Article
Description of cause of serious illness and outcome in patients
identified using ETAT guidelines in urban Malawi
M A Robertson, E M Molyneux
Department
of Paediatrics, Queen Elizabeth Central Hospital, Blantyre, Malawi
Correspondence to: Prof. Molyneux emolyeux{at}malawi.net
Accepted 2 May 2001
AIMS
To evaluate the performance of
guidelines for emergency triage and treatment (ETAT) of children
presenting to hospitals in the developing world. Part of the study was
concerned with the delivery of emergency treatment to the sickest group
of patients, characterisation of their illness, and outcome.
METHODS AND RESULTSA total of 236 children were admitted during the study period, 27 of whom died. The
three main causes of death were malaria or malaria related illness
(n = 7), pneumonia (n = 6), and malnutrition (n = 11). Forty
seven children were categorised as needing emergency treatment. Thirty
one had no treatment, and eight died; 16 received one or more
recommended treatments, of whom five died. The main limitations to
delivery of immediate care were the lack of staff in the department and
lack of rapidly available blood.
Keywords: emergency care; developing world
© 2001 by Archives of Disease in Childhood
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Arch. Dis. Child. 2001 85: 0.[Extract] [Full Text] [PDF]
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