摩洛哥马拉喀什母婴医院儿科急诊住院患者的特征描述。

The characterization of a hospitalized population at the pediatric emergency service of Mother and Child Hospital, Marrakech, Morocco.

机构信息

Infectious Disease Research Laboratory, Faculty of Medicine and Pharmacy, Cadi Ayyad University Marrakech, Morocco.

Childhood Health and Development Research Laboratory, Faculty of Medicine and Pharmacy, Cadi Ayyad University Marrakech, Morocco.

出版信息

Pan Afr Med J. 2022 Nov 14;43:138. doi: 10.11604/pamj.2022.43.138.29471. eCollection 2022.

DOI:10.11604/pamj.2022.43.138.29471

PMID:36762163

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9898771/

Abstract

INTRODUCTION

the pediatric emergency department is the first contact between the population and the hospital. Consequently, its dysfunction influences the quality of the general health care system. However, any successful policy must first be based on convincing results hence the need to better explore this service, diagnose the various dysfunctions, and survey disease trends to identify the needs of the local population. In this perspective, we propose to describe the epidemiological profile of children hospitalized at the emergency service of the Mother-Child hospital, University Hospital Centre Marrakech, and establish the prevalence table for childhood pathologies.

METHODS

a retrospective study was carried out in pediatric emergency services for 1658 hospitalized patients between March 2015 and December 2018. The collected data concerns mainly the socio-demographic, clinical profile, evolution status, mode of admission, and medical history.

RESULTS

the characterization of the studied population by sex and age showed a predominance of male with a sex ratio of 1.36, infants with 625 patients. Concerning the final diagnosis, the most frequent pathologies affected the respiratory system in 28% of cases, then the digestive system (11.3%), while infectious pathologies represented 10.7% of admissions. The death rate in the emergency department was 7.4%. Multivariate analysis of the data showed a statistically significant relationship between the final diagnosis (16 diseases by a system according to The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)) and age, season, and weight. Thus, for the association between the digestive system diseases and weight (aOR=1.052, 95% CI= 1.019-1.086, p=0.02). While for the skin and subcutaneous tissue diseases and the autumn season (aOR=11.37, 95% CI= 1.272-101.777, p=0.03) and age has a negative significance for most diseases.

CONCLUSION

the epidemiological profile study will allow knowledge of patient´s pathologies typology for a well-supported and better definition of needs.

摘要

简介

儿科急诊是人群与医院的第一接触点。因此，其功能障碍会影响整体医疗保健系统的质量。然而，任何成功的政策都必须首先基于令人信服的结果，因此有必要更好地探索这项服务，诊断各种功能障碍，并调查疾病趋势，以确定当地人口的需求。有鉴于此，我们建议描述马拉喀什母婴医院儿科急诊部住院患儿的流行病学特征，并建立儿科疾病的患病率表。

方法

对 2015 年 3 月至 2018 年 12 月期间在儿科急诊住院的 1658 例患儿进行回顾性研究。收集的数据主要涉及社会人口统计学、临床特征、转归状态、入院方式和病史。

结果

通过性别和年龄对研究人群进行特征描述，显示男性占主导地位，性别比为 1.36，婴儿有 625 例。关于最终诊断，最常见的疾病是影响呼吸系统的疾病，占 28%，其次是消化系统疾病（11.3%），而传染病占入院人数的 10.7%。急诊部死亡率为 7.4%。对数据进行多变量分析显示，最终诊断（根据《国际疾病分类和相关健康问题统计分类第十版》（ICD-10）的 16 种系统疾病）与年龄、季节和体重之间存在统计学显著关系。因此，消化系统疾病与体重之间存在关联（优势比=1.052，95%置信区间=1.019-1.086，p=0.02）。而对于皮肤和皮下组织疾病与秋季（优势比=11.37，95%置信区间=1.272-101.777，p=0.03），年龄对大多数疾病都有负意义。