Trend and Pattern of Childhood Mortality in a Rural Tertiary Care Hospital of Darjeeling District, West Bengal, using International Classification of Diseases 10th Revision

Mausumi Saha, Sucharita Maji

Abstract


Background: Trend and pattern of childhood mortality reflect the occurrence and fatality of locally endemic diseases. Knowledge about it helps to make appropriate strategies for prevention and management of those diseases. The objective of the study was to find out the trend, pattern, and causes of childhood mortality in a rural tertiary care hospital. Materials and Methods: A descriptive retrospective hospital-based study was conducted in Medical Records Department (MRD) of North Bengal Medical College and Hospital in Darjeeling district of West Bengal, India, from May 2016 to October 2017. All childhood (<10 years) deaths during the reference period were recorded and underlying causes of death were classified according to the ICD-10th revision. Results: A total of 5394 children died in this hospital during the reference period. Proportion of male death was higher than female death in every year. Mortality was maximum in early neonatal age group (40.79%) followed by still birth (29.5%). Two peaks were observed in month-wise mortality trend. Maximum was in November followed by January. Around half of the recorded death in perinatal period was due to P50P96 (hemorrhagic and hematological, digestive system disorder of newborn, and other conditions originating in perinatal period). Birth asphyxia (24.8%) and bacterial sepsis (45.2%) were the leading causes of death in early and late neonatal period, respectively. Certain infectious and parasitic diseases (A00-B99) were the predominant cause of death in rest of the age groups. Conclusion: The pattern of mortality in early, late, and post-neonatal age groups suggests a need for more comprehensive improvement in antenatal, intranatal, and newborn care. Infection control in different levels will help to reduce mortality among older children.

Key words: Trend and pattern, Childhood mortality, Tertiary care hospital, ICD-10


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