Publication: Sociodemographic and Clinical Profiles of Patients Admitted in Tertiary Level Pediatric Hospital of Nepal: An Observational Study
Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Child health is crucial in low and middle-income countries. Pediatric healthcare in tertiary-level hospitals addresses complex medical conditions. This study aimed to describe the sociodemographic and clinical profiles of pediatric patients admitted to Kanti Children’s Hospital in Nepal.
Methods: An observational cross-section study was conducted including all the inpatients under 15 years of age. The data were collected from the hospital medical record section from July 17, 2023 to July 15, 2024, after the ethical approval from Institutional Review Review Committee, (Reference number 2168). The statistical analysis included descriptive statistics to assess demographic characteristics, case types, admission patterns, and outcomes using Microsoft Excel and Statistical Package for Social Sciences (SPSS) 2024.
Results: A total of 9682 pediatric cases were included, of which 6389 (65.99%) of the patients were male, with 3305 (34.13%) being aged 1 to 5 years. Among the admitted patietns 2194 (22.66%) had respiratory cause and 1520 (15.70%) had infectious disease. Mortallity rate was 203 (2.09%) and it was 82 (12.06%) in pediatric intensive care unit and 48(10.62%) in neonatal intensive care unit.
Conclusions: Respiratory and infectious diseases were the most common cause of admission in pediatric settings with a higher prevalence in younger children. The majority of cases were residing outside the capital city. This study highlighted higher mortality rates in critical care units.
Description
Anil Kumar Shrestha
Department of Pediatrics, Kanti Children's Hospital, Maharajgunj, Kathmandu, Nepal
Santosh Adhikari
Department of Pediatrics, Kanti Children's Hospital, Maharajgunj, Kathmandu
Sushil Gyawali
Department of Surgery, Chirayu National Hospital & Medical Institute Pvt.Ltd., Basundhara, Kathmandu, Nepal
Bal Mukunda Basnet
Department of Pediatric Surgery, Kanti Children's Hospital, Mahargunj, Kathmandu, Nepal
Sobi Lal Maharjan
Sangla Primary Health Center, Tarkeshwor, Kathmandu
Pujash Karmacharya
Gajuri Primary Helath Center, Gajuri, Dhading, Nepal
Deepak Raj Paudel
Department of Pediatrics, Rapti Academy of Health Science, Ghorahi, Dang, Nepal