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2015 ; 6
(3
): 212-6
Nephropedia Template TP
gab.com Text
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English Wikipedia
The mortality of patients in a pediatric emergency department at a tertiary
medical center in China: An observational study
#MMPMID26401183
Zhu CP
; Wu XH
; Liang YT
; Ma WC
; Ren L
World J Emerg Med
2015[]; 6
(3
): 212-6
PMID26401183
show ga
BACKGROUND: The quality of treatment for critically ill children varies widely at
different hospitals. This study aimed to analyze the characteristics of mortality
in a pediatric emergency department (PED) at a tertiary children's hospital in
Guangzhou, China and to investigate the risk factors associated with the
mortality. METHODS: The mortality of pediatric patients at the hospital from 2011
to 2013 was retrospectively analyzed using descriptive statistics. RESULTS:
Altogether 466 919 patients visited the PED during the period and 43 925 of them
were admitted for further observation. In 230 deaths, the ratio of boys to girls
was 1.4:1, and their age ranged from 2 hours to 16 years (median, 5 months). The
time from admission to death ranged from 0 to 216 hours (median, 1.5 hours).
There were 92 (40%) patients who died within 24 hours after admission and 104
(45.2%) patients who died on arrival. The prominent causes of the deaths were
respiratory diseases, neuromuscular disorders, cardiovascular diseases, and
sepsis, most of which were ascribed to severe infection. Sixty-five deaths were
associated with more than one concomitant problem. The top concomitant problems
were congenital malformation, low gestational age, and severe birth asphyxia.
CONCLUSIONS: In our center, 40% of the patients in the PED died of fatal acute
diseases, and pneumonia was the first leading cause of the deaths. Almost half of
the deaths occurred on arrival and the rest were due to end-stage malignant
diseases. This study emphasized the importance of prevention of birth deficits by
reducing deaths in infants and children.