Non-trauma related paediatric abdominal surgical emergencies in Lagos, Nigeria: Epidemiology and indicators of survival
| dc.contributor.author | Ademuyiwa, AO | |
| dc.contributor.author | Bode, CO | |
| dc.contributor.author | Adesanya, OA | |
| dc.contributor.author | Elebute, OA | |
| dc.date.accessioned | 2022-08-10T10:53:06Z | |
| dc.date.available | 2022-08-10T10:53:06Z | |
| dc.date.issued | 2012 | |
| dc.description | Scholarly article | en_US |
| dc.description.abstract | Background: Pediatric surgical emergencies are associated with higher morbidity and mortality. The aim of this study is to describe the epidemiology of non-trauma related pediatric abdominal surgical emergencies in our centre and determine the indicators for survival in a cohort of patients. Patients and Methods: A retrospective study of children aged 1 day to 15 years who presented with non-trauma related abdominal emergencies at the Lagos University Teaching Hospital (LUTH). Results: There were 129 children. The median age at presentation was 5 months (range: 1 day-15 years). There were 104 males and 25 females. Sixty-four (49.6%) patients presented within 48 hours of the onset of the symptoms while 65 (50.4%) presented after 48 hours. Intestinal obstruction is the commonest indication for pediatric emergency surgery in our centre accounting for 76 patients (58.9%). Appendicitis is the second most common indication for emergency surgery with 13 patients (10.1%). Thirteen patients (10.1%) had postoperative complications. There were 13 deaths in all (10.1% mortality rate). Eleven out of 43 (25.6%) neonates died compared with 2 (2.3%) out of 86 patients in the other age groups (P=0.002). Seven out of 107 (6.5%) patients that had surgery within 72 hours died while 5/22 (22.7%) patients died who had surgery after 72 hours (P=0.003). There were 4 mortalities (28.6%) among patients with postoperative complications compared with 9 (7.8%) mortalities among 116 patients without any postoperative complications (Pp=0.001). Conclusion: Intestinal obstruction is the commonest pediatric surgical emergency seen in LUTH. Neonatal age, admission to surgery intervention time >72 hours, and severe postoperative complications are associated with high mortality. | en_US |
| dc.identifier.citation | Ademuyiwa AO, Bode CO, Adesanya OA, Elebute OA. Non-trauma related paediatric abdominal surgical emergencies in Lagos, Nigeria: Epidemiology and indicators of survival. Niger Med J 2012;53:76-9. | en_US |
| dc.identifier.uri | https://ir.unilag.edu.ng/handle/123456789/11020 | |
| dc.language.iso | en | en_US |
| dc.subject | Survival factors | en_US |
| dc.subject | pediatric surgical emergencies | en_US |
| dc.subject | Mortality | en_US |
| dc.subject | Epidermology | en_US |
| dc.subject | Research Subject Categories::MEDICINE::Surgery | en_US |
| dc.title | Non-trauma related paediatric abdominal surgical emergencies in Lagos, Nigeria: Epidemiology and indicators of survival | en_US |
| dc.type | Article | en_US |