Disease Profile and Death Pattern Among Children Admitted in a Medical College Hospital

  • M Shameem Hasan Assistant Professor, Department of Child Health, Chittagong Medical College, Chittagong
  • Sanat Kumar Barua Assistant Professor, Department of Child Health, Chittagong Medical College, Chittagong
  • M Nasiruddin Mahmud Assistant Professor, Department of Child Health, Chittagong Medical College, Chittagong
  • AHM Kamal Associate Professor, Department of Biochemistry, Southern Medical College Chittagong
  • M Enayetullah Assistant Professor, Department of Child Health, Chittagong Medical College, Chittagong
  • M Rezaul Karim Associate Professor and Head, Department of Child Health, Chittagong Medical College, Chittagong,

Abstract

Background: An understanding of epidemiological trend in hospital admissions, including diseases and death pattern, is critical for health care planning, appropriate resource allocation & improving existing services facilities.

Objectives: To evaluate the disease and death pattern of children admitted in the department of Child Health, Chittagong Medical College Hospital (CMCH), Chittagong.

Materials and Methods: This was a retrospective study. The case records of all patients admitted in the department from Jan 1, 2008 to Dec 31, 2010 were analyzed. Result: Total 38,692 children were admitted during this study period; among them total 1897(4.9%) patient died. Infant and under five age groups constitute 45.2% and 75.9% respectively, total admission whereas deaths from the same groups were 43.7% & 79.3% respectively. Bronchopneumonia (22%), acute watery diarrhea (15%), hereditary hemolytic anemia (12%), and bronchiolitis (10%), topped the first four positions in each of the three years of admission. Septicemia and encephalitis, with a case fatality rate of 24% and 35% respectively, were found as top two causes of death. Highest case fatality rate was found in hepatic encephalopathy (54%). Other common causes of death include meningitis (19%), severe malaria (21%), leukemia (22%), severe malnutrition with complications (11%), and congenital heart diseases (12%)

Conclusion: Comprehensive evaluation of admission and death related findings of this study will help to determine possible gaps in patient care and planning for more effective case-management strategies.

DOI: http://dx.doi.org/10.3329/bjch.v36i2.13081

Bangladesh J Child Health 2012; VOL 36 (2) : 66-70

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Abstract
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Published
2012-12-22
How to Cite
Hasan, M., Barua, S., Mahmud, M., Kamal, A., Enayetullah, M., & Karim, M. (2012). Disease Profile and Death Pattern Among Children Admitted in a Medical College Hospital. Bangladesh Journal of Child Health, 36(2), 66-70. https://doi.org/10.3329/bjch.v36i2.13081
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Original Articles