NCT06577207

Pattern and Outcome of Children Admitted in Emergency Unit of Assuit Children University Hospital Hospital

Pattern and Outcome of Children Admitted in Emergency Unit of Assuit Children University Hospital

• Status: Not Yet Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 93 (estimated)
• Sponsor: Assiut University · Academic / Other
• Sex: All
• Age: 28 Days – 18 Years
• Healthy volunteers: Not accepted

Summary

In the present work, we aim to 1. Describe the pattern of patients admitted to Emergency unite at Assiut University Child Hospital (AUCH) and classify them according to age ,distribution ,most common presenting complain, effect of seasonal variation on causes of admission ,prognosis till discharge of the patient to home or refer him to specific unit in pediatric hospital and associated chronic disease. 2. Describe factors affecting mortality rate

Detailed description

Emergency department (ED) is the essential and important front line of medical care provided by the hospital. Child mortality rates remain high globally; mortality rate is a reflection of the severity of illness and the quality of treatment of patients in pediatric emergency departments . In Africa, the childhood mortality rate is 92 per 1000 live births which are 15 times more than that of well-resourced countries. In pediatric departments, early child mortality is commonly caused by preventable and reversible diseases, so urgent treatment and resuscitation are required to avoid poor outcomes . Overcrowding in ED has also been a global urgent problems , overcrowded could be brought by multiple factors as a facility with rapid diagnostic modalities and early initiation of therapy and patients can expect a higher possibility to be admitted to the hospital by the ED attendant . Early identification and treatment of pneumonia, sepsis, heart failure (secondary to anemia), acute respiratory tract infections, and diarrheal diseases has been shown to reduce childhood mortality in acute pediatric hospitals. Critical clinical issues, such as shortness of breath, fast breathing and fever with seizure are some of the preventable causes contributing to childhood mortality. Effective intervention and good emergency care and classification of children requires effort and coordination starting from the bedside up to the governmental level .

Conditions

• Pediatric Emergency Medicine

Interventions

Type	Name	Description
OTHER	Initial investigations for all cases	Initial investigations for all cases: 1. Pulse oximetry. 2. Complete blood count. 3. Electrolytes. 4. Kidney function test. 5. Random blood glucose 6. Other investigations ordered for certain cases according to clinical manifestation \& previous findings \> Lines of treatment will be recorded

Timeline

• Start date: 2025-01-01
• Primary completion: 2026-01-01
• Completion: 2027-01-01
• First posted: 2024-08-29
• Last updated: 2024-09-03