1 Mother and Child Center of the Chantal Biya Foundation, Yaounde, Cameroon ; 2 Pediatrics Department, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon ; 3 Gyneco-Obstetric and Pediatric Hospital, Ngousso, Yaounde, Cameroon ; 4 District Hospital Efoulan, Yaounde, Cameroon.
Transl Pediatr. 2016 Jan;5(1):23-30. doi: 10.3978/j.issn.2224-4336.2016.01.02.
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.
在我们的背景下，因不同原因住院的 5 岁以下儿童在医院的过早死亡仍然很高，有必要进行研究以扭转这种趋势（使用适当的方法）。我们的研究旨在描述和分析在恰塔尔·比娅基金会母婴中心（MCC/CBF）入院的 2 个月至 5 岁儿童在入院后 48 小时内死亡的病例。
这是一项回顾性描述性研究。数据从 2008 年至 2012 年期间入院患者的临床记录中提取。意外创伤病例排除在研究之外。统计学意义水平设为 P<0.05。还获得了山区大学伦理委员会的批准。
在我们的研究期间，在 14200 名 2 个月至 5 岁住院的患者中，有 522 例早产儿死亡。这一发病率为 4.9%，占该年龄组所有住院死亡人数的 74.3%。考虑到有些档案信息很少，我们只研究了 373 份档案。性别比为 1.2。更令人惊讶的是，大多数死亡发生在午夜至上午 8 点之间。最常登记的病例是严重疟疾（42.6%）、严重败血症（20.6%）和急性下呼吸道感染（RTI）（16.1%）病例。三分之一的患者营养状况较差。
加强针对儿童健康的预防措施和方案，如儿童综合管理（IMCD），将是解决这一现象的主要优先事项。
