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 Publisher



Mehrkash M¹ ; Kermani R¹ ; Hosseinifard R² ; Mostofizadeh N³ ; Hovsepian S⁴ Show Affiliations
Source: Journal of Isfahan Medical School Published:2017

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. © 2017 Isfahan University of Medical Sciences(IUMS). All rights reserved.