498 The role of interaction between hospitals in health system

The aim of our research was to investigate the diseases of 0–18 year old patients admitted to the ‘Muratsan’ University hospital complex (UHC) Intensive care unit (ICU) and toxicology for the last 7 years, including cases that have been reported by the ‘Muratsan’ UHC (ICU) from the hospitals in Yere...

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Published in:Archives of disease in childhood 2021-10, Vol.106 (Suppl 2), p.A209-A209
Main Authors: Asatryan, Ani, Harutyunyan, E, Shahumyan, L, Aghajanyan, A, Shahumyan, H, Khachatryan, S, Atoyan, I, Sahakyan, A, Manukyan, G, Esoyan, K, Mirabyan, S, Grigoryan, M, Baveyan, B, Asoyan, V, Apresyan, H
Format: Article
Language:English
Subjects:
Abstracts
Age
Age groups
Allergy
Departments
Diabetes mellitus
Epilepsy
Hematological diseases
Hospitals
Intoxication
Patients
Pediatrics
Toxicology
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Summary:The aim of our research was to investigate the diseases of 0–18 year old patients admitted to the ‘Muratsan’ University hospital complex (UHC) Intensive care unit (ICU) and toxicology for the last 7 years, including cases that have been reported by the ‘Muratsan’ UHC (ICU) from the hospitals in Yerevan and provinces and other departments of ‘Muratsan’ UHC.A retrospective study was performed using medical charts up to 7 years(2012–2018) from ‘Muratsan’ UHC ICU and toxicology. The overall number of patients was 5152, among them 3074 were male and 2078 were female. This study included cases that have been reported by the ‘Muratsan’ UHC ICU and toxicology from the hospitals in Yerevan and provinces and other departments of ‘Muratsan’ UHC. The overall number of patients who were referred from the hospitals of Yerevan is 62(1.2%). 20(32.3%)-Acute respiratory infection(ARI), 17(27.4%)-Acute Intoxications(AI), 18(29%)-Acute Drug Intoxications(ADI) and 1(1.6%)-allergic disorders, 6(9.7%)-other disorders*. The referred patients were divided into 4 age groups (0–1,1–7,7–14,14–18), the first group-13, the second-37, the third-2 and the fourth-10 cases. 25(40.3%)-moderate, 35(56.5%)-severe and 2(3.2%)-extremely severe cases.681 patients (13.2%) were referred from regional hospitals, 38(5.6%) patients had ARI, 400(58.7%)-AI, 174(25.6%)-ADI and 22(3.2%)-allergic disorders, 47(6.9%)-other disorders. The first age group included-72, the second-500, the third-79 and the fourth-30 cases. 334(49%)-moderate, 345(50.7%)-severe cases, 2(0.3%)-extremely severe cases.The number of internal directions was 157(3%): 92(58.6%)-ARI, 7(4.5%)-AI, 6(3.8%)-ADI and 4(2.5%)-allergic disorders, 48(30.6%)-other disorders. The first age group included-26, the second-116, the third-10 and the fourth-5 cases. 11(7%) were moderate, 139(88.5%)-severe and 7(4.5%)-extremely severe cases.*Diabetes mellitus, epilepsy, cancer, hematological disorders, etc.We came to the conclusion that most cases of severe intoxication among children aged 1 to 7 years were transferred from different hospitals in Yerevan, regions and other departments of ‘Muratsan’ UHC. From this we can conclude that as a result of the organized work of the primary rings, patients are sent to the necessary specialized department.
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2021-europaediatrics.498