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[Time of death in diseases with lethal outcomes in a pediatric surgery department and a pediatric hospital].

Thirteen hundred twenty five deaths in children were investigated at the Dept. of Pediatric Surgery of the University Children's Hospital Munich and the University-Children's Hospital Giessen in order to evaluate a possible correlation between time of death and time during the day. Subdividing according to age groups and pediatric-surgical and pediatric cases, there was no accumulation of deaths between 2 and 6 o'clock a. m. as could have been expected according to Aschoff. On the other hand, between 12 und 3 o'clock p. m. there was an increase of deaths which was partly statistically significant and in accordance with Aschoff's findings. One can deduce that during the early afternoon hours technical and nursing potentialities for compensation were not fully used, whereas this seemed to be the case during early morning hours. Therefore it should be attempted to optimize personal and technical expenditures particularly during the early afternoon hours.