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Pediatric emergency care · May 2020
Multicenter StudyEvaluation of Predictors of Mortality Associated With Childhood Heart Failure in Nigeria: A 2-Center Study.
- Wilson E Sadoh, Blessing Okperi, Paul Ikhurionan, Promise Monday, and Ayebo E Sadoh.
- From the Department of Child Health, University of Benin Teaching Hospital, Benin City, Edo State.
- Pediatr Emerg Care. 2020 May 1; 36 (5): e242-e246.
ObjectiveThe aim of this study was to evaluate the predictors of mortality in childhood heart failure (HF) in 2 tertiary hospitals.MethodsA 51-month retrospective review of case notes of children with HF admitted into children's emergency rooms of 2 tertiary centers in Southern Nigeria was done. Bio-data and certain sociodemographic variables including mortality were abstracted. Bivariate and multivariate analyses were done to evaluate the predictors of mortality in HF.ResultsThe case notes of 289 children were analyzed, consisting of 153 males (52.9%) and 142 infants (49.1%). Lower respiratory tract infections, 121 (41.9%), were the commonest causes of HF. Twenty-eight children (9.7%) died. In multivariate analyses, only late presentation (P < 0.0001) was an independent predictor of mortality in HF.ConclusionEducation of the populace about early presentation to hospital is imperative to prevent unnecessary deaths associated with HF.
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