患有泌尿系统疾病的青少年在儿童肾病护理的最后阶段:基于地区医院10年数据库的横断面研究

Q4 Medicine

Pediatriya - Zhurnal im G.N. Speranskogo Pub Date : 2023-08-10 DOI:10.24110/0031-403x-2023-102-4-28-39

E. N. Kulakova, A. Savchenko, T. L. Nastausheva, L. Stahurlova, T. G. Zvyagina, A.Yu. Mokrousova, E.M. Kovalik, Yu.V. Khoroshilova, D.O. Rudneva

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引用次数: 0

摘要

患有肾脏疾病的青少年从儿科过渡到成人医疗保健系统通常伴随着临床、社会和心理问题，这些问题往往是由患者的不准备引起的。为过渡准备计划的发展意图需要研究15至17岁青少年使用医疗保健系统资源的特点。本研究的目的是确定肾脏科护理部门的住院率、诊断疾病的分类学结构以及15至17岁住院青少年的人口统计学特征。使用的方法:基于沃罗涅日州第一地区儿童临床医院(沃罗涅日，俄罗斯)以V.P. Sitnikova命名的肾病科护理单位10年数据库的单中心横断面描述性研究。结果:14522例入院患者中，15 ~ 17岁青少年占24.6% (n=3574)，其中男孩占55.4% (n=1981)，女孩占44.6% (n=1593)。在这10年期间，相应人口中15至17岁患者每10万人的住院率中位数为男孩609.7人，女孩537.4人。ICD-10代码块N10至N16的诊断主要记录在该年龄组的青少年中(女孩占50% (95% CI 47.5%-52.4%)，男孩占38.2% (95% CI 36.0%-40.3%))。男孩和女孩的疾病分类学结构差异有统计学意义(p<0.001)。所分析的10年期间的特点是，从N17到N19 ICD-10代码块中，青少年的主要诊断登记呈积极趋势(χ = 0.023)。在儿科肾脏科完成随访的患者中，最后一次住院的平均年龄为15岁[13-17岁]，其中26.9%的青少年在17岁时住院。结论:获得了初步数据，以开发一个系统，为青少年从儿科过渡到成人医疗保健系统做准备。

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ADOLESCENTS WITH URINARY SYSTEM DISEASES IN THEIR FINAL STAGE OF PEDIATRIC NEPHROLOGY CARE: A CROSS-SECTIONAL STUDY BASED ON A REGIONAL HOSPITAL’S 10-YEAR DATABASE

Transition of adolescents with kidney diseases from pediatric into adult healthcare system is usually accompanied by clinical, social and psychological problems that are often caused by a patient’s unreadiness. The development of programs intent for the transition preparation requires studying of the peculiarities of the healthcare system resources use by adolescents aged 15 to 17 years old. The purpose of this research was to determine the hospitalisation rate in the nephrology care unit, the nosological structure of diagnosed diseases and the demographic features of hospitalised adolescents aged 15 to 17 y/o. Methods used: a single-centre cross-sectional descriptive study based on a 10-year database of the Nephrology Care Unit named after V.P. Sitnikova of the Voronezh Oblast Regional Children’s Clinical Hospital No. 1 (Voronezh, Russia). Results: 14522 admissions, 24.6% (n=3574) of which were adolescents aged 15 to 17 y/o were analysed: 55.4% (n=1981) boys/44.6% (n=1593) girls. The median hospitalisation rate for patients aged 15 to 17 y/o per 100000 of the corresponding population within the 10-year period was 609.7 in boys and 537.4 in girls. The diagnosis from N10 to N16 ICD-10 code blocks was mainly registered in adolescents of this age group (50% in girls (95% CI 47.5%-52.4%) and 38.2% in boys (95% CI 36.0%-40.3%)). Statistically significant differences in the nosological structure of the diseases between girls and boys were found (p<0.001). The analysed 10-year period was characterised by a positive trend in the registration of the main diagnosis in adolescents from the N17 to N19 ICD-10 code blocks (р=0,023). The average age of the last hospital admission among the patients who completed follow-up in the paediatric nephrology service was 15 [13-17] y/o, of which 26.9% of adolescents were hospitalised at the age of 17 y/o. Conclusion: primary data were obtained to develop a system for preparing adolescents for their transition from paediatric into adult healthcare systems.

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来源期刊

Pediatriya - Zhurnal im G.N. Speranskogo Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

150

期刊介绍： Journal “Pediatria” named after G.N. Speransky (the official short names of the Journal are “Journal «Pediatria»,” “Pediatria,” and “«Pediatria,» the Journal”) is the oldest Soviet-and-Russian (in the Russian Federation, the CIS and former Soviet Union) scientific and practical medical periodical assigned for pediatricians that is published continuously since May, 1922, and distributed worldwide. Our mission statement specifies that we aim to the ‘raising the level of skills and education of pediatricians, organizers of children’s health protection services, medicine scientists, lecturers and students of medical institutes for higher education, universities and colleges worldwide with an emphasis on Russian-speaking audience and specific, topical problems of children’s healthcare in Russia, the CIS, Baltic States and former Soviet Union Countries and their determination with the use of the World’s best practices in pediatrics.’ As part of this objective, the Editorial of the Journal «Pediatria» named after G.N. Speransky itself adopts a neutral position on issues treated within the Journal. The Journal serves to further academic discussions of topics, irrespective of their nature - whether religious, racial-, gender-based, environmental, ethical, political or other potentially or topically contentious subjects. The Journal is registered with the ISSN, - the international identifier for serials and other continuing resources, in the electronic and print world: ISSN 0031-403X (Print), and ISSN 1990-2182 (Online). The Journal was founded by the Academician, Dr. Georgiy Nestorovich SPERANSKY, in May, 1922. Now (since 1973) the Journal bears his honorary name.