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KMID : 0377619730250060713
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Korean Jungang Medical Journal
1973 Volume.25 No. 6 p.713 ~ p.720
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The Statistical Analysis of Neonatal and Childhood Death
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Abstract
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An analysis is presented of 307 cases who died in pediatric ward and nursery room of Ewha Womans University Hospital for 5 years from January 1, 1968. through December 31, 1972. under 15 year of age. The studies for clinical observation are chiefly based on annual incidence, sex, age, case fatality rate by disease, cause of death and monthly incidence. The following results are obtained.
1) The case fatality rate is 5.87%´ among the total admitted cases except the number of death in the newborn. Neonatal mortality rate accounts to 1. 57%.
2) Monthly distribution revealed as high in July (9.8%), March(9.4%), August x(8.8%) in order of frequency.
3) The male is 58.9% and the female, 41.1%.
4) The distribution of age has the vast majority (51. 45) under the 1 month of age.
5) On the duration from admission to death, 56% of cases were died within 48 hours.
6) The leading causes of death proved to be a certain neonatel disease (51.4%), infectious disease (23.8%), pulmonary disease (25°x), circulatory disease (3. 6%) in orders. The unknown origin of death only accounts to 1%.
7) The most frequently encountered disease is pre-maturity (21. 5%) itself among a -certain neonatal diseases, meningitis (30%) in infectious disease, bronchopneumonia (68%) in the disease of respiratory tract.
8) According to the distribution of age, the most frequent cause of death within I month of age was pre-maturity (21.5%), pneumonia (26.3%) from I month through 6 month. Meningitis, infectious hepatitis and congenital heart disease are 12%, respectively from 6 month through I year of age. Meningitis (26.7%) is also shown to be the greatest incidence from 1 year to 2 year of age and pneumonia and encephalitis (15%, respectively) from 2 year to 3 year. The more increased age, the higher occurrence of death in the origin of infection .involving central nerve system.
9) The rate of misdiagnosis was clarified after autopsy on 15% among the autopsied cases.
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