[Maternal and perinatal prognosis of eclampsia at the Timbuktu Hospital in Mali]. / Pronostic maternel et périnatal de l'éclampsie à l'hôpital de Tombouctou au Mali.

Eclampsia is one of the leading causes of maternal death worldwide. The purpose of our study was to determine maternal and perinatal prognosis of eclampsia at the Timbuktu Hospital in Mali. We conducted a descriptive, retrospective study of patients with eclampsia during pregnancy or delivery at the Timbuktu Hospital from January 1, 2013 to December 31, 2017. Out of 4.951 deliveries, 116 were marked by eclampsia, reflecting an overall rate of 2.3%. These patients were mainly women younger than 26 years (85.3%), primiparous (81%), admitted on average 8 hours after the first crisis. Cesarean section was performed in 77.6% of cases. Magnesium sulphate was used in 75% of cases. Maternal and perinatal mortality accounted for 4.3% and 21.5%, respectively. Poor maternal prognosis factor was Glasgow score ≤ 8 on admission (p: 0.004). Poor perinatal prognosis factors were to be resident outside the city of Timbuktu (p: 0.000), the absence of antenatal consultation (p: 0.020) and vaginal delivery (p: 0.012). Thus, improving maternal and perinatal prognosis requires proper monitoring of pregnancies and reduction of delays in accessing adequate care.

[Missing Data In The Medical Registers Held By The Physicians Of Bamako's Community Health Centres]. / DonnÉes Manquantes des Registres de Consultations Médicales des Centres de Santé Communautaires de Bamako.

OBJECTIVES: To determine the prevalence of missing data in the medical registers held by the physicians of Bamako's community health centres, and identify physicians' characteristics associated with the prevalence. METHODOLOGY: A cross-sectional and exploratory study was conducted between January and February 2011. The study population consisted of doctors, and data from their medical consultations. The sample was selected using three-stage sampling. Data were collected through closed-ended questionnaire and record counting. Data analysis was descriptive and analytic. RESULTS: The study involved 32 doctors and data from 3072 medical consultations. Physicians were predominantly male (87.5%). The prevalence of missing data ranged from 0.1% to 95.4% and was higher for diagnoses (15.5%), treatments (17.3%) and observations (95.4%). Missing diagnoses were determined by the number of years in the position, and the number of years of service. Missing treatments were determined by data management training, the number of years in the position and the number of years of service. CONCLUSION: The extent of missing diagnoses, missing treatments and missing observations raise doubts on the quality of health information, effectiveness of health decisions and effectiveness of health interventions.

OBJECTIFS: Déterminer les prévalences des données manquantes des registres de consultations des médecins des centres de santé communautaires de Bamako et identifier les caractéristiques des médecins qui leurs sont associées. MÉTHODOLOGIE: Nous avons réalisé une étude transversale et exploratoire entre janvier et février 2011. La population d'étude était constituée des médecins et de leurs consultations médicales. Les échantillons ont été sélectionnés à travers le sondage à trois degrés. Un questionnaire fermé et une fiche de dépouillement ont été utilisés pour collecter les données. L'analyse des données a été descriptive, puis analytique. RÉSULTATS: L'étude a porté sur 32 médecins et 3072 consultations médicales. Les médecins étaient majoritairement des hommes (87,5 %). Les prévalences de données manquantes variaient de 0,1 % à 95,4 % et étaient plus élevées pour les diagnostics (15,5 %), les traitements (17,3 %) et les observations (95,4 %). Les diagnostics manquants étaient déterminés par le nombre d'années au poste et de service, et les traitements manquants par la formation à la gestion des données, le nombre d'années au poste et de service. CONCLUSION: L'ampleur des diagnostics, des traitements et des observations manquants laisse planer des doutes sur la qualité de l'information sanitaire, l'efficacité des décisions et celle des interventions.