 2017, 5(5), 82-85. doi: 10.11648/j.js.20170505.13

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    AMA Style

    Kache Stephen Akau, Sale Danjuma, Ajah Jonathan Luka, Yusuf Nuhu, Omisakin Oluleke Olatunde, et al. Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria. J Surg. 2017;5(5):82-85. doi: 10.11648/j.js.20170505.13

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  • @article{10.11648/j.js.20170505.13,
      author = {Kache Stephen Akau and Sale Danjuma and Ajah Jonathan Luka and Yusuf Nuhu and Omisakin Oluleke Olatunde and Makama Jerry Godfrey},
      title = {Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria},
      journal = {Journal of Surgery},
      volume = {5},
      number = {5},
      pages = {82-85},
      doi = {10.11648/j.js.20170505.13},
      url = {https://doi.org/10.11648/j.js.20170505.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170505.13},
      abstract = {The pattern and outcome of pediatric surgical admissions may be crucial to policy formulation in a new tertiary hospital. This study reports the pattern and outcome of pediatric surgical admissions in Northwestern Nigeria. This is a retrospective review of all medical records of patients admitted with pediatric surgical pathologies over a 14 months period. Data was extracted from the admission records and case notes of children admitted in the hospital during the study period. Information obtained included the patients’ age, sex, diagnosis, duration of admission and outcome. The data obtained was analyzed using SPSS version 15.0 for Windows. There were 191 pediatric surgical admissions representing 12.5% of the total pediatric admissions with a mean age of 71 months and a male to female ratio of 1.2:1 (M 105: F86). Sixty percent of the patients were admitted to female surgical ward, others were admitted to neonatal intensive care unit, male surgical ward, pediatric medical ward and emergency pediatric unit due to shortage of manpower and lack of pediatric surgical facilities. The most common diagnostic categories were congenital anomalies 35.1% (67/191), trauma 30.9% (59/191) and surgical infections 29.8% (57/191). Eighty percent of our patients did well and were discharged. However, we recorded a mortality rate of 9.9%. Our report shows that wide spectrums of pediatric surgical conditions are seen in our hospital with congenital anomalies being the most common. Most of our patients were treated and discharged.},
     year = {2017}
    }
    

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    T1  - Pattern and Outcome of Paediatric Surgical Admissions in a New Tertiary Hospital in Northwestern Nigeria
    AU  - Kache Stephen Akau
    AU  - Sale Danjuma
    AU  - Ajah Jonathan Luka
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    JF  - Journal of Surgery
    JO  - Journal of Surgery
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    EP  - 85
    PB  - Science Publishing Group
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    AB  - The pattern and outcome of pediatric surgical admissions may be crucial to policy formulation in a new tertiary hospital. This study reports the pattern and outcome of pediatric surgical admissions in Northwestern Nigeria. This is a retrospective review of all medical records of patients admitted with pediatric surgical pathologies over a 14 months period. Data was extracted from the admission records and case notes of children admitted in the hospital during the study period. Information obtained included the patients’ age, sex, diagnosis, duration of admission and outcome. The data obtained was analyzed using SPSS version 15.0 for Windows. There were 191 pediatric surgical admissions representing 12.5% of the total pediatric admissions with a mean age of 71 months and a male to female ratio of 1.2:1 (M 105: F86). Sixty percent of the patients were admitted to female surgical ward, others were admitted to neonatal intensive care unit, male surgical ward, pediatric medical ward and emergency pediatric unit due to shortage of manpower and lack of pediatric surgical facilities. The most common diagnostic categories were congenital anomalies 35.1% (67/191), trauma 30.9% (59/191) and surgical infections 29.8% (57/191). Eighty percent of our patients did well and were discharged. However, we recorded a mortality rate of 9.9%. Our report shows that wide spectrums of pediatric surgical conditions are seen in our hospital with congenital anomalies being the most common. Most of our patients were treated and discharged.
    VL  - 5
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Author Information
  • Division of Pediatric Surgery, Department of Surgery, Barau Dikko Teaching Hospital and Kaduna State University, Kaduna, Nigeria

  • Division of Neurosurgery, Department of Surgery, Barau Dikko Teaching Hospital and Kaduna State University, Kaduna, Nigeria

  • Department of Surgery, Barau Dikko Teaching Hospital and Kaduna State University, Kaduna, Nigeria

  • Division of Orthopedic Surgery, Department of Surgery, Barau Dikko Teaching Hospital and Kaduna State University, Kaduna, Nigeria

  • Division of Maxilla-Facial Surgery, Department of Surgery, Barau Dikko Teaching Hospital and Kaduna State University, Kaduna, Nigeria

  • Division of General Surgery, Department of Surgery, Barau Dikko Teaching Hospital and Kaduna State University, Kaduna, Nigeria

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