Shrestha Anil Kumar, Gyawali Sushil, Basnet Bal Mukunda, Adhikari Santosh, Maharjan Sobi Lal, Karmacharya Pujash, Paudel Deepak Raj
Department of Pediatrics, Kanti Children's Hospital, Maharjagunj, Kathmandu, Nepal.
Department of Pediatric Surgery, Kanti Children's Hospital, Maharjagunj, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2025 Mar;63(283):159-164. doi: 10.31729/jnma.8911. Epub 2025 Mar 31.
Child health is crucial in low and middle-income countries. Pediatric healthcare in tertiary-level hospitals addresses complex medical conditions. This study aimed to describe the sociodemographic and clinical profiles of pediatric patients admitted to Kanti Children's Hospital in Nepal.
An observational cross-section study was conducted including all the inpatients under 15 years of age. The data were collected from the hospital medical record section from July 17, 2023 to July 15, 2024, after the ethical approval from Institutional Review Review Committee, (Reference number 2168). The statistical analysis included descriptive statistics to assess demographic characteristics, case types, admission patterns, and outcomes using Microsoft Excel and Statistical Package for Social Sciences (SPSS) 2024.
A total of 9682 pediatric cases were included, of which 6389 (65.99%) of the patients were male, with 3305 (34.13%) being aged 1 to 5 years. Among the admitted patietns 2194 (22.66%) had respiratory cause and 1520 (15.70%) had infectious disease. Mortallity rate was 203 (2.09%) and it was 82 (12.06%) in pediatric intensive care unit and 48(10.62%) in neonatal intensive care unit.
Respiratory and infectious diseases were the most common cause of admission in pediatric settings with a higher prevalence in younger children. The majority of cases were residing outside the capital city. This study highlighted higher mortality rates in critical care units.
儿童健康在低收入和中等收入国家至关重要。三级医院的儿科医疗服务可处理复杂的病症。本研究旨在描述尼泊尔坎蒂儿童医院收治的儿科患者的社会人口学和临床特征。
开展了一项观察性横断面研究，纳入了所有15岁以下的住院患者。在获得机构审查委员会的伦理批准（参考编号2168）后，于2023年7月17日至2024年7月15日从医院病历科收集数据。统计分析包括使用Microsoft Excel和社会科学统计软件包（SPSS）2024进行描述性统计，以评估人口统计学特征、病例类型、入院模式和结局。
共纳入9682例儿科病例，其中6389例（65.99%）为男性，3305例（34.13%）年龄在1至5岁之间。在入院患者中，2194例（22.66%）有呼吸道病因，1520例（15.70%）有传染病。死亡率为203例（2.09%），儿科重症监护病房为82例（12.06%），新生儿重症监护病房为48例（10.62%）。
呼吸道疾病和传染病是儿科住院最常见的病因，在年幼儿童中患病率更高。大多数病例居住在首都以外地区。本研究强调了重症监护病房的较高死亡率。
