Burden of Hospitalized Pediatric Morbidity and Utilization of Beds in a Tertiary Care Hospital of Kolkata,India |
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Authors: | Rabindra Nath Roy Prabha Shrivastava Dilip Kumar Das Indranil Saha Aditya Prasad Sarkar |
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Affiliation: | Department of Community Medicine, R.G. Kar Medical College, Kolkata, India;1Department of Community Medicine, Burdwan Medical College, Kolkata, India |
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Abstract: | Background:Childhood morbidity consumes a substantial portion of health care resources in terms of hospital bed utilization, and overload in hospital ward remains a major concern in many countries, including India. A possible way to minimize the problem of scarcities of bed is to analyze the pattern of bed utilization by causes and plan services accordingly.Objectives:To determine the burden of pediatric morbidity and utilization pattern of pediatric beds in a tertiary care hospital.Materials and Methods:A retrospective analysis of pediatric inpatient''s records was conducted over a period of 1 year from 1 January 2007 to 31 December 2007.Results:Of 3983 total admitted cases, about one-third were infants, of which neonatal and post-neonatal age group constituted 45% and 55% of the cases, respectively. In terms of bed-day utilization, infants, 1-4 years and 5-11 years age group accounted for 35.10%, 32.58% and 32.32% of total days of admission, respectively. Utilization of pediatric beds by major causes of morbidity was respiratory tract infection (22.23%), convulsive disorder (12.68%), accident and poisoning (6.07%), diarrheal disease (4.97%) and chronic hemolytic anemia (4.42%).Conclusion:A minor change in admission policy through provision of day care unit for management of certain cases would allow efficient use of hospital beds. |
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Keywords: | Hospitalized pediatric morbidity bed days utilization acute respiratory infection diarrhea |
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