Монголын Анагаахын Сэтгүүлүүдийн Холбоо (МАСХ)
Эх барих, эмэгтэйчүүд, хүүхэд судлалын сэтгүүл, 2010, 1(7)
УЭНЭШТ- ийн Хүүхдийн эрчимт эмчилгээний тасгийн өвчлөл, эндэгдэл
( Судалгааны өгүүлэл )

А.Оюунчимэг, Т. Эрдэнэчимэг, Б.Энхтайван, Р.Батсолонго

ЭНЭШТ

 
Абстракт

Objectiveе: To investigate structure of the morbidity and mortality rate of the Pediatric Intensive Care Unit (PICU).

Materials and methodology: The study was conducted PICU’s, Pathology unit’s and Statistic Information unit’s annual reports from 2003- 2009 years, and initial forms of Human Resource unit. Data were collected using questionnaire and were analyzed using the descriptive, graphic and 2x2 tables.

Results: From 2003 to 2009 years the PICU received totally 6435 patients. On 2003 year 858, on 2004 year 929, on 2005 year 876, on 2006 year 833, on 2007 year 943, on 2008 year 1129, on 2009 year 867 patients were treated at the PICU. By the study on 2003 year 338 (39,4%), on 2004 year 357 (38.4%), on 2005 year 297(33.9%), on 2006 year 307 (36.9%), on 2007 year 371 (39.3%), on 2008 year 366 (32.4%), on 2009 year 79(9.2%) patients   were in extremely severe condition, so each year approximately 36.5% of all  patients were in  extremely severe condition. The mortality rate on 2003 year was 79 (9.2%), it was the highest rate, on 2004 year 66(7.1%), on 2005 year 57 (6.5%), a 2006 year 42 (5%), on 2007 year 48(5.1%), on 2008 year 51 (4.5%) – it was the lowest rate and on 2009 67 (7.7%). From 2003 till 2008 the mortality rate was decreasing, but comparing with the 2008 year on 2009 year it was increased 3.2%. By the 10th International disease code classification the most common first five diseases were: respiratory, neurology, gastroenterology illnesses, congenital abnormalities and injury and toxicity. The most common first five causes of mortality were:  pneumonia,   congenital heart diseases, diarrhea, brain hemorrhage and bacterial meningitis.

Conclusion: The PICU receive per year an average 919 patients and 36.5% of them has an extremely severe medical condition. An average per year 58.5 children dies at the PICU. The first five causes of morbidity are: respiratory diseases (47.6%), neurology diseases (17%), gastroenterology diseases (13%), congenital abnormalities (6.9%) and injury and toxicity (3.8%). The first five mortality causes are: pneumonia (25.4%), congenital heart diseases (18.3%), diarrhea (11.1%), brain hemorrhage (10.2%) and bacterial meningitis (5.9%).



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