摘要
Abstract
Objective To analyze the disease spectrum and causes of death in hospitalized children,so as to provide a basis for children's disease prevention and treatment.Methods By checking the medical records of the children hospitalized in Jiangxi Provincial Children's Hospital from 2011 to 2015,we obtained and analyzed the data of the number,treatment outcome,sex and age distribution,disease composition of all the hospitalized children,and the sex and age distribution,causes of death in those who died during hospitalization.Results A total of 359 627 children were treated from 2011 to 2015,of them,676 died,with a case fatality rate of 0.19％.The number of hospitalized children increased 19.85％ in 2015 as compared to 2011.The case fatality rate presented a downward trend (x2trendd =11.374,P =0.001).Among the hospitalized children,244 857 (68.09％) were male and 114 770 (31.91％) were female,the ratio of male to female was 2.13:1.Male and female infants were common in each year from 2011 to 2015.The three diseases with the highest prevalence in the children were diffuse pneumonia,hand,foot and mouth disease and neonatal pneumonia in both 2011 and 2012,and those were pulmonary infection,bronchial pneumonia,hand,foot and mouth disease in both 2013 and 2015,and those were pulmonary infection,hand,foot and mouth disease,and neonatal pneumonia in 2014.A total of 676 children died during this period.Female children had a higher case fatality rate than male children did [0.23％ (260/114 770) vs.0.17％ (416/244 857),(x2 =13.364,P ＜0.001)].The case fatality rate was 0.35％ (125/35 872) in newborns,and 0.24％ (262/109 012) in infants,0.15％ (146 /100 301) in young children,0.11％ (67/58 500) in preschool age children and 0.14％ (76/55 942) in school-age children (x2 =99.712,P ＜ 0.001).Neonates had higher case fatality rate than the other four groups;infants had higher mortality rate than young children,preschool children and school-age children did (P ＜ 0.004 5).The top three causes of death in hospitalized children were infectious and parasitic diseases [19.97％ (135/676)],perinatal diseases [13.46％ (91/ 676)],congenital malformations,deformation and chromosomal abnormalities [12.72％ (86/676)].Conclusion In the children hospitalized in Jiangxi Provincial Children's Hospital from 2011 to 2015,the case fatality rate decreased year by year,and it differed between different age groups;respiratory disease is the major disease;infectious and parasitic diseases,perinatal diseases,congenital malformations,deformation and chromosomal abnormalities are the primary causes of death.关键词
儿童,住院/疾病谱/死因Key words
Child, hospitalized/Disease spectrum/Cause of death分类
医药卫生
