Mortality at the pediatric emergency unit of the Mohammed VI teaching hospital of Marrakech
Dublin Core
Title
Mortality at the pediatric emergency unit of the Mohammed VI teaching hospital of Marrakech
Subject
Pediatric mortality, Pediatric emergencies, Etiologies, Prevention
Description
Background: The death of a child at the emergency ward is one of the most difficult problems that the clinicians
of these wards have to deal with. In our country the published data concerning the causes and the factors related
to pediatric mortality especially in the pediatric emergency wards is very rare. This study aimed to study the
epidemiology of the pediatric mortality in the pediatric emergency department (PED), to determine its rate and
identify its most frequent causes.
Methods: It is a retrospective and descriptive study, over five years (1st January 2012 and 31st December 2016)
including all children aged from 0 to 15 years old who died at the PED in the Mohamed VI Hospital in Marrakech.
Results: During the period of the study a total of 172.691 patients presented to the PED, among which 628 died
(pediatric mortality rate: 3.63%). The masculine gender was predominant (n = 383) with a gender ratio of 1.59. Twothirds of the patients died in the first 24 h (n = 421). The median of time from admission to death was around 12 h.
Majority of the deceased children (n = 471, 75%) were from a low socioeconomic status. The most frequent cause
of admissions for deceased patients in the PED was respiratory distress (n = 296, 47%) followed by neurological
disorders (n = 70, 11%). Neonatal mortality (≤ 1 month of age) was predominant (n = 472, 75.1%), followed by
postnatal mortality (1 month to 1 year old) (n = 73, 11.6%). The most frequent causes of pediatric mortality,
whatever the age range, were dominated by neonatal pathologies (n = 391, 62.3%), followed by infecious causes
bronchopulmonary infections included (n = 49, 7.7%), birth deformities (n = 46, 7.3%) while traumas were merely at
0.9% (n = 6). The most frequent causes of neonatal mortality were neonatal infections (n = 152, 32.2%) and
prematurity (n = 115, 24.4%).
Conclusion: Our data once again underline the crucial importance of prevention. This requires correct follow-up of
the pregnancies, an adeq
of these wards have to deal with. In our country the published data concerning the causes and the factors related
to pediatric mortality especially in the pediatric emergency wards is very rare. This study aimed to study the
epidemiology of the pediatric mortality in the pediatric emergency department (PED), to determine its rate and
identify its most frequent causes.
Methods: It is a retrospective and descriptive study, over five years (1st January 2012 and 31st December 2016)
including all children aged from 0 to 15 years old who died at the PED in the Mohamed VI Hospital in Marrakech.
Results: During the period of the study a total of 172.691 patients presented to the PED, among which 628 died
(pediatric mortality rate: 3.63%). The masculine gender was predominant (n = 383) with a gender ratio of 1.59. Twothirds of the patients died in the first 24 h (n = 421). The median of time from admission to death was around 12 h.
Majority of the deceased children (n = 471, 75%) were from a low socioeconomic status. The most frequent cause
of admissions for deceased patients in the PED was respiratory distress (n = 296, 47%) followed by neurological
disorders (n = 70, 11%). Neonatal mortality (≤ 1 month of age) was predominant (n = 472, 75.1%), followed by
postnatal mortality (1 month to 1 year old) (n = 73, 11.6%). The most frequent causes of pediatric mortality,
whatever the age range, were dominated by neonatal pathologies (n = 391, 62.3%), followed by infecious causes
bronchopulmonary infections included (n = 49, 7.7%), birth deformities (n = 46, 7.3%) while traumas were merely at
0.9% (n = 6). The most frequent causes of neonatal mortality were neonatal infections (n = 152, 32.2%) and
prematurity (n = 115, 24.4%).
Conclusion: Our data once again underline the crucial importance of prevention. This requires correct follow-up of
the pregnancies, an adeq
Creator
W. Lahmini and M. Bourrous
Publisher
BMC Emergency Medicine
Date
(2020) 20:57
Contributor
Fajar bagus W
Format
PDF
Language
Indonesia
Type
Text
Files
Collection
Citation
W. Lahmini and M. Bourrous, “Mortality at the pediatric emergency unit of the Mohammed VI teaching hospital of Marrakech,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/3576.