[Iatrogenic diseases in children based on the data from pathologicoanatomic autopsies]
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Published on: March 7, 2017
Insights
Iatrogenic diseases, or illnesses caused by medical treatment, affected 37% of children in a 1988-1989 autopsy study. Complications from intensive care were the most common type, significantly impacting child mortality.
Area of Science:
- Pediatric Pathology
- Medical Complications
- Public Health
Background:
- Investigating iatrogenic diseases in pediatric populations is crucial for improving patient safety.
- Understanding the incidence and types of iatrogenic harm in children is essential for medical practice.
- This study examines autopsy data to quantify iatrogenic disease prevalence in deceased children.
Observation:
- A retrospective autopsy study of 500 children (1988-1989) identified iatrogenic diseases in 37% of cases.
- The highest incidence of iatrogenic diseases was observed in neonates aged 7–28 days (65.8%).
- Complications from resuscitation and intensive therapy constituted the majority (71.5%) of iatrogenic events, followed by surgical complications (19.2%).
Findings:
- Iatrogenic diseases were implicated as a cause or contributing factor in the death of 13.6% of the studied children.
- The total number of identified iatrogenic diseases (270) surpassed the number of cases, indicating multiple instances per child.
- Age-specific analysis revealed a higher vulnerability to iatrogenic harm in the post-neonatal period (7-28 days).
Implications:
- Findings highlight the significant burden of iatrogenic diseases in pediatric mortality, necessitating targeted prevention strategies.
- The prevalence of intensive care-related complications underscores the need for enhanced safety protocols in neonatal and pediatric critical care.
- This research provides critical data for medical education and policy development aimed at reducing iatrogenic harm in children.
Abstract:
Iatrogenic diseases were studied on the material of 500 autopsies taken without selection of children who died in 1988-1989. Iatrogenic diseases were found in 185 cases (37%), most frequently at the age of 7-28 days (65.8% of all dead children), least frequently at the age up to 7 days (18.5%). Total number of iatrogenic diseases (270) exceeded the number of observations. Nosological structure is given: complications of reanimation and intensive therapy were most frequent (71.5% of all iatrogenesis), surgical iatrogenesis was 19.2%. Iatrogenic diseases were the only cause of death or an important factor in the death in 13.6% of all autopsies of children born alive.
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