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dc.contributor.authorBucens, I.
dc.contributor.authorReid, Alison
dc.contributor.authorBarreto, A.
dc.contributor.authorDwivedi, V.
dc.contributor.authorCounahan, M.
dc.date.accessioned2017-01-30T11:13:01Z
dc.date.available2017-01-30T11:13:01Z
dc.date.created2015-10-29T04:08:47Z
dc.date.issued2013
dc.identifier.citationBucens, I. and Reid, A. and Barreto, A. and Dwivedi, V. and Counahan, M. 2013. Three years of neonatal morbidity and mortality at the national hospital in Dili, East Timor. Journal of Paediatrics and Child Health. 49 (6): pp. 452-457.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/9494
dc.identifier.doi10.1111/jpc.12209
dc.description.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.

dc.titleThree years of neonatal morbidity and mortality at the national hospital in Dili, East Timor
dc.typeJournal Article
dcterms.source.volume49
dcterms.source.number6
dcterms.source.startPage452
dcterms.source.endPage457
dcterms.source.issn1034-4810
dcterms.source.titleJournal of Paediatrics and Child Health
curtin.departmentEpidemiology and Biostatistics
curtin.accessStatusFulltext not available


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