Mortality Pattern among Hospitalized Children (29 Days to 12 Years) At a Tertiary Care Hospital in South India

Deenadayalan, Dr D.M.

doi:10.18535/jmscr/v5i3.164

Cited by 3 publications

(10 citation statements)

References 6 publications

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“…In the current study, deaths due to CNS infections are 19.63 %, which is similar to study by Deenadayalan. 30 In this study, mortality due to protein energy malnutrition/underweight and its complications (9.59 %) was higher than the study by Panyang et al 24 ARI is the leading cause of death worldwide. 33 We found Pneumonia having 9.13 % contribution to mortality, which is similar to other studies by Patil and Godale and Naik et al 27,29 In the present study, PEM with complications was responsible for 9.76% of total deaths, 11.76% of deaths in age group 29 days to 1 year and 13.55% in the age group 1 year to 5 years.…”

Section: Discussioncontrasting

confidence: 49%

“…13,17 In the age group 29 days to 1 years, septicemia was the most common cause of mortality which is similar to other studies. 16,26,27,29,30 Malaria was the predominant cause of mortality in all age groups studied by Bilkisu et al 32 The present study shows mortality peaks in May-June, August and January. The occurrence of mortality with respect to month was found to be significant (p=0.01).…”

Section: Discussionsupporting

confidence: 46%

“…Studies by Deendayalan et al and Naik et al showed bimodal peaks. 25,26,30 Shortcomings of the current study are non-inclusion of neonates. Neonatal deaths are the predominant causes of mortality in India.…”

Section: Discussionmentioning

confidence: 96%

“…[17][18][19][20][21][22][23] Studies in India have shown childhood mortality ranging from 1.58-34.7%. [24][25][26][27][28][29][30][31] Higher mortality in some studies may be due to the inclusion of neonatal population. Lower mortality in the present study may be due to good referral, primary health care system in Uttarakhand, good 108 services for transport and institutional vigilant treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Similar observations were made in other studies with septicemia as the leading cause of death. 24,25,27,29,30 In contrast, malaria was the leading cause of institutional mortality in Africa region. 20,22,32 Uttarakhand is a hilly state of India has very less incidence of malaria.…”

Section: Discussionmentioning

confidence: 99%

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Post neonatal mortality in a tertiary care center at Garhwal Uttarakhand, India: a retrospective study of 10 years

Tiwari¹,

Ali²

2018

Int J Contemp Pediatr

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Background: Institutional childhood morbidity, mortality analysis and their trends reflect the local disease occurrence, changes in treatment modalities and quality of treatment available. This study was aimed to evaluate the magnitude of post neonatal mortality and its seasonal pattern at Hemawati Nandan Bahuguna Teaching Base Hospital, Srikot over a period of 10 years.Methods: A retrospective cross-sectional descriptive analysis was done on post neonatal mortality data by Pediatric Department of the Hemawati Nandan Bahuguna Teaching Base Hospital, Srikot from April 2008 to March 2018. Neonates admitted to PICU, referral and LAMA patients were excluded from the study. Data was analyzed using SPSS 16.0.Results: Overall post neonatal mortality of 1.83% was found in the study. Mortality amongst the boys was 119 (54.34 %) and the girls were 100 (45.66 %). Three most common causes of mortality were septicemia (27.40 %) followed by encephalitis (11.41 %) and protein energy malnutrition/underweight (9.58 %). Among the 219 children who died, the number of deaths were recorded in 29days to 1-year age group (n=102, 46. 57%). Mortality of the girls was higher than boys in 10-14year age group. Maximum mortality was seen in the month of June (29, 13.24%) followed by May (23, 10.5%), August (22, 10.04%) and January (20, 9. 13%). The occurrence of mortality with respect to month was found to be significant (p=0.01).Conclusions: This study showed infectious diseases and protein energy malnutrition/ underweight together constituted two-third of mortality in the institution. Strengthening vaccination program, facilities at tertiary care centers and healthy dietary practices in the community can reduce the post neonatal deaths.

