NGUYÊN NHÂN TỬ VONG TRONG 24 GIỜ ĐẦU Ở TRẺ NHẬP KHOA CẤP CỨU BỆNH VIỆN NHI ĐỒNG 1

Abstract

Objective: To identify the epidemiological characteristics and the causes of death within the first 24 hours in children admitted to the Emergency Department of Children’s Hospital 1. Methods: A descriptive case series study was conducted on 116 pediatric patients (<16 years old) who died within the first 24 hours at the Emergency Department of Children’s Hospital 1, from January 1, 2021, to December 31, 2023. Results: The male-to-female ratio in the study population was 1.1:1. Among the patients, 44.8% were malnourished, and 44.8% had underlying medical conditions. The most common causes of death were pneumonia and sepsis, each accounting for 20.7% of cases. The causes of death varied by age group, with the most common causes in neonates being respiratory distress syndrome (22.7%), sepsis (22.7%), and birth asphyxia (18.2%). In infants, pneumonia (32.5%), sepsis (21.6%), and congenital heart disease (10.8%) were the leading causes. For children aged 1 to 5 years, sepsis (21.9%), pneumonia (18.8%), and accidents (15.6%) were the most prevalent. In children aged 5 years and older, myocarditis and cardiomyopathy (28%), sepsis (24%), and acute leukemia (12%) were the primary causes of death. Conclusion: Pneumonia and sepsis were the most common causes of death in the Emergency Department. The pattern of causes of death varied by age group.