입원 24시간이내의 사망환자에 관한 연구

Abstract

[한글]

A STUDY OF CHILDREN DYING WITHIN 24 HOURS AFTER ADMISSION(INCLUDING SUDDEN AND

UNEXPECTED DEATH)

Han Ky Hwang

Department of Medical Science, The Graduate School Yonsei University

(Directed by Prof. Duk Jin Yun, M.D.)

Almost every practicing pediatrician has encountered the tragic enigma of

children dying within 24 hours after admission, and especially when it is a sudden

and unexpected death of a previously healthy infant.

This is the clinical report concerning the pediatric deaths within the first 24

hours after admission including sudden and unexpected deaths observed on the

pediatric ward of Severance Hospital, Yonsei University during the past 11 years

from Oct. 1, 1959 to Sept. 30, 1970.

The total number of admitted patients under 15 years of age on the pediatric ward

for the same period was 7,709, of whom 62.3% were male. Among these 238

patients(3.1%) expired within 24 hours after admission.

Data were analyzed by annual incidence, sex, age, case fatality rate by diseases,

cause of death by age group and seasonal incidence. They were compared also with

all admitted patients of the name period.

The following results were obtained:

1. Mortality rate by year; Average death rate was 3.1%, 6.7% in 1959 decreased

progressively to 1.3% in 1970.

2. 65.5% of the total of 238 deaths were less than one year of age.

3. There was no significant difference between both sex.

4. Case fatality rate by disease showed neonatal tetanus as the cause in 23.8%,

birth injury 15.6%, septicemia 8.8%, meningitis 7.8% and prematurity 7.8%

respectively.

5. Cause of death by age group were as follows;

a). In the neonatal period, neonatal tetanus was the most common one(18.6% of

total neonatal deaths) and others were premature(14.6%) and

bronchopneumonia(14.6%).

b). In infancy the most common cause of death was bronchopneumonia(34.4% of total

infancy deaths), and others were meningitis and gastroenteritis(8.6%).

c). In early childhood from one to four years of age, menigitis was(26.8% of

total early childhood age), encephalitis(17.3%) and bronchopneumona(14.6%) in that

order.

[영문]

Almost every practicing pediatrician has encountered the tragic enigma of children dying within 24 hours after admission, and especially when it is a sudden and unexpected death of a previously healthy infant.

This is the clinical report concerning the pediatric deaths within the first 24 hours after admission including sudden and unexpected deaths observed on the pediatric ward of Severance Hospital, Yonsei University during the past 11 years from Oct. 1, 1959 to Sept. 30, 1970.

The total number of admitted patients under 15 years of age on the pediatric ward for the same period was 7,709, of whom 62.3% were male. Among these 238 patients(3.1%) expired within 24 hours after admission.

Data were analyzed by annual incidence, sex, age, case fatality rate by diseases, cause of death by age group and seasonal incidence. They were compared also with all admitted patients of the name period.

The following results were obtained:

1. Mortality rate by year; Average death rate was 3.1%, 6.7% in 1959 decreased progressively to 1.3% in 1970.

2. 65.5% of the total of 238 deaths were less than one year of age.

3. There was no significant difference between both sex.

4. Case fatality rate by disease showed neonatal tetanus as the cause in 23.8%, birth injury 15.6%, septicemia 8.8%, meningitis 7.8% and prematurity 7.8% respectively.

5. Cause of death by age group were as follows;

a). In the neonatal period, neonatal tetanus was the most common one(18.6% of total neonatal deaths) and others were premature(14.6%) and bronchopneumonia(14.6%).

b). In infancy the most common cause of death was bronchopneumonia(34.4% of total infancy deaths), and others were meningitis and gastroenteritis(8.6%).

c). In early childhood from one to four years of age, menigitis was(26.8% of total early childhood age), encephalitis(17.3%) and bronchopneumona(14.6%) in that order.