Hospital Mortality Rate and Causes of Deaths among the Hospitalized Children in Imam Hossein Children’s Hospital in Isfahan, Iran, during the Years 2012-2017

Document Type : Original Article (s)

Authors

1 Assistant Professor, Department of Pediatric Nephrology, Imam Hossein Children's Hospital AND Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Assistant Professor, Department of Pediatric Endocrinology and Metabolism, Imam Hossein Children's Hospital AND Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

4 PhD by Research, Imam Hossein Children's Hospital AND Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Hospital mortality rate is one of the qualitative indexes, which can be used to assess the quality of care, as well as the mortality patterns in a community. The aim of this study was to evaluate the mortality and morbidity rate of infants and children less than 5 years old hospitalized in Imam Hossein Children’s hospital in Isfahan, Iran.Methods: This retrospective descriptive cross-sectional study was conducted during the years 2012-2017. Patients’ information including age, sex, history, time of hospitalization, season of hospitalization, length of hospitalization, and cause of death were collected by studying their medical files using a checklist. Causes of mortality by age groups and length of hospitalization until death was also recorded.Findings: During this study, 747 under-five-years deaths were recorded among the hospitalized children in Imam Hossein hospital with the total mortality rate of 0.99% (range 0.19% -8.8%). 1%). The rate of mortality was higher in hospitalized boys than in girls (P < 0.050). The rate of mortality among hospitalized children was higher in 1-12 month age group than other age groups (P < 0.050). The rate of mortality among hospitalized children was higher in cold seasons (autumn and winter) than the warm seasons (P < 0.050). The most common causes of death in hospitalized children under 5 years were as cardiovascular disease [151 cases (20.2%)], infection [149 cases (19.9%)], and congenital anomalies [109 cases (14.6%)].Conclusion: The most common causes of death in hospitalized children in this study were as cardiovascular diseases, infection, and congenital anomalies, and this rate was higher during the 24 hours of hospitalization.

Keywords

References

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Journal of Isfahan Medical School
Volume 37, Issue 556 - Serial Number 556
November and December 2020
Pages 1361-1368

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History

  • Receive Date: 24 August 2019
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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