Trends in Hospitalization of Children with Bacterial Pneumonia in Poland

Gajewska, Małgorzata; Lewtak, Katarzyna; Scheres, J. M. J. C.; Albrecht, Piotr; Goryński, Paweł

doi:10.21101/cejph.a4164

Cited by 13 publications

(16 citation statements)

References 20 publications

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“…This finding is lower than the study finding in Poland on trends in the hospitalization of children with bacterial pneumonia that reported 8.2 to 10.1 days [18]. This discrepancy might be due to the time difference as it was conducted from 2007 to 2011.…”

Section: Discussioncontrasting

confidence: 72%

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Time to recovery and predictors of severe community-acquired pneumonia among pediatric patients in Debre Markos referral hospital, North West Ethiopia: A retrospective follow-up study

2020

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Introduction Globally, pneumonia is a major cause of morbidity and mortality among children which leads to over 156 million episodes and 14.9 million hospitalizations each year. Besides this fact, the recovery time and predictors of children's hospitalization related to severe communityacquired pneumonia is not well known. Therefore, the aim of this study was to estimate the median time to recovery and its predictors among severe community-acquired pneumonia patients admitted to the pediatric ward, Debre Markos referral hospital, North West Ethiopia. Methods An institution-based retrospective follow-up study was employed among 352 records of children who were admitted starting from January 2016 to December 2018. Patients' charts were retrieved using a structured data extraction tool. Cox proportional hazard model assumption and model fitness was checked. Stratified Cox regression was fitted as a final model. Hazard ratio with its 95% confidence interval was used and P-value < 0.05 was considered as a statistically significant association. Result The overall median recovery time was 4 days IQR (3-7). Recovery rate from severe community acquired pneumonia was 16.25 (95% CI: 14.54-18.15) per 100 person day observation. Age (AHR; 0.94 95% CI (0.90-0.98)), being stunted (AHR; 0.62 95% CI (0.43-0.91)), presence of danger sign at admission (AHR; 0.61 95% CI (0.40-0.94)), late presentation to seek care(AHR; 0.64 95% CI (0.47-0.88)) and co-morbidity (AHR; 0.45 95% CI (0.35-0.58)) were significant predictors of recovery time.

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Section: Discussioncontrasting

confidence: 72%

“…was recorded among younger and older children respectively [18]. A similar study conducted in Nepal also showed that as age increases recovery time from illness also increases [17].…”

Section: Plos Onementioning

confidence: 67%

Time to recovery and predictors of severe community-acquired pneumonia among pediatric patients in Debre Markos referral hospital, North West Ethiopia: A retrospective follow-up study

2020

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“…The data of NGHMS were used for scientific purposes as soon as in the 1970s (4-6), whereas in the 1980s they were used, among others, in major studies comparing the various aspects of hospitalisation in Poland and in USA (7,8). The papers being written are directly relevant to hospital treatment (for instance, the frequency of the occurrence of in-hospital cardiac arrest (9), hospitalisation caused by obesity (10) or asthma (11)), but, as well, the seasonality of health phenomena (12), their spatial differences (13), the effectiveness of vaccinations (14,15), the prevalence of rare diseases (16)(17)(18)(19) -in that case, the NGHMS replaced non-existent registries of diseases. Data acquired from the Study are also annually published by the Statistics Poland in the reports entitled 'Health and health care in … ' (20).…”

Section: Analyses Based On the Results Of Nghmsmentioning

confidence: 99%

“…Hospitalisations due to ill-defined conditions (according to ICD-10 -Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified, R00-R99) are an issue combining the problem of medical care and the quality of data. In spite of the fact that both in Poland and elsewhere in the world it is recommended that such diagnoses be restricted as the main cause of hospitalisation (1, 2), in our country they constitute nearly 5% of the total number (in the case of children and adolescents, the percentage is significantly higher, namely, in the year 2017, such was a diagnosis in the case of 8.9% hospitalised at the age: 5-14, and 10.3% at the age: [14][15][16][17][18][19]. Most frequently (in more than 30%) such diagnoses are observed in the case of abdominal and pelvic pain (R10), followed by pain in the throat and Lepsza jakość danych o hospitalizacjach umożliwiłaby prowadzenie przez wszystkich zainteresowanych bardziej precyzyjnych analiz, w tym służących realizacji zobowiązań wobec organizacji międzynarodowych (WHO, OECD).…”

