Menge I, Esamai F, van Reken D, Anabwani G
Eldoret District Hospital, Kenya.
East Afr Med J. 1995 Mar;72(3):165-9.
Over an 18 month period, there were 4,720 paediatric admissions at the Eldoret District Hospital in Western Kenya. The most frequent 20 diseases were identified and their respective case fatality rates calculated. Malaria was the most common cause for admission (33.0%) but the fourth most common cause of death with a case fatality rate of 2.2%. The overall mortality rate on the paediatric wards was 8.2% with 64.9% of the deaths occurring within the first 24 hours of hospitalization. Three-fourth of all admissions were due to four diseases: malaria, pneumonia, gastroenteritis and measles. Targeted interventional programmes aimed at these 4 diseases, coupled with a comprehensive primary health care system, would most likely result in much less morbidity and mortality for the children in the district. The systems for routinely collecting and storing medical records were found to be substandard, making it very difficult to accurately monitor morbidity and mortality.
在18个月的时间里，肯尼亚西部埃尔多雷特地区医院有4720名儿科患者入院。确定了最常见的20种疾病，并计算了它们各自的病死率。疟疾是最常见的入院原因（33.0%），但却是第四大常见死因，病死率为2.2%。儿科病房的总体死亡率为8.2%，64.9%的死亡发生在住院的头24小时内。所有入院病例的四分之三是由四种疾病引起的：疟疾、肺炎、肠胃炎和麻疹。针对这四种疾病的靶向干预计划，再加上全面的初级卫生保健系统，很可能会使该地区儿童的发病率和死亡率大幅降低。发现常规收集和存储医疗记录的系统不合标准，这使得准确监测发病率和死亡率非常困难。
