Avilés-Martínez KI, López-Enríquez A, García-Armenta B

Language: Spanish
References: 24
Page: 127-134
PDF size: 173.74 Kb.

ABSTRACT

Background:The following study analyzes the mortality of the hospital admissions in the Pediatrics Emergency Department (PED), in the hospital ward and shock cubicle, which does not correspond to the total pediatric care throughout of this hospital.
Objective:To analyze the incidence of mortality in the pediatrics emergency department of Hospital Civil of Guadalajara Fray Antonio Alcalde. In order to describe the clinical and epidemiological characteristics of the deceased, the most common diseases that cause death and the percentage of preventable death.
Methods:This is a descriptive retrospective study that took place from April 2009 to September 2010. The data was collected from clinical and epidemiological variables, determining whether any of the deaths were unexpected at the moment of admission.
Results:67 patients were included in this study. This amount of patients represents 1.8% of the total admitted to this department and 0.09% of total hospital admissions. The age groups where mortality was the highest were from 1 to 6 months with 22 deaths (32.8%); from 1 to 5 years old with 19 deaths (28.3%) and from 11 to 15 years old with 10 (13.4%). 61.19% (n=41) of the death were male, having a mean age from 1 to 6 months, 22.39% significantly higher than in females. Of the total, 17% had been previously assessed by private practice or other hospital. The 64.19% died due to medical disease and 23.87% belongs to the trauma group. 35% had a previous chronic disease. In general death was expected at the moment of admission in 97.7% of the patients.
Conclusions:The PED of this hospital remains below the national average and even below the accepted international average in terms of mortality rate and prevalence of crude and refined in the area. The patient who dies in PED is a patient with severe injuries at the moment of admission, who is irregular to medical treatment or with chronic illnesses in the terminal stage. The most common cause of death was shock in its various modalities. The coding of emergency discharges would allowed to include those who died in this analysis to the hospital mortality

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