Abstract
Introduction: Adolescent morbidity and mortality is a health concern. Objective: To determine morbidity, identify the causes of morbi-mortality and the factors associated with adolescent mortality in Brazzaville. Patients and Methods: A retrospective, descriptive and analytical study was carried out at the Brazzaville Hospital and University Center between January 2015 and December 2016. Adolescents hospitalized in clinical services whose records were workable were included. The Epidemiological, clinical and evolutionary variables were analyzed. The statistical test used was the khi-two, the significance level set at 0.05. Results: In total, Out of 67,488 hospitalized patients, 2062 were adolescents: 3% including 891 (43.2%) boys and 1171 (56.8%) girls mean age 14.8 ± 2.92 years, seen in average 9.38 days after the onset of symptoms. Childbirth 415 (20.1%), malaria 309 cases (14.9%), major sickle cell crisis 223 (10.8%) and traumatic injuries 166 cases (8.05%) are the main causes of morbidity. One death was recorded in n = 193 (9.4%), of which n = 104 (5.0%) in the first 48. Tumors, malaria and status epilepticus are the leading causes of death. The female sex, the age between 15 and 19 years, the young age of the father, the higher level of education of the adolescent and the low socio-economic level of the parents are associated with the death. Conclusion: Adolescent morbidity is worrying and mortality is significant. It is important that policies on this issue be developed with an emphasis on the main causes of morbi-mortality, including malaria control and sex education.
Highlights
Adolescent morbidity and mortality is a health concern
In Africa, a continent where adolescent health needs are poorly defined [17], in addition to the causes of the disease, infectious diseases and childbirth are the main causes of morbi-mortality [3] [18] [19] [20] [21]
The aim of this study was to contribute to the improvement of adolescent health and to determine the socio-demographic aspects of the adolescent hospitalized at the Brazzaville Hospital and University Centre (CHUB), to identify the causes of morbidity and mortality as well as the factors associated with death
Summary
Objective: To determine morbidity, identify the causes of morbi-mortality and the factors associated with adolescent mortality in Brazzaville. It is important that policies on this issue be developed with an emphasis on the main causes of morbi-mortality, including malaria control and sex education. Suicide attempts, traffic accidents, AIDS, and the use of toxics are the main causes of hospitalizations [5]-[11] and road accidents, suicides and cancers are the leading causes of death [12] [13] [14] [15] [16]. The aim of this study was to contribute to the improvement of adolescent health and to determine the socio-demographic aspects of the adolescent hospitalized at the Brazzaville Hospital and University Centre (CHUB), to identify the causes of morbidity and mortality as well as the factors associated with death
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