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n South African Journal of Child Health - Cardiac tamponade in Ilesa, Nigeria : audit
Background. Cardiac tamponade in Nigerian children remains poorly researched.
Objective. To review the frequency, cause and outcome of cardiac tamponade at Wesley Guild Hospital, Ilesa, Nigeria.
Method. Retrospective audit of all children older than 1 month diagnosed with cardiac tamponade over a 7-year period (2001 - 2007) at the children's emergency room (CHER).
Results. Of the 8 813 CHER admissions, 16 (0.2%) children (11 boys and 5 girls) had cardiac tamponade. The most common causes were Staphylococcus aureus pericarditis (6 cases), blunt chest injury (4 cases) and tuberculous pericarditis (3 cases). The overall mortality rate was 62.5%. The case fatality rates were 100%, 66.7% and 33.3% for cadiac tamponade caused by trauma, tuberculosis and staphylococcal pericarditis, respectively.
Conclusion. Although rare, cardiac tamponade is a life-threatening emergency requiring prompt intervention to prevent death. The major cause is infective pericarditis. Large prospective studies would better estimate the disease burden and elucidate risk factors.
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