Analysis of the Disease Spectrum of 42892 Neonates in a Children's Hospital
Objectives This study aims to Understand the spectrum of diseases among hospitalized neonates and provide a basis for clinical prevention and treatment.Methods 42,892 newborns admitted to the neonatal department of a children's hospital from January 1,2019 to December 31,2023 were retrospectively analyzed.The consistency of the order of disease spectrum of hospitalized neonates was analyzed by rank sum ratio and harmony coefficient,and the statistics were grouped by gender,origin,season and age,and thex2test was applied.Results The top ten diseases were neonatal pneumonia,neonatal pathological jaundice,low birth weight infants,neonatal sepsis,neonatal ABO hemolysis,neonatal respiratory distress sign,preterm infants,neonatal hyperbilirubinemia,neonatal gastrointestinal hemorrhage,and neonatal enteritis,accounting for 79.23%of all hospitalized newborns.The male-to-female ratio was 1.33∶1.The differences in gender,patient source,season,and age of hospitalized newborns were statistically significant(P<0.05).There was little change in the top 10 diseases.Except for 2022,neonatal pneumonia ranked first in all other years.Conclusions Neonatal pneumonia,neonatal pathologic jaundice,low birth weight infants,neonatal sepsis,prematurity,and neonatal hyperbilirubinemia are the most common disorders in the neonatal unit of the hospital.Perinatal health care should be strengthened to reduce the incidence of infectious diseases such as neonatal pneumonia and sepsis.