Background : Pediatric mortality is still one of the developement indicators of a country. In our country the published data concerning the causes and the factors related to pediatric mortality especially in the pediatric emergency wards is very rare. This study aimed to determine the global rate of the pediatric mortality in the pediatric emergency departement (PED), to study its epidemiology and to identify its most frequent causes. Methods : It is a retrospective and descriptive study, over five years (1st january 2012 and 31st december 2016) including all children aged from 0 to 15 years old who died at the PED in the Mohamed VI Hospital in Marrakech. Results : During the period of the study a total of 172.691 patients were admitted, among which 628 died in the PED (global pediatric mortality rate : 3,63%). The masculine gender was predominant with a gender ratio of 1.59. Two-thirds of the patients died in the first 24 hours. The median of time from admission to death was around 12 hours. Majority of the deceased children (75%) were from a low socioeconomic status. The most frequent cause of admissions was respiratory distress (47%) followed by neurological disorders (11%). Neonatal mortality was predominant with (75,1%) followed by postnatal mortality (11,6%). No autopsy was performed during the study period. Conclusion : Our data once again underline the crucial importance of prevention. This requires correct follow-up of the pregnancies, an adequate assistance of births, and perfecting healthcare provision to newborns in order to attain proper assistance.
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Background : Pediatric mortality is still one of the developement indicators of a country. In our country the published data concerning the causes and the factors related to pediatric mortality especially in the pediatric emergency wards is very rare. This study aimed to determine the global rate of the pediatric mortality in the pediatric emergency departement (PED), to study its epidemiology and to identify its most frequent causes. Methods : It is a retrospective and descriptive study, over five years (1st january 2012 and 31st december 2016) including all children aged from 0 to 15 years old who died at the PED in the Mohamed VI Hospital in Marrakech. Results : During the period of the study a total of 172.691 patients were admitted, among which 628 died in the PED (global pediatric mortality rate : 3,63%). The masculine gender was predominant with a gender ratio of 1.59. Two-thirds of the patients died in the first 24 hours. The median of time from admission to death was around 12 hours. Majority of the deceased children (75%) were from a low socioeconomic status. The most frequent cause of admissions was respiratory distress (47%) followed by neurological disorders (11%). Neonatal mortality was predominant with (75,1%) followed by postnatal mortality (11,6%). No autopsy was performed during the study period. Conclusion : Our data once again underline the crucial importance of prevention. This requires correct follow-up of the pregnancies, an adequate assistance of births, and perfecting healthcare provision to newborns in order to attain proper assistance.
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