Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
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Common Disease Codes in Pediatric Inpatients (1997-2008)

소아청소년과 입원환자의 흔한 질병 코드들(1997-2008): 감염질환 중심의 단일기관 연구

  • Park, Ji-Eun (Departments of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Lee, Soo-Young (Departments of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Kang, Jin Han (Departments of Pediatrics, College of Medicine, The Catholic University of Korea)
  • 박지은 (가톨릭대학교 의과대학 소아과학교실) ;
  • 이수영 (가톨릭대학교 의과대학 소아과학교실) ;
  • 강진한 (가톨릭대학교 의과대학 소아과학교실)
  • Received : 2010.12.17
  • Accepted : 2011.03.05
  • Published : 2011.06.25
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Abstract

Purpose : In this study, we listed common diseases in pediatric inpatients and evaluated the distribution of diseases by period and age group, in order to estimate the epidemiologic trend. Methods : Patients who were admitted to the Department of Pediatrics between 1997 and 2008 were included. Demographic characteristics, date of admission, and International Classification of Diseases (ICD) code of patients were indentified. Study period was divided into two; early (1997-2002) and late (2003-2008), and age of patients were grouped into four; infancy, early childhood, late childhood, and adolescence. Results : A total of 33,513 patients were admitted for 12 years. In the list of ICD code, Pneumonia (J12-J18; 21.2%) was the most prevalent, followed by gastroenteritis (A00-A09; 17.8%), bronchiolitis (J21; 11.9%), and so on. Common diseases ranked from 1 to 10 comprised the majority (79.1%) of all the inpatients. There was increase in the number of inpatients with respiratory infectious disease (bronchiolitis, otitis media, and sinusitis), enlarged lymph node, or impetigo/cellulitis, but decrease in the number of inpatients with aseptic meningitis, intussusceptions, measles, or nephritic/nephrotic syndrome. The distribution of diseases also showed age group-specific difference. Conclusion : The distribution of diseases by period and age group was different. The epidemiologic trend should be considered in developing the management of strategy for the Department of Pediatrics.

목 적 : 소아청소년과에 입원하는 흔한 원인 질병을 조사하여, 기간별 연령군별 질병의 분포를 확인하고 그 역학적 변화를 추정하기 위하여 본 연구를 계획하였다. 방 법: 1997년부터 2008년까지 소아청소년과 입원환자를 대상으로, 인구학적 특징, 입원일, 질병코드(ICD-10)를 조사하였다. 연구 기간은 전반기(1997-2002)와 후반기(2003-2008)로 양분하였고, 연령은 영아기, 유아기, 학령기 및 청소년기, 4군으로 구분하여 다빈도 질병을 비교하였다. 결 과: 12년간 입원 환자수는 총 33,513명이었다. 다빈도 질병은 폐렴(J12-J18; 21.2%), 장염(A00-A09; 17.8%), 모세기관지염(J21; 11.9%) 등 순이었고, 1-10위 다빈도 질병은 전체의 79.1%를 차지하였다. 기간별 비교에서 호흡기 감염질환(모세기관지염, 중이염, 부비동염)과 림프절 종대, 농가진/봉와직염으로 입원한 환자수는 증가하였고 무균 수막염, 장중첩증, 홍역, 신증후군/신염으로 입원한 환자수는 감소하였다. 연령군별로 다빈도 질병의 분포에 차이를 보이기도 하여서 질병에 따른 호발 연령군을 확인하였다. 결 론:다빈도 질병은 기간별 연령군별로 차이를 보였다. 이러한 역학적 변화는 소아청소년과의 진료계획 수립에 반영되어야 할 것이다.

Keywords

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