Analysis of Direct Cause of Death about Dead Cases

Objective To investigate the trends in the change of spectra of cause of death among hospitalized children,analyze and discuss how to seek direct cause of death and how to regulate death case discussions.Methods A retrospective analysis was reviewed of 227 dead cases in Children′s Hospital of Chongqing Medical University.Of which,these were analyzed for seeking direct cause of death according to the original medical records.Results Of the total 227 cases,70% patients were infants whose age ≤3 years old;157 children(69.2%) were dead in pediatric intensive care unit.The three most frequent primary diseases were nervous system diseases including infection,tumor,bleeding and trauma(55 cases,24.2%),congenital malformation including congenital heart disease and alimentary tract malformation(53 cases,23.3%),and respiratory system diseases(47 cases,20.7%);Furthermore,among 227 patients,67 cases(29.5%) could be found direct cause of death,the top three direct cause of death were asphyxia(21 cases),cerebral hernia(17 cases),and uncontrolled hemorrhagic shock(8 cases).Conclusions Disease of the nervous system is a serious danger to critically ill children,which needs further study.Meanwhile death case discussions is an important part in hospital core system,the aim is to look for direct cause of death,which requires related departments and physicians who participated in rescue and treatment and all of doctors master correct and effective methods.The key to look for direct cause of death is catching hold of the patient′s deteriorating time.