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Paediatric Medical Emergencies: Clinical and Evolving Profile of Patients Treated at a Prefectural Hospital in Guinea

DOI : https://doi.org/10.36349/easjms.2025.v07i11.001
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Introduction: The objective of this study was to examine the profile of patients admitted to the paediatric emergency department at Dubréka Prefectural Hospital. Methods: Our study was conducted in the paediatric ward of Dubréka Prefectural Hospital. It was a dynamic descriptive study lasting six months, from 1 April to 30 September 2024. We included in our study all children aged 0 to 15 years admitted to the paediatric ward of Dubréka Prefectural Hospital for a medical emergency. A medical emergency was defined as a situation requiring immediate medical intervention. Results: We recorded 176 emergency cases out of 882 admissions, representing a frequency of 20%. Children under 5 years of age were the most represented with 130 cases, or 74%. The average age of our patients was 3.6 years, with extremes of 0 and 14 years. Females predominated, with a sex ratio of M/F = 0.87. Fever was the most common reason for consultation (96.59%). Sixty-three patients were referred from another healthcare facility (35.8%). One hundred and twenty-eight patients were admitted between 8 a.m. and 3 p.m. (72.2%). The majority of patients arrived at the hospital by public transport (86.36%). Ninety-nine patients had received medical treatment before arriving at the hospital (62.26%). Malaria was the most common cause (36.96%), followed by bronchopneumonia (17.07%). Conclusion: Communication efforts aimed at changing behaviour must undoubtedly continue at the population level in order to combat delays in the treatment of paediatric medical emergencies, thereby optimising therapeutic benefits and minimising sequelae.

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Professor Thomas Count Dracula, MD, PhD

Distinguished Professor of Haematology Head — Experimental, Historical & Sensory Haematology Vlad the Impaler University, Wolf’s Lane, Wooden Stakes Grove 666, Transylvania.

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