scholarly journals Identifying multimorbidity patterns of non-communicable diseases in paediatric inpatients: a cross-sectional study in Shanghai, China

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042679
Author(s):  
Ning Chen ◽  
Liang Zhou ◽  
Jiaoling Huang ◽  
Wenya Yu ◽  
Chen Chen ◽  
...  

ObjectivesTo enhance the understanding of non-communicable disease (NCD) multimorbidity in children who are inpatients by delineating the characteristics of and identifying patterns among paediatric inpatients with multimorbidity in China.DesignCross-sectional study.SettingPaediatric wards (n=17) in Pudong New Area, Shanghai, China.ParticipantsA total of 193 432 paediatric inpatients in the electronic health record systems of 17 hospitals from 2011 to 2016 participated in the study, and 91 004 children with NCDs were extracted and classified based on International Classification of Diseases, 10th version codes.Main outcome measuresNumber of the NCDs and multimorbidity patterns of the paediatric inpatients.ResultsIn total, 47.05% (95% CI 46.83 to 47.27) of the paediatric inpatients had one or more chronic diseases, and 16.30% (95% CI 16.14 to 16.46) had multimorbidity. Congenital anomalies accounted for 19.43% (95% CI 19.25 to 19.61) of the principal diagnoses among the paediatric inpatients. Five common multimorbidity patterns were identified: a neurological-respiratory cluster, a neurological-respiratory-ear cluster, a cardiovascular-circulatory cluster, a genitourinary cluster (boy group) and a musculoskeletal-connective cluster (10–18 years age group).ConclusionsMultimorbidity in paediatric inpatients suggests that decisions about reasonable allocation of paediatric inpatient resources should be fully considered. Multimorbidity patterns in paediatric inpatients revealed that prevention, including innovative treatments targeting children, should be further studied.

BMJ ◽  
2010 ◽  
Vol 341 (sep27 1) ◽  
pp. c4974-c4974 ◽  
Author(s):  
S. Kinra ◽  
L. J. Bowen ◽  
T. Lyngdoh ◽  
D. Prabhakaran ◽  
K. S. Reddy ◽  
...  

Author(s):  
Kalaivani Annadurai ◽  
Nithiya Balan ◽  
Karnaboopathy Ranaganathan

Background: Owing to growing epidemic of non communicable diseases (NCD), identification of risk factor profile is one of the high-priority actions required in reducing NCDs. Further, fishermen community possesses unique characteristics of a folk society despite the urban environment around it. Since major portion of the life of fishermen is spent at sea with bizarre sleep and eating pattern, their risk profile for non-communicable disease are different from general population. The objectives of the study were to assess the prevalence of risk factors for non-communicable diseases (NCDs) among fishermen community in Kancheepuram district, Tamil Nadu; to identify the association of the NCD risk factors with socio-demographic and occupational characteristics of the study participants. Methods: This was a descriptive cross sectional study conducted among 210 adult male Fishermen community of Kovalam, Kalpakkam and Mahabalipuram, of Kancheepuram district, Tamil Nadu during May to October, 2016 using a semi-structured questionnaire and all the participants were motivated to undergo laboratory investigations. Results: Prevalence of smoking tobacco form, smokeless tobacco use and alcohol use were 17.1%, 22.9% and 61.4% respectively. Mean blood pressure observed in our study was 120.14/77.86 mm Hg. Prevalence of hypertension was 39.05% and 13.3% were having abdominal obesity. Conclusions: NCD risk factors like hypertension, alcohol use was quite high in this fishermen community and it needs further evaluation. 


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e043298
Author(s):  
Mithila Faruque ◽  
Lingkan Barua ◽  
Palash Chandra Banik ◽  
Sharmin Sultana ◽  
Animesh Biswas ◽  
...  

