What are the Main Diagnoses in Hospitalized Patients in Madagascar ? A Sentinel Surveillance in 18 Hospitals from 2014 to 2018.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Randrianasolo Laurence, Rabehasimbola Tojonirina, Randriamampionona Léa, Randria Mireille, Ramarokoto Toky, Bernardson Barivola, Rakotoarimanana Feno Manitra, Ratsitorahina Maherisoa, Andriamasoandro Roland Razanatsimba, Randimbitsialonina Hasina Alain, Razafindrazaka Hajalalaina, Rafaliarisoa Jery Soa Bakolitiana, Ramanantoanina Nirinarilala, Randrianary Haja, Rakotonimanana Solofinirina, Ranarijaona Gisèle, Djaosany Giovanie, Rasoamirantsoa Ramananarivo, Rasolofoharizanany Jacqueline, Ravaonandrasana Iharisoa, Andriamanjava Delbert Radama, Fanambinantsoa Liva, Ralijaona Victor, Randrianasolo Prosper, Randrianavelo, Ralaivao Jaona, Rakotovao Noelson, Tsikomia Nyelsen Amaïde, Randrianantenaina Antoine Olivier, Botoihely Jean Erick, Pierre Stéphan, Totohako Aimé Bruno Zafilahy, Andrianantenaina Claude Marcel, Piola Patrice, Baril Laurence, Dreyfus Anou, Randremanana Rindra
Аннотация
METHODS: At hospitalization of a patient, each unit involved in the sentinel surveillance recorded the clinical diagnosis through an e-health platform. Data from September 2014 to July 2018 were analyzed. Morbidity and annual incidence of diseases according to ICD-10 were reported.
RESULTS: A total of 140,789 inpatients information was recorded. The median age was 28.2 years (IQR: 18.3; 45.3). 21.6% of the children < 15 years suffered from communicable diseases. The hospital morbidity was 4.01% for malaria, 0.84% for tuberculosis, 0.09% for HIV/AIDS and 0.05% for plague. The hospital morbidity of non-communicable diseases was higher compared to communicable diseases with 7.8%, 7.1% and 3.1% for "Diseases of the circulatory system", "Injury, poisoning and certain other consequences of external causes" and "Mental and behavioural disorders", respectively. "Pregnancy, childbirth and puerperium" represented 20.5% of the hospitalized patients.
CONCLUSIONS: The e-health platform enabled continuous and standardized data collection. Communicable diseases affect mainly children < 15 years. Non-communicable diseases are on the rise and need more attention by national health authorities. A number of hospitalizations could be prevented by a better health care management at the community-based health care level and by implementation of a Universal Health Coverage (UHC) in Madagascar.