对一家城郊三级医院小儿外科住院情况的回顾性审计。

A retrospective audit of paediatric surgical admission in a sub-urban tertiary hospital.

作者信息

Thanni L O A, Shonubi A M O, Akiode O

机构信息

Department of Orthopaedics and Traumlatology, College of Health Sciences, Olabisi Onabanjo University, P. M. B. 2022, Sagamu, Ogun State.

出版信息

West Afr J Med. 2005 Jan-Mar;24(1):10-2. doi: 10.4314/wajm.v24i1.28154.

DOI:10.4314/wajm.v24i1.28154

PMID:15909702

Abstract

BACKGROUND

Data on utilization of paediatric surgical services and the burden of paediatric surgical diseases in the West African subregion is scarce.

METHODOLOGY

This retrospective study describes paediatric surgical admissions in a Nigerian teaching hospital between January 1998 and December 2002.

RESULTS

Two hundred and eighty three children up to 15 years of age with surgical disorders were studied. Their mean age (+/- SD) was 5.8 +/- 4 years for males and 6.9 +/- 4 years for females. Length of stay (LOS) ranged from 1 to 127 days (mean 17 days). Turnover interval declined from 22.1 to 6.4 days while percentage bed occupancy and patients per bed per year averaged 70% and 17.4 respectively between January 2000 and December 2002. The highest mean LOS was due to malignant neoplasm (38 +/- 12 days), trauma (22 +/- 25) and surgical infection (21 +/- 22 days) while the shortest mean LOS was due to foreign body (6 +/- 4 days). The most common admitting diagnoses were trauma (36.7%), congenital anomalies (27.9%) and surgical infections (22.6%). Foreign body (2.1 %), benign tumours (0.7%) and malignant neoplasms (0.7%) were uncommon. Overall mortality was 0.4%.

CONCLUSIONS

Childhood injuries, congenital anomalies and infections are important paediatric health problems.

摘要

背景

关于西非次区域小儿外科服务的利用情况以及小儿外科疾病负担的数据稀缺。

方法

这项回顾性研究描述了1998年1月至2002年12月期间一家尼日利亚教学医院的小儿外科住院情况。

结果

对283名15岁以下患有外科疾病的儿童进行了研究。男性的平均年龄（±标准差）为5.8±4岁，女性为6.9±4岁。住院时间（LOS）为1至127天（平均17天）。周转间隔从22.1天降至6.4天，而2000年1月至2002年12月期间的床位占用率和每年每张床位的患者数平均分别为70%和17.4。平均住院时间最长的是恶性肿瘤（38±12天）、创伤（22±25天）和外科感染（21±22天），而平均住院时间最短的是异物（6±4天）。最常见的入院诊断是创伤（36.7%）、先天性异常（27.9%）和外科感染（22.6%）。异物（2.1%）、良性肿瘤（0.7%）和恶性肿瘤（0.7%）并不常见。总体死亡率为0.4%。