Morbidity Pattern and the Management Outcome of Triaging Children Attending Pediatric Emergency Services of a Tertiary Care Hospital, South India
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Paediatric emergency service plays a prime important role in saving paediatric lives. In India, around 1.7 million children died before reaching the age of 5 years in 2010. Appropriate and timely management of children in paediatric triages can significantly reduce the mortality and morbidity. The knowledge on triaging helps in designing protocols. A descriptive study was undertaken to assess the morbidity pattern and the management outcome of triaging children attending paediatric Emergency Services (PES) of a tertiary care Hospital, South India. Systematic sampling technique was undertaken and a sample size of 600 triage assessments were included. Instruments such as demographic profile, clinical profile and management outcome of the triaging were used. Demographic variables indicated that among the children brought to casualty 10% of children were newborns, 22% were infants, and 38% of the total visits were less than three years of age. Also 10% of the study subjects were adolescents which projects the need to equip the unit with adult equipment. The study showed that, 26% of total visits were related to respiratory illness and 21% had gastro intestinal infections. Physiological status of children at the time of arrival showed that, 37% of children reported with fever, 15% of the children had respiratory distress, and 3% presented with gasping. The outcome of triaging revealed that, 242 (41%) children in PES were admitted in the wards, 36 (6%) were shifted to paediatric intensive care unit and 26 (5%) to paediatric high dependency unit. About 289 (48%) children were discharged with medical advice which alerts the protocol and policy makers to facilitate the PES with a nurse educator who can spend time in educating children and their parents. Present study found that triaging done by the nurses were effective. Assessment of the morbidity patterns and the management outcome of children in PES will therefore help the health professionals to be prepared to meet the needs of children brought to the PES.
Authors and Affiliations
Margaret Manoharan, Vinitha Ravindran, Kala Ranjini, Ebor Jacob, Debasis Das Adhikari, Hepsy Y. S,
Keywords
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- EP ID EP435739
- DOI 10.9790/1959-0702020107.
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