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Section: Discussioncontrasting

confidence: 49%

Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Post neonatal mortality in a tertiary care center at Garhwal Uttarakhand, India: a retrospective study of 10 years

Tiwari¹,

Ali²

2018

Int J Contemp Pediatr

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Risk factors and mortality profile of post neonatal deaths; 1 month to 1 year, in a rural medical college hospital, South India

Balamurugan¹,

Ponprabha²,

Sivashankari³

2021

Int J Res Med Sci

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Background: Infant mortality is the most important indicator which reflect country growth standards and development. This study was aimed to assess the risk factors and clinical profile of post neonatal deaths, admitted in PICU, government Villupuram medical college.Methods: A retrospective analysis was done on post neonatal mortality data by pediatric department of government Villupuram medical college, Mundiyambakkam from January 2019 to December 2020, referral and LAMA patients were excluded from study. Data was analyzed using SPSS 18.0Results: Overall post neonatal mortality was 7.3%. Mortality amongst boys were 28 (41.1%) and girls were 40 (58.8%). Mortality of female babies were higher than male babies.Among the 68 post neonatal deaths, maximum number of mortalities was seen in 1-3 months (61.9%), maximum within 24 hours of hospital stay (54.4%), 37 cases (54.4%) were referred from GHPHC and private practitioners of the nearby districts, 28 babies (41.1%) had previous admissions, 22 babies had SNCU admissions and 6 babies had pediatric admissions. Three most common causes of mortality were bronchopneumonia, sepsis and acute CNS infections. Congenital malformations and heart disease along with failure to thrive are other causes of morbidity.Conclusions: Analysis reflects the disease occurrence, treatment modalities and quality of treatment available. Treatment at primary level can prevent postnatal deaths from infections. The preventive and primary health care system should be strengthened. All special newborn care units (SNCU) discharged babies should have both community and district early intervention centre (DEIC) follow up, immunization practices, explaining danger signs to the parents, improving the quality of life has got great impact on the post neonatal outcome.

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A Two-year Retrospective Review of Paediatric Mortality in a Tertiary Facility in North-western Nigeria

Ugege

Garba

2020

JAMMR

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Introduction: Mortality pattern is reflective of both the severity of illness and the quality of treatment given. Objective: To identify the age, time and cause of death in the paediatric wards of Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Methods: This was a retrospective review of mortalities in children 5weeks to 15 years at the paediatric wards of UDUTH from 1st January 2016 to 31st December 2017. The bio-data, duration of illness, diagnoses, complications and duration of hospital stay were extracted from the mortality case files and analysed. Results: There were 121 mortalities, representing 2.3% of 5,355 total admissions during the study period. Sixty-seven (55.4%) were males (M: F ratio 1.2:1). Seventy-five (62.0%) were under-fives and mean age ± standard deviation was 54 months ± 46.3. Most deaths 76 (62.0%) occurred between July and December and majority 96 (79.3%) occurred ≥ 24 hours after admission. Severe acute malnutrition [SAM] 31 (41.3%), severe malaria 12(16.0%), and septicaemia 9 (12.0%), were the leading causes of death in the under-fives, whereas severe malaria 8 (17.4%), meningitis 7(15.2%) and malignancy 5 (10.9%) predominate in those > 5 years [P<0.001]. There was delayed presentation ≥ 7 days in 87 (71.9%) children and 90 (74.4%) had at least one or more complications. Conclusion: Severe acute malnutrition and severe malaria were the leading causes of mortalities in our facility. It is needful to scale up preventive and curative services targeted at curbing these diseases in Sokoto and environs.

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Mortality Pattern among Hospitalized Children (29 Days to 12 Years) At a Tertiary Care Hospital in South India

Cited by 3 publications

References 6 publications

Post neonatal mortality in a tertiary care center at Garhwal Uttarakhand, India: a retrospective study of 10 years

Post neonatal mortality in a tertiary care center at Garhwal Uttarakhand, India: a retrospective study of 10 years

Risk factors and mortality profile of post neonatal deaths; 1 month to 1 year, in a rural medical college hospital, South India

A Two-year Retrospective Review of Paediatric Mortality in a Tertiary Facility in North-western Nigeria

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