• Users Online: 64
  • Print this page
  • Email this page
Year : 2021  |  Volume : 30  |  Issue : 5  |  Page : 514-518

Childhood dead-before-arrival at a Nigerian tertiary health facility: A call for concern and improvement in health care delivery

1 Department of Paediatrics and Child Health, Ekiti State University Teaching Hospital, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria
2 Department of Paediatrics and Child Health, Obafemi Awolowo University Teaching Hospitals Complex, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria

Correspondence Address:
Dr. Adewuyi Temidayo Adeniyi
Department of Paediatrics and Child Health, Ekiti State University Teaching Hospital, Ekiti State University, Ado-Ekiti, Ekiti State
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/NJM.NJM_100_21

Rights and Permissions

Background: Dead-before-arrival (DBA) is a term used to describe patients who had no sign of life at the time of presentation to the hospital. Little information exists about it in children. This study sets out to determine the prevalence and pattern of DBA among children presenting to a tertiary health facility in Nigeria. Materials and Methods: Standardized verbal autopsy was used to ascertain the details about children aged 1 month to 14 years who were cases of DBA at the Children Emergency Ward of the Wesley Guild Hospital, Ilesa, Nigeria, over 12 months. Socio-demographic history, symptoms before demise, treatment received, and suspected cause (s) of death were documented. The prevalence of DBA was compared to the in-hospital mortality during the period. Results: A total of 64 (7.4%) of the 863 emergency admissions were cases of DBA. Median (interquartile range) age was 18.0 (8.0–52.5) months, male: female was 1.7 and over 78.1% were under-fives. Infections such as malaria, sepsis, and gastroenteritis were the most common suspected causes of death, followed by accidental injuries from a road traffic crash, drowning, and aspirations. Cases of DBA were significantly higher than in-hospital mortality during the study period (7.4% vs. 5.6%). Conclusion: In-hospital mortality may be a tip of the iceberg as cases of DBA, and those who did not present to the hospital at all may take the lion share of childhood mortality. Making basic health care available and affordable to the populace may help reduce the burden of DBA.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded22    
    Comments [Add]    

Recommend this journal