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Ultima descărcare din IBN: 2023-12-17 20:12 |
SM ISO690:2012 VOLOC, Alexandru. Analysis of cases of death by malaria in children. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 417. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 417-417 | ||||||
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Rezumat | ||||||
Background. In 2020, in Gabon, it was found that 29% of children under the age of 5 died due to malaria. In the pandemic situation of COVID-19, the WHO implemented a new method of calculating deaths from malaria, finding that 93% of the total number of deaths are attributed to malaria. The objective of the study. To analyze the total number of deaths caused by malaria in the period 2018-2019 among children who went to the Emergency Department (DU) of CSUMCJE, excluding all deaths in which TDR at COVID-19 was positive. Material and Methods. Unicentric retrospective study of 25 clinical observation sheets of children who died between 2018 and 2019 aged 0-15 years, hospitalized in the CSUMCJE DU of the LBV. The indices obtained were analyzed with State 9.2 (State Corporation, College Station, TX USA). Differences between groups were assessed using Pearson χ2. Results. During the analyzed period, we registered 25 deaths. Total deaths in the first 24 hours were 9 (36%), 12 (48%) within 48 hours and 4 (16%) later than 48 hours at the time of specialization, statistically significantly higher (38.4°C ± 0.9) than in the one in which the children survived (37.7°C ± 1.1); F = 8.76; p = 0.004. In the sublot of the deceased, hepatomegaly was significantly more frequent (88.0%) than in the sublot of children who survived (2.8%) (χ2 = 97.38; p = 0.000; RR - 31.97; CI: 10, 38 – 98.51), which would mean that hepatomegaly would be an unfavorable predictive factor for death by malaria vs. splenomegaly which had a favorable prognosis). Conclusions. In 21 (84%), children died in the first 48 hours of hospitalization, which directly correlates with the comatose or agonal condition at the time of addressing. Hepatomegaly would be an unfavorable predictor of death in children with severe malaria (χ2 = 97.38; p = 0.000; RR - 31.97; CI: 10.38 - 98.51). |
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Cuvinte-cheie children, death, predictive factors, copii, deces, factori predictivi |
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