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Research Article Open access CC BY 3.0

Anaemia in Critically Ill Children- A Case Study from Nigeria

I. O. George, B. E. Otaigbe

International Journal of TROPICAL DISEASE & Health · pp. 55–61 · Published 7 Mar 2012

10.9734/IJTDH/2012/851

Abstract

Background and Aim: Anaemia is a common cause of morbidity and mortality in the tropics. World Health Organization estimated that anaemia affects one-quarter of the world's population and is concentrated within preschool age children and in resource-poor countries like ours. The aim of this study was to evaluate the prevalence and severity of anaemia in critically ill children presenting at the Children Emergency Ward of the University of Port Harcourt Teaching Hospital (UPTH), Nigeria. Materials and Methods: This was a retrospective study of anaemic children (1 month to 16 years) admitted into the Children Emergency Ward of the UPTH from January to December 2010. Medical case notes of the patients were reviewed. Information obtained included age, gender, presenting complaints, diagnosis, packed cell volume (PCV), blood transfusion and outcome. The PCV was determined by microhaemtocrit method. Data generated were analysed using SPSS for widow, version 12.0 (SPSS Inc, Chicago Illinois, USA). Descriptive statistics in the form of the frequency and percentage were used. Results: There were a total of 1581 children admitted into the Children Emergency Ward of the UPTH during the period of study. Four hundred and twenty three were confirmed to have anaemia of varying degree giving a prevalence of 26.8%. Most 295(69.7%) of the mothers were poorly educated and live in the urban slums. There were more males 418(67.1%) than females 205(32.9%). Fever, vomiting and weakness were the main presenting features. Ninety two patients (6.3%) had mild anaemia, 102 patients (6.5%) had moderate anaemia and 229 patients (14.5%) had severe anaemia. Two hundred and twelve of the critically ill children (50.1%) were transfused on account of severe anaemia. Malaria and septiicaemia were the commonest associated morbid conditions. Twenty five deaths were recorded. Severe anaemia accounted for 13(52.0%) of the total deaths.  Conclusion: Anaemia is prevalent among Nigerian children in critical condition. Severe anemia is common and associated with increased risk of clinically relevant outcomes such as hospitalization and mortality.

Anaemia Critically ill children Nigeria

References (27)

  1. 1 Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993–2005 [DOI]
  2. 2 Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia.
  3. 3 Indicators of Life-Threatening Malaria in African Children [DOI]
  4. 4 The prevalence of anaemia in the world.
  5. 5 Gaps in the childhood malaria burden in Africa: cerebral malaria, neurological sequelae, anemia, respiratory distress, hypoglycemia, and complications of pregnancy [DOI]
  6. 6 The anemia of vitamin A deficiency: epidemiology and pathogenesis [DOI]
  7. 7 Preventing and controlling iron deficiency anaemia through primary health care: A guide for health administrators and programme managers
  8. 8 An Analysis of Anemia and Child Mortality [DOI]
  9. 9 Laboratory Tests and Diagnostic Procedures
  10. 10 Estimated Risk of Transmission of the Human Immunodeficiency Virus by Screened Blood in the United States [DOI]
  11. 11 The silent burden of anaemia in Tanzanian children: a community-based study.
  12. 12 Risk Factors for Moderate to Severe Anemia among Children in Benin and Mali: Insights from a Multilevel Analysis [DOI]
  13. 13 Iron deficiency and risk factors for lower iron stores in 6–24-month-old New Zealanders [DOI]
  14. 14 Anemia in children.
  15. 15 Malaria and human immunodeficiency virus infection as risk factors for anemia in infants in Kisumu, western Kenya. [DOI]
  16. 16 Risk factors for anemia in Vietnam.
  17. 17 Factors associated with mortality in under-five children with severe anemia in Ebonyi, Nigeria [DOI]
  18. 18 Laboratory Tests and Diagnostic Procedures [DOI]
  19. 19 Albendazole therapy and reduced decline in haemoglobin concentration during pregnancy (Sierra Leone) [DOI]
  20. 20 Clinical signs for the recognition of children with moderate or severe anaemia in western Kenya.
  21. 21 Micronutrient malnutrition and the pathogenesis of malarial anemia [DOI]
  22. 22 Impact of subpatent multi-species and multi-clonal plasmodial infections on anaemia in children from Nigeria [DOI]
  23. 23 DIAGNOSTIC AND PRESCRIBING PRACTICES IN PERIPHERAL HEALTH FACILITIES IN RURAL WESTERN KENYA [DOI]
  24. 24 Malaria associated anaemia, drug resistance and antimalarial combination therapy [DOI]
  25. 25 Blood transfusions for severe malaria-related anemia in Africa: a decision analysis. [DOI]
  26. 26 Continuation of Decline in Prevalence of Anemia in Low-Income Children [DOI]
  27. 27 ESTIMATED RISK OF TRANSMISSION OF THE HUMAN IMMUNODEFICIENCY VIRUS BY SCREENED BLOOD IN THE UNITED STATES

Cited by 6

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S. Adewoyin Ademola · International Blood Research & Reviews · 2015

ANEMIA AND BLOOD TRANSFUSION IN CHILDREN WITH SEPTIC SHOCK: DOES IT AFFECT OUTCOME? A PROSPECTIVE OBSERVATIONAL STUDY

A V Lalitha, Shasta Theresa Joy, S Sumithra · Indian Journal of Child Health · 2018

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