Saulius, Nur Amirah (2022) Paediatric mortality review: A single institution experience. Masters thesis, Universiti Sains Malaysia.
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Abstract
Introduction Auditing of paediatric deaths has rarely been evaluated in low/middle-income countries hospitals. The aim of the study is to describe the characteristics of paediatric death among the hospitalized children in Hospital Universiti Sains Malaysia (USM) and explore the factors associated with location of death. Methodology Paediatric mortality cases for children aged between 29 days to 18 years old at the time of death and met the inclusion criteria were included. These cases were those from the year 2013 until 2020 which had occurred at Hospital USM. Case notes were reviewed, and data were captured retrospectively. For descriptive statistics, the categorical variables were expressed as proportions. Multiple Logistic Regression was used to assess predictors of the location of death. Results Out of 841 paediatric deaths identified during the period of the study, 544 cases were enrolled. Male gender has higher proportion (1.4:1). The median (IQR) age was 56 months with infancy being the predominant age group. The median (IQR) length of hospital stay was 10.5 days. More than half of the cases (58.3%) had underlying life-limiting illnesses. Majority of the patients had DNR order (general ward/ HDU 70.5%, ICU 81.6%, other wards 79.1%). Being on ventilator (POR 3.421,95% CI 1.947, 6.012) was the significant predictor for the ward death among the cases. Conclusion It is vital to understand the characteristics of child death and the factors associated with death location in order to enhance paediatric care and management.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | mortality, paediatrics |
| Subjects: | R Medicine R Medicine > RJ Pediatrics R Medicine > RJ Pediatrics > RJ370-550 Diseases of children and adolescents |
| Divisions: | Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Thesis |
| Depositing User: | MUHAMMAD AKIF AIMAN AB SHUKOR |
| Date Deposited: | 16 Jun 2026 03:07 |
| Last Modified: | 30 Aug 2026 06:57 |
| URI: | http://eprints.usm.my/id/eprint/64370 |
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