Child morbidity as described by hospital admissions for primary school aged children in Tonga 2009-2013.

Autor:	Langridge FC; PhD Candidate, Departments of Pacific Health, Paediatrics: Child and Youth Health, The University of Auckland, Auckland., Hufanga SV; Biostatistician, Biostatistics Department, Chief Information Officer, Ministry of Health, Tonga., 'Ofanoa MM; Senior Lecturer, Departments of Pacific Health., Fakakovikaetau T; Paediatrician, Paediatrics Department, Vaiola Hospital, Nuku'alofa, Tonga., Percival TM; Paediatrician and Senior Lecturer, Departments of Pacific Health., Grant CC; Paediatrician and Professor, Paediatrics: Child and Youth Health, The University of Auckland, Auckland, Starship Children's Hospital, Auckland.
Jazyk:	angličtina
Zdroj:	The New Zealand medical journal [N Z Med J] 2017 Nov 10; Vol. 130 (1465), pp. 29-43. Date of Electronic Publication: 2017 Nov 10.
Abstrakt:	Aims: To describe inpatient utilisation patterns for primary school aged children in Tonga. Methods: We described admissions for children aged 5-11 years to the main hospital in Tonga from January 2009 to December 2013. Rates with 95% confidence intervals (CI) were compared using rate ratios (RR). Results: There were 1,816 admissions. The average annual admission rate was 20.2/1,000 (95% CI 19.3-21.1). Hospital admission rates were higher in younger than older children (5-7 versus 8-11 years, RR=1.28, 95% CI 1.18-1.41) and in boys than girls (RR=1.52, 95% CI 1.38-1.68). Injury and poisoning (28%), non-respiratory infectious diseases (19%), respiratory conditions (16%), abdominal/surgical conditions (13%) and dental (9%) were the most frequent admission reasons. A larger proportion of younger versus older children were hospitalised for dental (16% vs 1%, P<0.001) or respiratory conditions (18% vs 14%, P=0.02). A larger proportion of older children were hospitalised for abdominal/surgical conditions (15% vs 11%, P=0.008), other infectious diseases (21% vs 17%, P=0.04), other conditions (10% vs 6%, P<0.001) and cardiac conditions (2% vs 1%, P<0.001). Conclusions: In children 5-11 years in Tonga, 85% of admissions were for five groups of conditions. These data inform priority areas for healthcare spending and enable comparisons over time and between different Pacific countries. Competing Interests: Mrs Langridge reports grants from University of Auckland during the conduct of the study; grants from New Zealand Optometric Vision Research Foundation, grants from The Oticon Foundation, non-financial support from The Ranchhod Foundation, outside the submitted work. MO is part of the supervision team for this PhD candidate (main author).
Databáze:	MEDLINE
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