TITLE:
Morbidity and Mortality in Adolescents at the University Hospital of Brazzaville
AUTHORS:
Engoba Moyen, Vérinal Ouemeyi-Enani, Annie Rachelle Okoko, Ben Borgea Nianga, Verlem Bomelefa-Bomel, Georges Marius Moyen
KEYWORDS:
Adolescents, Morbidity, Mortality, Brazzaville University Hospital
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.11 No.2,
June
8,
2021
ABSTRACT: Introduction: Adolescent morbidity and mortality is a health concern. Objective: To determine
morbidity, identify the causes of morbi-mortality and the factors associated
with adolescent mortality in Brazzaville. Patients and Methods: A
retrospective, descriptive and analytical study was carried out at the
Brazzaville Hospital and University Center between January 2015 and December
2016. Adolescents hospitalized in clinical services whose records were workable
were included. The Epidemiological, clinical and evolutionary variables were
analyzed. The statistical test used was the khi-two, the significance level set
at 0.05. Results: In total, Out of 67,488
hospitalized patients, 2062 were adolescents: 3% including 891 (43.2%) boys and
1171 (56.8%) girls mean age 14.8 ± 2.92 years, seen in average 9.38 days after
the onset of symptoms. Childbirth 415 (20.1%), malaria 309 cases (14.9%), major
sickle cell crisis 223 (10.8%) and traumatic injuries 166 cases (8.05%) are the
main causes of morbidity. One death was recorded in n = 193 (9.4%), of which n = 104
(5.0%) in the
first 48. Tumors, malaria and status epilepticus are the leading causes of
death. The female sex, the age between 15 and 19 years, the young age of the
father, the higher level of education of the adolescent and the low
socio-economic level of the parents are associated with the death. Conclusion: Adolescent morbidity is worrying and mortality is significant. It is important
that policies on this issue be developed with an emphasis on the main causes of
morbi-mortality, including malaria control and sex education.