Hospitalization Rate and Population-based Incidence of Hospitalization for Community-acquired Pneumonia Among Children in Suzhou, China

Abstract

There is a considerable burden of CAP among children <15 years of age in Suzhou, particularly among children 29 days to <6 months of age and during winter and early spring. These data provide valuable information to monitor CAP trends over time in children of Suzhou, China.

Hospitalization for Invasive Pneumococcal Diseases in Young Children before Use of 13-Valent Pneumococcal Conjugate Vaccine, Suzhou, China

“…We describe children hospitalized for IPD at SCH during January 2010-December 2017. We used previous studies (12)(13)(14) to estimate the incidence of hospitalization for IPD among children <5 years of age in Suzhou. During January 2010-December 2017, the annual incidence of hospitalization for IPD in Suzhou ranged from 8.16 to 17.86/100,000 children and the average incidence was 14.55/100,000 children.…”

“…Hospital records indicate that, during 2011-2014, a total of 84.9% of patients <5 years of age with influenza-like illness and 63.3% of patients <5 years of age with meningitis or encephalitis resided in the 5 municipal districts of Suzhou (12). According to a 2011 healthcare utilization survey (13,14), SCH patients accounted for 67.7% of total discharges of children <5 years of age from all 96 hospitals in downtown Suzhou. We defined the catchment area of SCH as the 5 municipal districts of Suzhou; we assumed that 67.7% of children <5 years of age who resided in the catchment areas would be treated at SCH.…”

Hospitalization rate of respiratory syncytial virus‐associated acute lower respiratory infection among young children in Suzhou, China, 2010–2014

“…The inclusion criteria were (1) admission date was between January 1, 2010, and December 31, 2014; (2) patients were aged <5 years; (3) patients resided within the catchment area of SCH; (4) ICD‐10 disease codes for discharge diagnosis included J09‐J18 (influenza and pneumonia) or J20‐J22 (other ALRIs); and (5) patients were not admitted to hospital for the same disease within 30 days prior to admission. The following variables were exported from the Hospital Information System: admission number, date of birth, gender, address, date of admission, date of discharge, discharge diagnoses (ICD‐10 codes), and medical insurance status 17 …”

“…and medical insurance status. 17 Trained investigators were then recruited in order to extract the corresponding information from the individual medical chart of the identified ALRI cases. The variables collected in this step covered clinical manifestation, physical signs, biochemical testing results, pathogenic testing results, and therapeutic measures.…”

“…According to our Healthcare Admission Survey (HAS) that was conducted in 2011, the hospital admissions for children under 5 years old in SCH accounted for 67.7% of the total hospital admissions in all medical institutions within the catchment area of SCH. 17 The confidence intervals (CIs) for the hospitalization rate were calculated according to the standard methods in the WHO guideline. 14,15…”