首页|某医院2017年-2022年5岁及以下住院儿童疾病谱变化分析

某医院2017年-2022年5岁及以下住院儿童疾病谱变化分析

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目的 分析海南省某医院5岁及以下住院儿童疾病谱的构成,为进一步做好5岁及以下儿童疾病医疗和预防保健工作提供科学依据.方法 数据来源于某院病案统计管理系统中2017年1月1日-2022年12月31日≤5岁的住院儿童的病案资料,共52 738例.对这些病案资料进行疾病分类统计和分析.结果 疾病谱中列于前5位顺位的疾病系统分别为呼吸系统疾病(11 037例)、起源于围生期的某些疾病(10512例)、消化系统疾病(6568例)、某些传染病和寄生虫病(5345例)、先天性畸形、变形和染色体异常(4951例).单病种前5位顺位分别是脓毒血症(4370例)、肺部感染(3976例)、双侧腹股沟斜疝(2198例)、新生儿肺炎(1676例)和肺炎支原体性肺炎(1280例).男童排序第1的疾病系统为呼吸系统疾病,女童排序第1的疾病系统为起源于围生期的某些疾病.新生儿组第1顺位的疾病系统为起源于围生期的某些疾病,其他年龄组第1顺位的疾病系统均为呼吸系统疾病.夏季、秋季、冬季排序第1顺位的疾病系统为起源于围生期的某些疾病.春季排序第1顺位的疾病系统为呼吸系统疾病.结论 海南省某院住院儿童的主要疾病系统为呼吸系统疾病和起源于围生期的某些疾病;住院儿童数季节分布差异不明显,但不同季节的疾病系统类型不同.上述特点提示医院一方面需全年均衡配置医疗资源,以满足儿童住院患者诊疗需求,同时加强呼吸科、儿科等部门间合作,提高儿童呼吸系统疾病诊疗水平,做好围生儿管理,降低围生期疾病的发生率.
Analysis of Changes in Disease Spectrum Among Hospitalized Children Aged 5 and Under in a Hospital from 2017 to 2022
Objectives This study aims to analyze the composition of the disease spectrum of children admitted to a hospital in Hainan Province from 2017-2022,so as to provide a scientific basis for further improving the medical treatment and preventive health care of children aged 5 years and under.Methods The data came from the medical records of hospitalized children aged ≤5 years old from January 1,2017 to December 31,2022,in a hospital's medical record statistical management system,with a total of 52,738 cases.Disease classification statistics and analysis on these medical records were carried out.Results The top five disease systems in the disease spectrum were respiratory diseases(11,037 cases),certain diseases originating in the perinatal period(10,512 cases),digestive system diseases(6568 cases),and certain infectious diseases and parasitic diseases(5345 cases),and congenital malformations,deformations and chromosomal abnormalities(4951 cases).The top five single diseases were sepsis(4370 cases),pulmonary infection(3976 cases),bilateral inguinal hernia(2198 cases),neonatal pneumonia(1676 cases)and Mycoplasma pneumoniae pneumonia(1280 cases).Respiratory diseases predominated in boys,while certain diseases originating in the perinatal period predominated in girls.Except for the neonatal group,where certain diseases originating in the perinatal period ranked first,respiratory diseases ranked first in all other age groups.During summer,autumn,and winter,certain diseases of perinatal origin dominated.In spring,respiratory diseases predominated.Conclusions The main disease systems of children hospitalized in a hospital in Hainan Province are respiratory diseases and certain diseases originated in the perinatal period.The seasonal distribution of the number of hospitalized children is not obvious,but the types of disease systems are different in different seasons.The aforementioned characteristics imply that a hospital should allocate medical resources evenly throughout the year to meet the needs of hospitalized children.Additionally,strengthening collaboration between respiratory and pediatric departments is necessary to enhance the diagnosis and treatment of children's respiratory diseases.Moreover,improving perinatal management is essential to reduce the incidence of perinatal diseases.

Children hospitalized aged ≤ 5 yearsDiseases spectrumChange analysis

施明明、张晓、韩丽珍

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杭州市上城区疾病预防控制中心健教慢病科,浙江省,杭州市,邮政编码 310000

杭州市第一人民医院城北院区(杭州市老年病医院),浙江省,杭州市,邮政编码 310000

海南省人民医院(海南医科大学附属海南医院)病案管理科,海南省,海口市,邮政编码 570311

≤5岁住院儿童 疾病谱 变化分析

海南省卫生健康行业研究项目

22A200199

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(7)
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