Review of Paediatrics Inpatient at a Zonal Hospital
Introduction: Childhood illnesses cause significant number of admissions in different level hospitals. This retrospective study was undertaken to analyze the morbidity pattern in the Paediatric ward at a Zonal Hospital with aim that the results obtained will help in planning, prioritizing and implementing preventive, promotive and curative health care activities of the children in resource poor community.
Materials and Methods: This study was carried out retrospectively for one year from July/Aug 2010 – June/July 2011. Age, sex, diagnosis, month of admission, duration of admission and the frequency of diseases were evaluated.
Results: A total number of 977 patients were admitted during the study period. There were 579(59%) male and 398(41%) female children. Less than five years age group accounted for 569(58%) excluding the neonates. In the study period, respiratory tract infections were the commonest cause of admission 309(31.6%), gastrointestinal including diarrhoeal diseases were 278(28.5%), enteric fever comprised of 69(7%), and other diseases comprised of about 390(39.5%). Of the total admissions, CNS diseases comprised of 128(13%) of which 29(3%) were meningitis and meningoencephalitis. Sixty seven (52%) of the total CNS cases were due to febrile convulsion. Renal and cardiovascular diseases were 8.5% and 1.5% respectively.
Conclusion: Children under five years of age being the most common age group amongst all, with respiratory and gastrointestinal diseases still being the most predominant cause of paediatric morbidity; community level interventions including IMCI should be strengthened for reducing hospital admissions, along with allocation of hospital beds and supplies as per morbidity pattern.
J. Nepal Paediatr. SocVol.32(3) 2012 239-244
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).