| Clinical Analysis of Pediatric Death Patients Visiting Emergency Center |
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Do Hyun Kim, Seong Hun Lee, Sang Bae Lee, Min Hyuk Ryu, Dong Jin Lee |
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Department of Pediatrics, Dong-Kang General Hospital, Ulsan, Korea |
| 응급센터에 내원한 소아 사망 환자에 대한 임상적 고찰 |
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김도연, 이성훈, 이상배, 류민혁, 이동진 |
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울산 동강병원 소아과 |
Correspondence:
Dong Jin Lee, Email: djleekr@hanmail.net
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| Abstract |
Purpose
: We analyzed pediatric death patients who visited Dong-Kang Hospital emergency center, in order to minimize unexpected pediatric deaths.
Methods
: The authors analyzed retrospectively the medical records of 110 pediatric patients who died before and within 24 hours after admission to the emergency center of Ulsan Dong-Kang General Hospital from January 1997 to December 2002.
Results
: We classified three categories by the cause of death, accident group(AG) 46 cases(41.8%), disease group(DG) 37 cases(33.6%), unknown cause group(UG) 27 cases(24.6%) respectively. The most common age was between two and five years of age(50.0%) in AG, under one month (40.5%) in DG, between one month and one year(51.9%) in UG respectively. The most common season was summer(37.0%) in AG, winter(51.4%) in DG, spring(37.1%) in UG respectively. The most common time on arrival was from 13:00 to 18:00(37.0%) in AG, from 7:00 to noon(43.2%) in DG, from midnight to 6:00(29.6%) and from 7:00 to noon(29.6%) in UG respectively. The most common type of accident was traffic accident(47.8%). The most common cause of death in DG was respiratory disorder(40.5%). Sudden infant death syndrome was the most common(37.1%) in unknown cause of death.
Conclusion
: Accidental injuries and severe chronic illnesses are the major cause of unexpected pediatric death. Legislation related to accidents and a parents teaching program for emergency situations are necessary to decrease cases of unexpected pediatric death. |
| Key Words:
Pediatric death, Emergency center |
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