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Journal of Tropical Pediatrics 1994 40(1):54-57; doi:10.1093/tropej/40.1.54
© 1994 by Oxford University Press
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brief-report

Are Pediatric Wards in Developing Countries Only Places to Die? A study of prior to hospitalization risk factors of death among 0–2 year old hospitalized children in Niamey, capital of Niger

Y. Gamatie, MD*, A. Prual, MD, MPH**, J. Wollo, MD* and D. Huguet, MD***

*Service de Pédiatrie, Hopital National, Niamey, Niger (mail should be sent to Dr Y. Gamatie, BP 2131, Niamey, Niger)
**Département de Santé Publique, Faculté des Sciences de la Santeé, BP 10896, Niamey Niger
***Projet ‘Appui à la Santé de la Femme et de I Enfant à Niamey’ Coopération Franco-Nigérienne, Ministè;re de la Santé Publique, BP 1056 Niger

The 461 0–2-year-old children admitted to the paediatric ward of the National Hospital in Niamey over a 2-month period were closely followed up from admission to discharge or death. The in-hospital mortality rate was 30 per cent, a great proportion of deaths occurring during the first 24 b of hospitalization. Malnutrition was highly prevalent (76 per cent). Children referred from other health facilities (72 per cent)did not experience a higher probability of survival. Using multivariate analysis, three variables remained significantly associated with death: nutritional status, consultation of a traditional practitioner, and a neonate disease. Neonate diseases are the third major cause of death because of a high case fatality rate. For the other causes, the main underlying factor is malnutrition. Most in-hospital deaths are due to events that occurred prior to hospitalization. The role of hospitals’ pediatric wards of developing countries isdiscussed.


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