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M9550143.TXT
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1995-03-04
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Document 0143
DOCN M9550143
TI Clinical analysis of mortality in hospitalized Zambian children with
sickle cell anaemia.
DT 9505
AU Athale UH; Chintu C; Department of Paediatrics Child Health, School of
Medicine,; University of Zambia, Lusaka.
SO East Afr Med J. 1994 Jun;71(6):388-91. Unique Identifier : AIDSLINE
MED/95136908
AB The hospital records of 62 Zambian children with sickle cell anaemia
(SCA) who died during a 3 year period (January 1987 to December 1989) at
the Paediatric Wing of the University Teaching Hospital, Lusaka, Zambia,
were reviewed retrospectively. The SCA patients accounted for 2.92
percent of the total admissions and the average case fatality was 6.61
percent of the total SCA admissions. The case fatality rate has reduced
considerably as compared to the one observed in 1970 in Zambia, although
the major causes of death remain the same. The maximum mortality was
noted in the age group of one to five years (54.84%). The common causes
of death were infections (29.54%), vasoocclusive crises (22.72%) and
splenic sequestration crises (20.45%). The problems of sub-Saharan
Africa, like malaria, malnutrition and now the HIV infection also adde
to the mortality (15.90%).
DE Adolescence Age Factors Anemia, Sickle Cell/*MORTALITY Cause of Death
Child Child, Preschool Female *Hospital Mortality/TRENDS
*Hospitalization/STATISTICS & NUMER DATA/TRENDS Human Infant Infant,
Newborn Male Patient Admission/STATISTICS & NUMER DATA/TRENDS
*Population Surveillance Retrospective Studies Zambia/EPIDEMIOLOGY
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).