Uganda: Mortality in Children Under Five Receiving Nonphysician Clinician Emergency Care
March 2nd, 2016Mortality in Children Under Five Receiving Nonphysician Clinician Emergency Care in Uganda
Brian Rice, Usha Periyanayagam, Stacey Chamberlain, Bradley Dreifuss,
Heather Hammerstedt, Sara Nelson, Samuel Maling, and Mark Bisanzo
Pediatrics 2016; 137:1-8
http://pediatrics.aappublications.org/content/137/3/1.43.abstract?etoc
“…..No significant mortality difference was seen between supervised and unsupervised care (2.17% vs 3.01%, P = .43) for the majority of patients that were not severely ill. Severely ill patients analyzed separately showed a significant mortality difference (4.07% vs 10.3%, P = .01). Logistic regression revealed physician supervision significantly reduced mortality for patients overall (odds ratio = 0.52, P = .03), but not for nonseverely ill patients analyzed separately (odds ratio = 0.73, P = .47)…..”