Browsing by Author "Aderemi, Jubril A"

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    Burden and spectrum of paediatric respiratory diseases at a referral hospital in North-Central Nigeria - A five-year review.
    (Elsevier, 2019-11-13) Ibraheem, Rasheedat M; Aderemi, Jubril A; Abdulkadir, Mohammed B; Johnson, Abdul-Wahab BR
    Introduction: Globally respiratory diseases, comprising a broad range of disease conditions due to infectious and non-infectious causes, are a major cause of childhood morbidity and mortality. Thus, identification of the burden of respiratory illness will ensure appropriate interventions towards reducing its attendant morbidity and mor- tality. The study was conducted to identify the burden, spectrum and outcome of respiratory diseases in hos- pitalized children at University of Ilorin Teaching Hospital, North-Central Nigeria. Methods: A retrospective descriptive cross-sectional study involving children admitted through the emergency paediatric unit over five years (January 2013-December 2017) was conducted. Data on demography, diagnosis, co- morbidities and complications, duration of admission, and outcome were collected and analyzed using SPSS 20. Results: Of the total 7012 children admitted, 1939(27.7%) were due to respiratory diseases with a median age of 16 (interquartile range {IQR} 7-36) months. Males were 994(51.3%) and 945(48.7%) females. Infectious dis- eases were the most common cause of admission. Pneumonia (50.1%) and aspiration pneumonitis (5.1%) ac- counted for the highest admissions due to infective and non-infective respiratory diseases respectively. Overall, respiratory diseases accounted for 20.7% (119/574) of the overall mortality among all admissions while the all- respiratory disease mortality was 6.1% (119/1939). The major contributors to mortality were pneumonia, as- piration pneumonitis and tuberculosis accounting for 81(68.1%), 12(10.1%) and nine (7.6%) deaths respec- tively. The median duration of hospital stay was four days [IQR: 2 to 6 days]. A significantly higher proportion of the deaths occurred with four days of admission and 82.4% of the deaths occurred among those aged less than five years. A higher number of females (70, 58.8%) died compared to males (49, 41.2%), p=0.05. Conclusion: Pneumonia and aspiration pneumonitis are major contributors to morbidity and mortality due to respiratory diseases for which interventions towards improving childhood health indices should be prioritized.