Issue: 2025, Vol. 30, No. 3

D. O. Ivanov, K. E. Moiseeva, A. V. Alekseeva, V. V. Yurieva, A. S. Kolotova, V. V. Danilova

CLINICAL AND STATISTICAL CHARACTERISTICS OF THE YEAR-OLD PATIENTS IN A MULTIDISCIPLINARY PAEDIATRIC HOSPITAL

Keywords

clinical and statistical characteristics, hospitalization, patients of the first year of life, specialized medical care, children’s multidisciplinary hospital, new coronavirus infection.

Abstarct

Objective – to evaluate the clinical and statistical characteristics of the Material and Methods. The data for 3371 children were obtained from the “Ariadna” medical information system. All the children permanently resided in St. Petersburg. Results and Discussion. More than half of the first-year MPH patients were boys, whose mean age was 5.35 ± 0.10 months. The hospitalization of the children was paid for from compulsory medical insurance (CMI) funds in 92.4 % or more of the cases, partially as part of the payment for high-tech medical care (HTMC). The majority of the children were admitted to the clinic on referral from children’s polyclinics in St. Petersburg. However, the share of such children was decreasing mainly due to the growth of hospitalizations of patients transferred from other children’s hospitals and delivered by ambulance (emergency) aid. 65.5 % of children were hospitalized to a children’s hospital for emergency reasons at the beginning of the new coronavirus pandemic; the number of such patients decreased from 2021, the proportion of planned patients increasing. Most often the children were hospitalized to the departments of paediatric and surgical profiles as well as the ophthalmology department. Congenital anomalies (malformations), deformities and chromosomal disorders, respiratory diseases occupied the first and second ranks during the whole period under the study, their frequency of the hospitalizations due to these causes increasing. Most patients were discharged from the hospital with recovery and improvement. The number of patients discharged with recovery and without change increased 2.7 times over the three years under the study, those with deterioration grew 2.5 times, and the proportion of the children discharged with improvement decreased by 20.5 %. The latter was associated with the specific features of the patients contingent hospitalized to a third-level hospital. Conclusion. On the one hand, the level of medical organization influenced the clinical and statistical characteristics of the first-year patients hospitalized to MPH. on the other hand, the pandemic of a new corona­virus infection significantly shaped the indicators characterising hospitalizations of such patients.

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