Analysis of death cases of hospitalized children in a pediatric hospital in Tianjin from 2009 to 2023

CHENG Fang; ZHAO Minpeng; ZHANG Ranran; LI Lijing

doi:10.12173/j.issn.1004-5511.202404147

Abstract：Objective To analyze the characteristics of mortality cases of hospitalized children in a pediatric hospital in Tianjin from 2009 to2023.Methods Medical records of hospitalized children in a pediatric hospital in Tianjin from 2009 to 2023 were collected and the gender,age,disease system,and type of death disease from 2009 to 2013,2014 to 2018,and 2019 to 2023 were analyzed.Results From 2009 to 2023,there were 678 145 hospitalized children,of whom 876 died,the mortality rate was 0.13％.And the mortality rates for the three time periods were 0.28％,0.16％,and 0.06％,respectively,showing a decreasing trend(x2=383.962,P＜0.01).The mortality rate of male children(0.12％)was significantly lower than that of female children(0.15％)(x2=303.785,P＜0.01).The highest number of deaths occurred during infancy(263 cases),and the lowest number occurred during adolescence(61 cases).In the changes of the order of death disease system over three periods,circulatory system diseases rose from sixth place to third place;tumors rose from ninth place to sixth place,and congenital malformations,deformities,and chromosomal abnormalities decreased from third place to eighth place.Among the top ten deadly diseases,severe pneumonia ranked first in all three periods;acute lymphoblastic leukemia increased from ninth place in 2009-2013 to third place in 2019-2023.The leading cause of death during the neonatal period was neonatal respiratory failure,while the leading cause of death during infancy,early childhood,preschool,and school years was severe pneumonia.The leading cause of death during adolescence was cavernous sinus abscess.Conclusion The mortality rate of hospitalized children in Tianjin has decreased from 2009 to 2023.Clinical and preventive work in pediatrics should continue to focus on critically ill children with severe pneumonia sepsis,as well as diseases such as cavernous sinus abscesses.At the same time,efforts should be made to strengthen the prevention and control of the circulatory system,certain infectious and parasitic diseases,accidental injuries,and malignant tumors,to reduce the mortality rate of hospitalized children.