Child Deaths in Pediatric Intensive Care Unit: Unveiling Preventable Risks and Urging Awareness.

IF 1.3 Q3 PEDIATRICS
Banu Katlan, İsmail Kızıldağ, Özlem Kahraman Çayan, Mesut Topdemir, Ümit Korkmaz
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Abstract

Objective: Child mortality remains a global public health concern and a key indicator of societal development. Despite advances in healthcare, many children-especially in low- and middle-income countries-continue to die from preventable causes. Pediatric intensive care units (PICUs), which provide critical care and continuous monitoring, offer a unique opportunity to systematically analyze preventable child deaths and identify areas for intervention. This study aims to identify preventable causes of death in a tertiary PICU and highlight systemic and clinical factors contributing to these outcomes. It seeks to raise awareness and guide quality improvement efforts to reduce avoidable pediatric mortality. Materials and Methods: This descriptive study included patients admitted to the PICU of Mersin City Training and Research Hospital between April 2022 and August 2024. Included patients were previously healthy, aged 1 month to 18 years, and died due to preventable causes. Demographic, clinical, and cause-specific data were analyzed using SPSS. Results: Of 3038 PICU admissions, 207 children died, and 47 (23%) of these deaths were determined to be preventable. The leading cause was traffic accidents (n=15, 32%), followed by home accidents (n = 10,21%), vaccine-preventable diseases (n= 7, 15%), suicides (n = 5, 11%), and drownings (n=5, 11%). Conclusion: Nearly 1 in 4 deaths in the PICU were preventable. These results emphasize the importance of implementing targeted preventive strategies, such as public education, environmental safety improvements, and early health interventions, to reduce avoidable pediatric mortality.

儿童重症监护病房的儿童死亡:揭示可预防的风险并敦促认识。
目标:儿童死亡率仍然是全球关注的一个公共卫生问题,也是社会发展的一个关键指标。尽管在卫生保健方面取得了进步,但许多儿童——特别是在低收入和中等收入国家——继续死于可预防的原因。儿科重症监护病房(picu)提供重症监护和持续监测,为系统分析可预防的儿童死亡和确定干预领域提供了独特的机会。本研究旨在确定三级PICU中可预防的死亡原因,并强调导致这些结果的系统和临床因素。它旨在提高认识并指导质量改进工作,以减少可避免的儿科死亡率。材料与方法:本描述性研究纳入了2022年4月至2024年8月在梅尔辛市培训与研究医院PICU住院的患者。纳入的患者以前健康,年龄在1个月至18岁之间,死于可预防的原因。人口统计学、临床和病因特异性数据用SPSS进行分析。结果:3038例PICU入院患儿中,207例死亡,其中47例(23%)的死亡是可以预防的。主要原因是交通事故(n=15, 32%),其次是家庭事故(n= 10,21%)、疫苗可预防疾病(n= 7, 15%)、自杀(n=5, 11%)和溺水(n=5, 11%)。结论:PICU中近1 / 4的死亡是可以避免的。这些结果强调了实施有针对性的预防战略的重要性,例如公共教育、环境安全改善和早期健康干预,以减少可避免的儿科死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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