Analysis Of Disease Spectrum And Prognosis Of Emergency Children In A Children’s Hospital In Nanjing

Objectives:To investigate the disease spectrum and prognosis on emergency children, to propose corresponding nursing strategies, then try to configure the medical resource reasonably and provide scientific basis and guide for the treatment and prevention for children’s disease.Methods:We determine the evaluation and program by literature review.17646 emergency children were collected in 2011-2013 from the three-level Nanjing Children’s Hospital emergency room by retrospective study. Statistical analysis of demographic characteristics, clinical characteristics, disease spectrum distribution using SPSS 19.0.Results:(1) Among 17646 emergency children, male were more than female significantly (ratio of male/female was 1.78:1), whose mostly was infants (48.1%). The emergency time was concentrated on from January to April, the season composition of diseases were accordant to diseases onset regulation. (2) The top 2 of disease spectrum were respiratory system diseases and nervous system diseases, accounting for 34.0% and 29.0% respectively, with the pneumonia (36.4%) and seizures of unknown origin (76.9%) on the top. For neonates and infants, pneumonia ranked the first. For the others, acute upper respiratory tract infection was obvious. The top 3 of neonatal diseases were cardiopulmonary resuscitation (79.4%), sudden infant death syndrome (11.8%), and respiratory distress syndrome (5.9%). (3) There were 14821 hospitalized children (84.0%),1786 discharged cases(10.1%),200 dead children(1.1%). Main causes of hospitalized children’s deaths were cardiopulmonary resuscitation (mortality was 45.5%). (4) There was significant difference on the blood glucose level in the three groups (hypoglycemia group, high blood glucose group and diabetes group). All the P values were lower than 0.01. The blood glucose level of respiratory diseases was significant lower than that of the nervous diseases (P<0.01). For the hypoglycemia group, high blood glucose group and diabetes group, infants were the most (58.6%,43.6% and 43.0%, respectively). For the infants, toddlers and children, diabetes account for the most; for the neonates, hypoglycemia had a higher proportion; for youths, high blood glucose ranked the first. The distribution of blood glucose level statistically different among different outcome groups (P<0.01). For the discharged group, high blood glucose and diabetes accounted for the most; for dead group, there were high proportion of hypoglycemia and high blood glucose.Conclusions:The disease spectrum and outcome of the Children’s hospital presented a certain regularity. There was significant diffrence in gender, the disease distribution of emergency patients was associated with age and treatment time showed obviously seasonal. The neonate had the highest mortality and main cause of deaths was the failure of CPR, which implied that appropriate and timely CPR played a crucial role in emergency call. The blood glucose had relation to the children, which indicated that emphasis should be put on the treatment and prevention of the common and frequently encountered diseases and the blood of emergency patients. Meanwhile, we should popularize the knowledge of first aid in the whole society for gaining the recovery time, pay enough attention on children’s mental health to provide different health education for patriarches, teachers and children.