Sylvanus, Okogbenin and Chiedozie, Ike and Clifford, Owobu and Juliet, Idialu and Chinenye, Kesieme and Adaugo, Owobu (2021) Easy Protocol Assessment in Children Emergency Room, Irrua Specialist Teaching Hospital Nigeria. International Journal of TROPICAL DISEASE & Health, 42 (10). pp. 1-11. ISSN 2278-1005
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Abstract
Aim: To determine the effect of the EASY (Early Attention to Sepsis in the Young) protocol on sepsis outcomes in children admitted into the children's emergency unit.
Methodology: Sixty participants (24 males and 36 females) aged 1 month - 16 years were recruited into two arms- The EASY protocol and the non-EASY protocol (control) arm. The researchers obtained relevant treatment history and clinical and laboratory data, which were analyzed statistically using SPSS version 25.
Results: Twenty-five (80%) patients on EASY protocol received saline boluses compared to 5 (16.7%) in the control group. The difference was significant: χ2 = 24.09, p ˂ .001. Similarly, more patients on EASY (10; 33.3%) than the control (3; 10.0%) received continuous positive airway pressure: χ2 = 4.81, p = .03.
Where the symptoms were predominantly restricted to one organ system, those on EASY protocol spent less time in the emergency unit (0.98 ± 0.43 days) than the control (1.87 ± 0.97 days): F = 13.02, p = .001. However, there was no statistically significant difference in the overall duration of hospital admission in both groups: t = 1.33, p = 0.20.
In the EASY arm, the particular EASY treatment used correlated with the presence of underlying chronic disease and the approximate duration of current illness; p= 0.001, R2= 0.37 - 0.59; as well as the presence of abnormal blood cell counts; p= 0.022, R2= 0.39 - 0.64.
Conclusion: The EASY protocol increased the intensity of treating children with sepsis in the emergency unit and reduced the critical phase.
Item Type: | Article |
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Subjects: | Institute Archives > Medical Science |
Depositing User: | Managing Editor |
Date Deposited: | 11 Nov 2022 04:38 |
Last Modified: | 30 Dec 2023 13:09 |
URI: | http://eprint.subtopublish.com/id/eprint/124 |