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|Title:||Hospital mortality in a Singapore paediatric unit: a 10 year review|
|Source:||Ang, P.L., Tay, J.S.H., Loh, T.F. (1974). Hospital mortality in a Singapore paediatric unit: a 10 year review. Journal of the Singapore Paediatric Society 16 (1) : 9-22. ScholarBank@NUS Repository.|
|Abstract:||Hospital mortality in the University Pediatric Unit over the last 10 yr (1964-1973) is reviewed. An overall steady decline in mortality is noted despite a fairly constant annual admission rate. The 6 commonest causes of death over the decade were, in order of frequency, pneumonia, congenital heart disease, gastroenteritis, kernicterus, meningitis and leukemia. Deaths due to pneumonia have fallen sharply, and this was largely responsible for the decline in mortality over the decade. Congenital heart disease remains a problem, and over 80% of deaths from congenital heart disease occurred in infancy. Deaths due to kernicterus have also fallen dramatically. In 1964, it was the third commonest cause of death, but in 1973 it was responsible for only 4 deaths, ranking as the 9th commonest cause of death (together with leukemia, imperforate anus, intracranial hemorrhage and prematurity). Leukemia and other malignancies assume greater importance with improved control of infective conditions. The problem of malnutrition is discussed and it predisposes to fatal infective conditions in a majority of cases. Gastroenteritis unexpectedly became the top killer in 1973. Greater emphasis should be placed on breast feeding because the incidence of gastroenteritis seems to be lower among breast fed babies. It is recommended that high priorities should be given to the purchase of adequate drugs for the treatment of leukemia and other malignancies and of nutrients required for total intravenous alimentation. Facilities for emergency cardiac investigation and surgery in infancy should be provided for. The need for larger number of beds in a General Hospital for pediatric patients and for a pediatric intensive care unit are stressed. Eighteen references are cited.|
|Source Title:||Journal of the Singapore Paediatric Society|
|Appears in Collections:||Staff Publications|
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