Leading causes of hospital admissions and ER visits among pediatrics

1. Leading Causes of Illness and
Death Among Pediatrics
Rayan Hejazi, MBBS (with Honor)

2. Outline
 Leading Causes of Emergency Visits
 Leading Causes of Hospitalizations
 Leading Causes of Deaths

3. Leading Causes of Emergency Visits
 In Simcoe Muskoka in 2017, the leading causes of
emergency visit, by ICD-10 chapter, among infants less
than one year were: diseases of respiratory system,
symptoms, signs and abnormal clinical/lab findings, and
infectious or parasitic diseases, which accounted for about
two-thirds of all visits.

4. Leading Causes of Emergency Visits
 During the same time period, among children one to nine years of age, diseases of the
respiratory system and injuries & poisonings were the leading causes of emergency visit,
accounting for more than half of all visits. The most common form of respiratory illnesses
among children under 10 years of age were acute upper respiratory illnesses.
 Injuries & poisonings was the leading cause of emergency visit among youth and
adolescents (between 10 and 19 years of age) in Simcoe Muskoka, accounting for more
than one-third of all emergency visits in 2017.

5. Leading Causes of Emergency Visits
International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) and the
International Shortlist for Hospital Morbidity Tabulation (ISHMT) adopted by the World Health Organization (WHO)
Leading Causes of ED Visits, Simcoe Muskoka Residents, by Age Group, 2017
AGE
GROUP
# OF ER VISITS ICD-10
CHAPTER
ISHMT
GROUPING
<1 yr 5155 Respiratory Diseases - 31%
Symptoms & Signs - 20%
Infectious or Parasitic Diseases - 13%
Acute Upper Resp./Flu – 20%
Diseases of the Ear - 5%
Diarrhoea/Gastro – 3%
1-9 yrs 28495 Respiratory Diseases - 26%
Injuries or Poisonings - 26%
Symptoms & Signs- 14%
Acute Upper Resp./Flu – 19%
Diseases of the Ear - 10%
Pneumonia – 3%
10-19 yrs 28946 Injuries or Poisonings - 39%
Symptoms & Signs - 17%
Respiratory Diseases - 11%
Mental/Behavioural Disorders - 7%
Acute Upper Resp./Flu – 8%
Abdominal/Pelvic Pain - 5%
Diseases of the Ear - 3%
Intracranial Injury – 2%

6. Leading Causes of Hospitalizations
 In Simcoe Muskoka in 2017, the leading causes of
hospitalization, by ICD-10 chapter, among infants less than
one year were: perinatal conditions, diseases of respiratory
system and congenital anomalies, which accounted for
about three-quarters of all hospitalizations for this age-
group. During the same time period, among children one to
nine years of age, diseases of the respiratory system were
the leading cause of hospitalization. The most common
causes of respiratory illness hospitalizations among
children one to nine years were asthma and pneumonia.

7. Leading Causes of Hospitalizations
 Diseases of digestive system (including diseases of the
appendix) and injuries & poisonings were the leading
cause of hospitalization among youth and adolescents
(between 10 and 19 years of age) in Simcoe Muskoka,
each accounting for approximately one-fifth of all
hospitalizations among this age-group.

8. Leading Causes of Hospitalizations
International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) and the
International Shortlist for Hospital Morbidity Tabulation (ISHMT) adopted by the World Health Organization (WHO)
Leading Causes of Hospitalization, Simcoe Muskoka Residents, by Age Group, 2017
AGE
GROUP
# OF
HOSPITAL
STAYS
ICD-10
CHAPTER
ISHMT
GROUPING
<1 yr 772 Perinatal Conditions - 45%
Respiratory Diseases - 17.5%
Congenital Anomalies – 10.5%
Congenital Anomalies - 10.5%
Premature Birth / Low Birth Weight – 9%
1-9 yrs 1024 Respiratory Diseases - 34%
Injuries or Poisonings - 12%
Signs, Symptoms - 10%
Asthma - 10%
Tonsils/Adenoids - 9%
Pneumonia - 5%
10-19 yrs 1017 Digestive System Diseases - 21%
Injuries or Poisonings - 20%
Endocrine/Nutritional/Metabolic Dis. -
11%
Diseases of the Appendix - 14%
Diabetes - 9%
Poisoning - 7%

9. Leading Causes of Deaths
 In Simcoe Muskoka between 2011 and 2015, there were
111 deaths among infants less than one year of age. The
leading causes of death among infants were perinatal
conditions and congenital anomalies, which accounted
nearly 90% of all deaths. Deaths among children between
one and nine years of age were rare, with only 27 recorded
in all of Simcoe Muskoka over this five year period. During
the same five year time interval the leading causes of
deaths among youth (10 to 19 years) were intentional self-
harm (32%) and transport accidents (19%).

10. Leading Causes of Deaths
Leading Causes of Death, Simcoe Muskoka Residents, by Age Group, 2011 to 2015
(Combined)
AGE GROUP
NUMBER OF
DEATHS
LEADING CAUSES OF DEATH (%)
<1 year 111 Perinatal conditions (60%)
Congenital anomalies (28%)
00 - 09 years 27 Not releasable due to small counts
10 - 19 years 69 Intentional Self-Harm (32%)
Land Transport accidents (19%)

11. Resource
 http://www.simcoemuskokahealthstats.org/topics/leading-
causes