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    Three years of paediatric morbidity and mortality at the national hospital in Dili, East Timor

    Access Status
    Fulltext not available
    Authors
    Bucens, I.
    Reid, Alison
    Barreto, A.
    Dwivedi, V.
    Counahan, M.
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Bucens, I. and Reid, A. and Barreto, A. and Dwivedi, V. and Counahan, M. 2013. Three years of paediatric morbidity and mortality at the national hospital in Dili, East Timor. Journal of Paediatrics and Child Health. 49 (12): pp. 1004-1009.
    Source Title
    Journal of Paediatrics and Child Health
    DOI
    10.1111/jpc.12305
    ISSN
    1034-4810
    School
    Epidemiology and Biostatistics
    URI
    http://hdl.handle.net/20.500.11937/26399
    Collection
    • Curtin Research Publications
    Abstract

    Aim The aim of this study was to undertake a retrospective review of admissions and discharges to the paediatric wards at the National Hospital Guido Valadares, Dili, as the epidemiology of hospitalised children in East Timor cannot be easily understood from the hospital health management information system. Method Data were sourced from unit registers for 3 years, 2008-2010 inclusive. Demographic characteristics and principal diagnoses were related to the risk of dying using stepwise multivariate logistic regression. Results There were 5909 children admitted to the wards over the study period and 60% were <2 years of age. The commonest reasons for admission were lower respiratory tract infections (LRIs) and gastroenteritis (43% and 16%, respectively). Severe malnutrition (MN) was recorded in only 5% of admissions. Overall, 6% of children died, mainly attributed to LRI (28%), central nervous system infections (16%) and MN (11%). Younger age, residence outside of Dili and admission during a busier period were independently associated with an increased risk of death. Nine per cent of hospitalised infants aged 1-6 months of age died and half of all deaths occurred within 2 days of admission. Conclusions The study provides, for the first time, an understanding of the admissions and outcomes of the busiest paediatric inpatient unit in East Timor. It emphasises important health system issues which impact on both data quality and hospital outcomes. © 2013 The Authors. Journal of Paediatrics and Child Health © 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

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