Section: Limitations Of the Studymentioning

confidence: 99%

“…Powstające artykuły dotyczą bezpośrednio leczenia szpitalnego (np. częstości występowania wewnątrzszpitalnego nagłego zatrzymania krążenia (9), hospitalizacji z powodu otyłości (10) czy astmy (11)), ale również sezonowości i przestrzennego zróżnicowania zjawisk zdrowotnych (12,13), skuteczności szczepień (14,15), rozpowszechnienia chorób rzadkich (16)(17)(18)(19) -w tym wypadku OBChSO zastępuje nieistniejące rejestry chorób. Dane z badania trafiają również do wydawanych corocznie przez GUS raportów pt.…”

Section: Wykorzystanie Wynikówunclassified

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Nationwide General Hospital Morbidity Study as a source of data about Polish population health

et al. 2019

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The objective of this article is description of the important source of data on hospitalised morbidity collected in Poland within the frameworks of public statistics, and also underlying the significance of the quality of data collected at the hospital level for the purpose of the practical application of them. The Nationwide General Hospital Morbidity Study has been conducted by the Department of Population Health Monitoring and Analysis of the NIPH-NIH for more than 40 years within the frameworks of the Programme of Statistical Surveys of Official Statistics. Since the year 2000, it has had a complete character, collecting individual data for all cases of hospitalisation in Poland within the scope compliant with the MZ/Szp-11 form, among others, sex, age, place of residence of a patient, data on hospital, information about the course of treatment (length of stay in hospital, principal diagnosis and comorbidity, applied medical procedures, the mode of admission and discharge). The collected data are anonymous. In the recent years, annually, more than 8 million of the cases of hospitalisation have been documented. Almost all obliged hospitals (96%) participate in the study. Some weak point is the completeness of submitted data, in particular, regarding information about the external causes of injuries and poisonings (in the year 2017, 27% of the required data were missing). Interestingly, a high level of missing data is generated by a comparatively small number of hospitals. Significant differences are observed in the quality of data depending on the voivodship of hospital location. The collected data render it possible to, among others, determine the frequency of hospitalisations due to particular causes taking under consideration the localisation of a hospital, and also the sex, age and the place of residence of patients, the analysis of the duration of hospital stay or in-hospital fatality. The aggregated results are reported to international databases (WHO, OECD, Eurostat), and support the administrative authorities of various levels. They are also a basis for numerous published scientific papers. The most important results of routine analyses are presented of the web page of the Study (http://www.statystyka1.medstat.waw.pl/).

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The incidence of pneumonia in the paediatric population in Poland in light of the maps of health needs

Lange

Kozielski

Bartolik

et al. 2021

J Public Health (Berl.)

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In Poland, no statistical data are available concerning the analysis of the incidence of pneumonia in inpatient children. The requirement for these data results mainly from the need to prepare systemic and economic solutions. Aim This study aimed to use reported data for evaluating pneumonia incidence rates among hospitalised children and other parameters in various age groups. Subject and methods A detailed analysis was performed as part of the Operational Programme Knowledge Education Development co-financed by the European Social Fund. Services reported to the National Health Fund in 2014 were considered, including pneumonia incidence among hospitalised children and mortality in specific age groups. Results In 2014, a total of 68,543 children were hospitalised for pneumonia (68% of all hospitalisations for acute respiratory diseases). Within each of the analysed age groups, boys were hospitalised more frequently. Irrespective of the place of residence, infants were most commonly hospitalised. It was observed that there was a significant difference between the incidence rate of pneumonia among hospitalised children in all analysed groups depending on the province. The average length of stay was 7.29 days, with infants requiring the longest stays (7.96 days), and 1.8% of children were rehospitalised within 30 days due to recurrence of pneumonia. The most commonly coded pathogens responsible for pneumonia included Mycoplasma pneumoniae, Streptococcus pneumoniae and Chlamydia spp. A total of 19 inpatient hospital deaths in the course of pneumonia were reported. Conclusions Based on our findings, it is warranted to utilize epidemiological knowledge for the planning of an appropriate level of service commissioned both in outpatient and inpatient facilities as well as for the estimation of institutional and staff needs necessary to secure these services.

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Trends in Hospitalization of Children with Bacterial Pneumonia in Poland

Cited by 13 publications

References 20 publications

Time to recovery and predictors of severe community-acquired pneumonia among pediatric patients in Debre Markos referral hospital, North West Ethiopia: A retrospective follow-up study

Time to recovery and predictors of severe community-acquired pneumonia among pediatric patients in Debre Markos referral hospital, North West Ethiopia: A retrospective follow-up study

Nationwide General Hospital Morbidity Study as a source of data about Polish population health

The incidence of pneumonia in the paediatric population in Poland in light of the maps of health needs

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