Predictors of In-Hospital Mortality Among Paediatric Snakebite Patients in Northeastern Nigeria: A Survival Analysis Study
Rattachement africain : kh, gb, Nigéria, in, Ghana. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Paediatric patients of snakebite envenoming are vulnerable to severe complications due smaller body size and dependence on adults for timely medical attention. However, there is limited literature on risk factors for mortality in pediatric populations, particularly within rural Nigerian settings, where snakebite envenoming is prevalent. A retrospective study was conducted using medical records at the Snakebite Treatment and Research Hospital (SBTRH) in Northeastern Nigeria, including paediatric patients aged 0 through 17 years who presented with a snakebite from January through December 2024. We estimated cumulative survival probability over time using Kaplan-Meier curves and identified predictors of mortality using multivariable Cox proportional hazards models. SBTRH managed 2,192 snakebite patients in 2024, out of which 723 paediatric patients were included in analyses; 702 of these patients were discharged alive, while 21 died in hospital. Those who took four hours or more to arrive at the hospital after being bitten were more likely to die in hospital compared to those who arrived in less than four hours (hazard ratio (HR) = 5.87, 95% CI = 1.15-29.95). Further, those who were not given antivenom (Echitab) were more likely to die in hospital than those who were given antivenom (HR = 10.07, 95% CI = 3.89-26.07). Aligning with other studies on poor outcomes following snakebite, this study identifies delayed hospital presentation and lack of antivenom administration among key predictors of in-hospital mortality among paediatric snakebite patients in Northeastern Nigeria. These findings reiterate a need for strengthening antivenom supply chains and implementing targeted educational campaigns.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Predictors of In-Hospital Mortality Among Paediatric Snakebite Patients in Northeastern Nigeria: A Survival Analysis Study
- Date Crossref
- 06/07/2026
- Éditeur
- F1000 Research Ltd
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Angkor Hospital for Children pays non établi dans la noticeÉtablissement de santé
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University of Oxford The Global Health Network pays non établi dans la noticeUniversité ou école supérieure
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Gombe State University Gombe State University, Nigéria (code pays fourni par la source)Université ou école supérieure
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Sri Ramachandra Institute of Higher Education and Research pays non établi dans la noticeUniversité ou école supérieure
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Sri Ramachandra Medical Centre pays non établi dans la noticeÉtablissement de santé
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University of Ghana Accra, Ghana (code pays fourni par la source)Université ou école supérieure
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Ghana Communication Technology University Ghana (code pays fourni par la source)Université ou école supérieure
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Kaltungo Gombe Snakebite Treatment and Research Hospital Gombe, Nigéria (ville ou établissement reconnu, pays non nommé)Établissement de santé
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Chennai Tamil Nadu Sri Sai Ram Institute of Technology pays non établi dans la noticeStructure de recherche
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Gombe Gombe Gombe State Ministry of Health Gombe, Nigéria (ville ou établissement reconnu, pays non nommé)Organisme public
Angkor Hospital for Children, The Global Health Network — University of Oxford et Gombe State University (Gombe State University, Nigéria), avec 7 autres affiliations. Pays d’affiliation : Nigéria, Ghana.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.