CHARACTERISTICS OF HOSPITALIZATIONS OF CHILDREN IN THE FIRST MONTH OF LIFE TO A MULTIDISCIPLINARY CHILDREN'S HOSPITAL
Abstract
Taking into account the peculiarities of the incidence of newborns’ morbidity in St. Petersburg, the assessment of hospitalizations of children in the first month of life into a multidisciplinary
children’s hospital in a metropolis is an urgent issue for research. For this purpose, data of 267 children who were treated in a multidisciplinary children’s hospital in 2020–2022 were taken from MIS “Ariadna”. Statistical data processing was carried out using MS Office 2016 and STATISTICA 10.0 StatSoft Inc. software. The analysis of the data obtained revealed that the majority of patients in the first month of life were admitted through an in-hospital transfer and their treatment was financed by compulsory medical insurance funds. During the COVID-19 pandemic, most children in the first month of life were hospitalized by emergency aid (66.7%), but since 2021, hospitalization of two-thirds of patients started to be planned. The share of children rehospitalized in 2022 was 2.3%, and the highest rate of rehospitalization was observed in 2021, when its level reached 11.7%. An assessment of the distribution of hospitalized children by birth weight showed an increase in the proportion of newborns born prematurely. The largest proportion of patients in the first month of life was hospitalized in the departments of pathology beds for newborns and premature babies, intensive care beds for newborns and surgical beds for children, which had the highest average length of stay for patients. The proportion of patients hospitalized at pathology beds for newborns and premature babies, surgical beds for children, ophthalmological and pediatric beds’ departments has decreased, while it has increased at the
departments of intensive care beds for newborns and other beds. During the study period, the average length of stay of patients in a hospital decreased in intensive care beds for newborns, as well as surgical beds for children, and simultaneously increased in pathology beds for newborns and premature babies, ophthalmic, pediatric beds. In the structure of patients number of children with certain conditions originating from the perinatal period on and congenital malformations, deformations and chromosomal abnormalities prevailed, the proportion of them decreased during the study period. The vast majority of patients in the first month of life were discharged from the hospital, but there was a decrease in the proportion of children transferred to other hospitals and an increase in the proportion of patients who died in the hospital in the neonatal period.
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