PP080 Topic: AS09–Global Health/Resource Limited Setting/Health Inequalities/Impact of Global Warming/Other: DEMOGRAPHICS AND OUTCOMES OF CHILDREN ADMITTED TO THE INTENSIVE CARE UNIT (ICU) IN A REGIONAL HOSPITAL IN NAMIBIA OVER TWELVE MONTHS.

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Aims & Objectives: There is little published data showcasing demographics and ICU outcomes of paediatric admissions (<16 years old) in Africa. We reviewed paediatric ICU admissions at Intermediate Hospital Oshakati (IHO) to recognise common conditions, identify where clinical guidelines can be developed, support staff training and motivate for a Paediatric ICU (PICU). Methods: Admission numbers, reasons, age and nationality were analysed. Admission indications were categorised into organ systems. Additional areas of interest to Sub-Saharan Africa were reviewed including trauma and infectious disease and ICU mortality was calculated. Results: There were 111 patients admitted to ICU; neurological (28%), respiratory (28%) and gastrointestinal (24%) pathology was most prevalent. Six percent of admissions were infectious diseases and 20% percent were trauma admissions. ICU mortality was 36%. The commonest age admitted was 1-4 year olds (43%) and 18% of patients were Angolan. Conclusions: In the UK, common admission reasons were respiratory (26.5%) and cardiovascular (26.4%), whereas only 3 children were admitted for a primary cardiovascular cause in IHO showcasing different patient populations globally. This data may not fully represent Namibia’s PICU population. Data from other ICUs is desirable. Oshakati’s trauma rates are high (20% of all admissions) and head injuries comprise 45% of trauma admissions, reflecting the high neurological admission reasoning. This data can help to establish guidelines, standardise care and improve patient outcomes. Mortality in IHO is high (36%), however hospital presentation time, resource availability and patient acuity information is needed to determine severity of illnesses and predict risk adjusted mortality to allow comparison and set targets. Keywords: Mortality, Paediatric, Namibia, Demographics, ICU

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