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Primary Care and General Paediatrics
PO-0968 Main Death Etiologies Of Catalan Children. Experience Of The Admitted Patients In A Tertiary Hospital
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  1. S Navarro1,
  2. MR Escobar1,
  3. S Ciprés1,
  4. M Palomares1,
  5. G Gelabert2,
  6. JJ García3
  1. 1Pediatric Palliative Care Unit, Hospital Sant Joan de Déu, Barcelona, Spain
  2. 2Clínical Archives and Documentation, Hospital Sant Joan de Déu, Barcelona, Spain
  3. 3Pediatrics, Hospital Sant Joan de Déu, Barcelona, Spain

Abstract

Background and aims Paediatric palliative care is an essential aspect of medical practice for patients who need end-of-life attendance. The better understanding of the main death causes allows to anticipate the future complications in the final stage. The aim is to describe the epidemiology and characteristics of deaths at childhood in Catalonia and specifically in a tertiary paediatric hospital.

Methods Review data from the National Statistics Institute (http://pestadistico.inteligenciadegestion.msssi.es) on mortality of people aged 0–19 years old, during the period from 2007 to 2011. Analyse the main general causes of death by ICD (International Code of Disease) collected in death certificate and compare them with our experience.

Results During the period from 2007 to 2011, a total of 2.282 deaths were registered in Catalonia (59% males, 41% females). The mortality rate varies by age (Graph 1). In Catalonia the most frequent causes of death were conditions originated in the perinatal period (COPP) (27%), external causes (18%), congenital malformations (15%) and neoplasms (11%)(Table 1). The epidemiological study in our centre shows that 487 patients died in this period. The mean age was 3.5 years. According to sex, 47% were female and 53% male. The average length of hospitalisation was 12 days (range: 1–167 days). In our hospital, the most frequent causes of death in inpatients were COPP (45%), diseases of the respiratory system (17%) and neoplasms (15%)(Graph 2).

Abstract PO-0968 Graph 1
Abstract PO-0968 Graph 1

Numbers of deaths in catalonia/100.000 population (20072011)

View this table:
Abstract PO-0968 Table 1

Causes of death in Catalonia 2007–2011

Conclusions In accordance with the literature, during the first year there is a peak in the mortality rate. In this period the main causes of death are COPP and congenital malformations. In adolescence the main causes of death are external causes and malignancy. In our hospital, almost a half of the total deaths occur in the first month of life due to COPP. Every centre should know his epidemiology of the main causes of death.

Abstract PO-0968 Figure 1
Abstract PO-0968 Figure 1

Causes of mortality 2007–2011 in our centre

https://doi.org/10.1136/archdischild-2014-307384.1587

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