ObjectiveTo determine the prevalence of non-communicable disease (NCD) risk factors among nurses and para-health professionals (PHPs) working at primary healthcare centres in Bangladesh. In addition to this, we also investigated the association of these risk factors with the categories of health professions.DesignCross-sectional study and the sampling technique was a census.SettingThe study site was a medical university of Bangladesh where the study population was recruited by NCD Control Programme of Directorate General of Health Services to participate in a 3-day training session from November 2017 to May 2018.ParticipantsA total of 1942 government-employed senior staff nurses (SSNs) and PHPs working at Upazila Health Complexes.Primary and secondary outcome measuresThe data were collected using a modified STEPwise approach to NCD risk factors surveillance questionnaire of the World Health Organisation (V.3.2). The prevalence of NCD risk factors was presented descriptively and the χ² test was used to determine the association between NCD risk factors distribution and categories of health professions.ResultsThe mean age of the participants was 37.6 years (SD 9.5) and most of them (87.6%) had a diploma in their respective fields. Physical inactivity (86.9%), inadequate fruits and/vegetable intake (56.3%) and added salt intake (35.6%) were the most prevalent behavioural risk factors. The prevalence of central obesity, overweight, raised blood glucose and raised BP were 83.5%, 42.6%, 19.2% and 12.8% respectively. Overall, the NCD risk factors prevalence was higher among PHPs compared with SSNs. A highly significant association (p<0.001) was found between risk factors and the categories of health professions for tobacco use, alcohol intake, added salt intake and physical inactivity.ConclusionHigh NCD risk factors prevalence and its significant association with SSNs and PHPs demand an appropriate risk-reduction strategy to minimise the possibility of chronic illness among them.


2021 ◽  
Author(s):  
Mathilde Horowicz ◽  
Sara Cottler-Casanova ◽  
Jasmine Abdulcadir

Abstract Background: Female genital mutilation/Cutting (FGM/C) can result in short and long-term complications, which can impact physical, psychological and sexual health. Our objective was to obtain descriptive data about the most frequent health conditions and procedures associated with FGM/C in Swiss university hospitals inpatient women and girls with a diagnosis of FGM/C. Our research focused on the gynaecology and obstetrics departments. Methods: We conducted an exploratory descriptive study to identify the health outcomes of women and girls with a coded FGM/C diagnose who had been admitted to Swiss university hospitals between 2016 and 2018. Four of the five Swiss university hospitals provided anonymized data on primary and secondary diagnoses coded with the International Classification of Diseases (ICD) and interventions coded in their medical files. Results: Between 2016 and 2018, 207 inpatients had a diagnosis of FGM/C. The majority (96%) were admitted either to gynaecology or obstetrics divisions with few genito-urinary and psychosexual conditions coded.Conclusions: FGM/C coding capacities in Swiss university hospitals are low, and some complications of FGM/C are probably not diagnosed. Pregnancy and delivery represent key moments to identify and offer medical care to women and girls who live with FGM/C. Trial registration: This cross-sectional study (protocol number 2018-01851) was conducted in 2019, and approved by the Swiss ethics committee.


Author(s):  
Aman Kumar ◽  
Rupali Choudhury ◽  
Sushma Yadav

Background: The burden of non-communicable diseases such as diabetes and coronary heart disease is increasing both globally and in India. The present study was conducted to estimate the prevalence of risk factors associated with non-communicable disease and to study the association of the risk factors with non-communicable disease among tribal population of Lefunga Block of Tripura.Methods: A cross-sectional study was conducted in Lefunga block during April to June 2017 among 150 Indigenous tribal population of Tripura. Multistage random sampling was used. A predesigned, pretested, semi-structured modified WHO STEPs questionnaire was used. Chi square and Multiple Logistic Regression was done to see association.Results: Mean age was 39.03±12.76 years. Majority (66.7%) were females and (44.7%) had studied up to secondary. (26%) were tobacco smokers and (68%) were tobacco chewing. (36%) were alcoholic. (89.3%) had exercising for <2.5 hrs. 68% were taking vegetables >10 times/ week and 88.7% were taking fruits <5 times/week. (26%) were overweight, (45.3%) had abdominal obesity and 31% were hypertensive. 93.3% were aware of the harmful effects of tobacco consumption. Multiple logistic regression analysis showing factors associated with male were more likely to had higher abdominal obesity and alcohol user >50 yrs, government employee. With smoking, male having more chances of smoking and Age group of 20-30 yrs and 31-40 yrs.Conclusions: The mean age was 39.03±12.76 years. (26%) were overweight, (45.3%) had abdominal obesity and (31%) were hypertensive. NCD clinic, IEC should be increased. 


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