Features of the formation of disability among the contingent of the city children’s polyclinic of the regional center of the subarctic territory
https://doi.org/10.25789/YMJ.2018.61.18
Abstract
Formation of indicators of disability of children of a city children’s polyclinic of the regional center of subarctic territory is dictated by necessity of an estimation of results of daily practical work of the pediatrist.
The analysis of the disability of children in 2011-2015 on the basis of the medical documentation of the Syktyvkar city children’s polyclinics №3, Komi Republic, Russia was carried out.
In the structure of the causes of disability prevail: diseases of the nervous system - 34.74±3.55% (p<0.001); congenital anomalies, chromosomal abnormalities - 29.46±9.63% (p<0.001); diseases of the ear and its adnexa - 9.88±2.22% (p <0.001); diseases of the endocrine system, eating and metabolic disorders - 8.44±2.07% (p<0.001) and neoplasms - 7.21±1.93% (p<0.001). The share of these five classes of diseases is 84.69% of the total structure.
The frequency of determination of disability in children annually increases by +1.09 units with a growth rate of + 0.91% and a growth rate of 100.91%.
The incidence of diseases that caused disability in children was highest in the following classes: diseases of the nervous system - 42.06±4.29 (p<0.001); congenital anomalies, chromosomal abnormalities - 29.57±3.88 (p<0.001); diseases of the ear and its adnexa - 11.96±2.69 (p<0.001); diseases of the endocrine system, eating disorders and metabolic disorders - 10.21±2.51 (p<0.001) and neoplasms - 8.74±2.33 (p<0.001).
A stable annual growth rate of children with disabilities at 4.52% suggests that the process will continue in the future.
Complex treatment carried out within the framework of individual programs for rehabilitation / habilitation of disabled children allowed to completely restore health in 43 children (4.77%), improve the condition - 52 (5.77%), stabilize the pathological process - 90.24%. Weight gain occurred in 4 people (0.44%) due to the progression of the disease.
About the Authors
K. A. Shapovalov
State Education Agency of Additional Professional Education of Republic of Komi “Komi Republican Institute for Development of Education” ; State Budget Agency of Health of Republic of Komi “Syktyvkar Children`s Clinic No 3”
Russian Federation
Russian Federation
Konstantin Albertovich Shapovalov - Doctor of Medical Sciences, Professor; head of the methodical cabinet
167982, Syktyvkar, ul. Ordzhonikidze, 23
L. A. Shapovalova
State Education Agency of Additional Professional Education of Republic of Komi “Komi Republican Institute for Development of Education”
Russian Federation
Russian Federation
Larisa Anatol’evna Shapovalova - doctor of the highest qualification category
167982, Syktyvkar, ul. Ordzhonikidze, 23
M. V. Zaboeva
Children’s Clinical Hospital of the Republic of Komi «Syktyvkar Children’s Polyclinic No. 3»
Russian Federation
Russian Federation
Marina Vasilievna Zaboeva - the head of the rehabilitation center, the pediatrician
Syktyvkar, Komi Republic
T. A. Kalinina
Children’s Clinical Hospital of the Republic of Komi «Syktyvkar Children’s Polyclinic No. 3»
Russian Federation
Russian Federation
Tatyana Albertovna Kalinina - doctor pediatrician of the first qualification category
Syktyvkar, Komi Republic
O. E. Toropova
Children’s Clinical Hospital of the Republic of Komi «Syktyvkar Children’s Polyclinic No. 3»
Russian Federation
Russian Federation
Olga Evgenievna Toropova - doctor neurologist
Syktyvkar, Komi Republic
References
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Review
For citations:
Shapovalov K.A., Shapovalova L.A., Zaboeva M.V., Kalinina T.A., Toropova O.E. Features of the formation of disability among the contingent of the city children’s polyclinic of the regional center of the subarctic territory. Yakut Medical Journal. 2018;(1):58-62. https://doi.org/10.25789/YMJ.2018.61.18
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