Profile of Patients at Pediatric Emergency Services Soetomo Hospital Surabaya

Abstract

Introduction: Installation service system at the Emergency Department (ED) Soetomo Hospital is a coordinated and integrated system under one roof. Include emergency medical and emergency surgery in a very important component of health services at each hospital. The information published on the patient profile and the usefulness of emergency care services indeveloping countries and developed countries is still very rare. This study aimed to describe the characteristic of patients attending the ED at Soetomo hospital Surabaya.Method: This study was a retrospective study. The profile of patients visiting the ED for 1 year were recorded and presented descriptively.Result: The total number of patients visiting the hospital was 5,835, with a monthly average of 486 patients. The children at the age of 1–5 years presented the largest age group (33.6%). The main diagnosis was respiratory tract infection (31%), diarrhea (17.%), followed by seizure (12.4%). The overall mortality rate was 1.7%.Discussion: Respiratory tract infection in children at the age of 1–5 years still count as a major problem at Soetomo Hospital Surabaya.

Profile of patients visiting the emergency departments at Haji Adam Malik and Universitas Sumatera Utara hospitals in Medan, Indonesia

“…In this study, 72 pediatric patients (2.7% of the total) attending the ED at HAM Hospital and eight pediatric patients (1.0%) attending the ED at USU Hospital died. The mortality rate is very close to that found in another study, which reported an overall mortality rate for pediatric patients of approximately 1.7% [3] .…”

“…In this study, the majority of the pediatric patients who visited the ED were male (57.8%). In a study performed in 2011 at Dr. Soetomo Surabaya Hospital in Indonesia, it was found that more male patients than female patients visited the emergency room [3] . This could be explained by the higher population of males than females in Indonesia, with 136 142 501 male residents and 134 923 865 female residents (Indonesian Health Profile 2020).…”

“…In 2014, approximately 14 402 250 patients visited Indonesia's emergency rooms [2] . However, published data on hospital admissions and the mortality rate in Indonesia's pediatric EDs are still limited [3] . In order to improve the efficacy of the patient care plan in the ED, it is important to understand the patient's epidemiology and profile, especially in pediatric care [4] .…”

“…The main causes of death in infants aged 29 days to 11 months were diarrhea (31.4%), pneumonia (23.8%), and meningitis/encephalitis (9.3%) [5] . A study conducted in Surabaya, Indonesia revealed that sepsis due to respiratory failure and meningitis was the leading cause of death among pediatric ED patients [3] . Therefore, patient profiles and characteristics of ED visits are crucial for enhancing hospital emergency care resources and developing a more effective emergency healthcare unit [6] .…”