| BackgroundChinese disease spectrum is changing from acute infectious diseases to chronic non-infectious diseases with the improvement of the national economy and the rapid development of medical services,raising awareness of health,and the change of life style and environmental changes.As an important group,children’s disease spectrum has also changed.To some extent,the disease spectrum can reflect the health status,medical level,and medical resource needs of local residents.Based on the retrospective analysis of the basic data of children in the First Affiliated Hospital of Xinxiang Medical College in recent three years,we will summarize and analyze retrospectively disease composition,change trend,outcome and specialty influence of children in internal medicine,so as to provide scientific basis for the prevention,treatment and health care of pediatric diseases in the north of Henan Province.ObjectiveIn order to understand the change rule of disease spectrum of the hospitalized children in the hospital from 2016 to 2018,to explore the change trend,distribution characteristics,outcome and specialty influence of children’s diseases in internal medicine,and provide reference for the medical and preventive health care work of the pediatric internal medicine of the hospital on this basis.MethodsThe basic data of 0-18 year old medical inpatients were derived from the home page management system of the hospitalized children in the Statistics Department of the Information Department of the hospital.Descriptive epidemiological method was applied to analyze the data,which was recorded by Excel 2017 and statistical analysis was performed by SPSS 22.0.Calculate the ratio of different disease systems and single disease types,and observe the dynamic changes.The Chi-square test is used to compare the intergroup rates.Results35327 patients were enrolled in 36841 inpatients according to survey protocol in the study.1.From January 1,2016 to December 31,2018,the number of pediatric medical inpatients in the hospital showed an upward trend(χ~2=75.897,P<0.001).2.Difference in gender ratios:There are more boys than girls in pediatric ward within3 years,21853 boys and 13474 girls,and male-female was 1.62:1(χ~2=9.513,P=0.009),but the proportion is decreasing year by year.The number of boys with different systemic diseases was more than girls and the male-female ratio of the genitourinary system diseases among them is the highest,reaching 2.00:1.3.Difference in the length of hospitalization:the number of discharged patients in winter and spring is more than that in summer and autumn,with the largest number in winter,10218 case,accounting for 28.92%(χ~2=417.253,P<0.001).The trend of the number of patients discharged from hospital every month in different years was similar,with January and December having the most patients,with a total of 7936 cases.,accounted for 22.47%(χ~2=460.8,P<0.001).4.Difference in the age of hospitalized children:23105 children aged from 1 month to6 years,accounting for 65.40%.The age span of 6-18 years is large,but the number of patients is small.5.Difference in regional distribution:most of the hospitalized children are distributed in Xinxiang and its surrounding areas,such as Hebi and Anyang,while the number of patients in other areas is less,totaling 456,accounting for 1.29%(χ~2=253.184,P<0.001).6.Respiratory system diseases have always ranked first among system diseases,followed by infectious diseases and parasitic diseases,and the third place is infectious diseases.The incidence and composition ratio are on the rise.The number of patients with sepsis and preterm infants has increased in the past 3 years,and the number of neonatal respiratory distress syndrome and neonatal hyperbilirubinemia has decreased.7.The overall outcome of the hospitalized children in this hospital is good.The annual cure rate and improvement rate exceed 90%,and the 3-year mortality rate is 0.20%,showing a downward trend(χ~2=55.552,P<0.001).The outcome of infant group is the best,while that of newborn and adolescent population is worse(χ~2=2316.214,P<0.001).ConclusionsThe number of pediatric inpatients in our hospital is increasing year by year within recent 3 years.Boys and children from one month to 6 years are high-risk groups,winter and spring are high-risk seasons,which need to be focused on prevention and control.The number of respiratory diseases and infectious diseases is relatively large,so we should strengthen the construction of its specialty.There are few diseases in the pediatrics department of our hospital,so we should further improve the service capacity of the pediatrics department in our hospital,expand the influence of the subject,and better serve the children. |
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