Table 2.
Admissions of those <18 years old at in-patient facilities (IPD) for Médecins Sans Frontières-Operational Centre Amsterdam (MSF-OCA) in Northern Syria, 2013–2016
| Tal-Abyad, Paediatric Hospital (Jul 2013–May 2014); total admissions = 1823 | Kobane, Basement Hospital (Nov 2015–Sep 2016); total admissions = 2849 | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| < 18 years | < 6 months | 6 months–< 1 year | 1–< 5 years | 5–9 years | 10–17 years | < 18 years | < 6 months | 6 months–< 1 year | 1–< 5 years | 5–9 years | 10–17 years | |
| Admissions, n (%) | ||||||||||||
| 1823 (100%) | 290 (16%) | 445 (24%) | 755 (41%) | 210 (12%) | 123 (7%) | 1688 (59%) | 365 (13%) | 319 (11%) | 551 (19%) | 222 (8%) | 231 (8%) | |
| Sex, n (%) | ||||||||||||
| Male | 1101 (60%) | 180 (62%) | 278 (63%) | 433 (57%) | 130 (62%) | 80 (65%) | 949 (56%) | 204 (56%) | 168 (53%) | 316 (57%) | 131 (59%) | 130 (56%) |
| Top five morbidities (%) | ||||||||||||
| Gastro (31%) | LRTI (42%) | Gastro (46%) | Gastro (29%) | Gastro (23%) | Gastro (23%) | Gastro (37%) | Gastro (29%) | Gastro (52%) | Gastro (42%) | Gastro (32%) | Gastro (25%) | |
| LRTI (26%) | Gastro (20%) | LRTI (32%) | LRTI (24%) | Thalassemia (11%) | Thalassemia (17%) | LRTI (18%) | LRTI (28%) | LRTI (22%) | LRTI (16%) | Other (15%) | Other (22%) | |
| URTI (5%) | Neonatal (13%) | Malnutrition (5%) | Seizure (7%) | LRTI (11%) | LRTI (8%) | Other (14%) | Other (14%) | Other (10%) | Other (14%) | LRTI (13%) | V. injury (12%) | |
| Seizure (5%) | Malnutrition (8%) | Fever (4%) | URTI (6%) | Other (9%) | URTI (8%) | Fever (9%) | Neonatal (11%) | Fever (8%) | Fever (9%) | Fever (11%) | Fever (10%) | |
| Other (4%) | Sepsis (4%) | Other (3%) | Intoxication (6%) | Asthma (8%) | Diabetes (8%) | Neonatal (3%) | Fever (6%) | Neonatal (3%) | Intoxication (3%) | V. injury (5%) | LRTI (6%) | |
| Days admitted, n | ||||||||||||
| Mean | 2.4 | 2.8 | 2.7 | 2.2 | 2.0 | 1.7 | 1.2 | 1.3 | 1.2 | 1.1 | 0.9 | 1.2 |
| Median | 2 | 2.0 | 2.0 | 2.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.0 |
| Max | 35 | 22 | 35 | 33 | 28 | 12 | 12 | 12 | 12 | 12 | 6 | 7 |
| Exits status, % | ||||||||||||
| Discharges | 83.8 | 78.6 | 86.7 | 84.6 | 85.7 | 76.4 | 86.3 | 83.8 | 90.3 | 85.8 | 86.0 | 85.7 |
| Defaulter | 9.7 | 8.3 | 8.3 | 10.9 | 7.6 | 14.6 | 9.7 | 8.2 | 8.5 | 12.0 | 10.8 | 7.4 |
| Referred | 4.6 | 9.3 | 2.9 | 3.4 | 4.3 | 6.5 | 3.1 | 5.5 | 0.3 | 2.0 | 2.3 | 6.5 |
| Death | 1.0 | 2.8 | 0.9 | 0.4 | 0.5 | 2.4 | 0.7 | 2.2 | 0.9 | 0.0 | 0.5 | 0.0 |
| Missing | 0.9 | 1.0 | 1.1 | 0.7 | 1.9 | 0.0 | 0.2 | 0.3 | 0.0 | 0.2 | 0.5 | 0.4 |
| Diagnosis for death cases | ||||||||||||
| Malnutrition (n = 4) | Jaundice | Anaemia | Coma | Thalassemia | Malnutrition | LRTI (n = 2) | Heart disease | |||||
| Diarrhoea (n = 2) | Diarrhoea | Heart disease | Intoxication | Jaundice (n = 2) | Diarrhoea | |||||||
| Neonatal | Fever | Intoxication | LRTI | |||||||||
| Meningitis | LRTI | Seizure | ||||||||||
| Othera | Diarrhoea | |||||||||||
| Sepsis | ||||||||||||
| Neonatal | ||||||||||||
aOther is only detailed as “persistent vomiting after surgery”
Gastro gastro-enteritis, LRTI lower respiratory tract infection, URTI upper respiratory tract infection, Neonatal neonatal diseases, V. Injury violent injury